Hi JMJW
I'm in the same holding pattern as you right now, pondering the exact same question.
Yes, art helps for a while with the dysphoria. I think because it's a form of self expression that has no restrictions imposed on it by society. Essentially your free to be yourself on canvas.
I'm just going to turn up to my meeting without any expectations. I don't know the process and want what's right for me, not what has worked for someone else.
Yes HRT seems the next logical step for me, i'm ready and open to the idea. But I may be asked questions I haven't thought of yet, given insight I haven't realised about myself. I think it's a process, so being honest and open seems the best way forward.
Best wishes,
shy