Do you have a real life support group that you attend?
Also, one of the best questions my therapist asked me was, "Where do you see this going?" I blurted something out and she interrupted me, "No. I mean long term."
She asked the question after I had been seeing her once a week for about 4 mos. It was on the eve of my 1st HTR therapy appt. I was having last minute jitters and even considering canceling. When she asked it I, usually quite loquacious, was dumbstruck. It took to awhile to verbalize it but when I did the only answer I could honestly come up with was, "Transition."
I had avoided saying it like the plague because when I did it made it real. Looking back now I can see it was kind of a breakthrough moment in my therapy. Now I don't have any trouble saying it at all whatsoever. In fact I say it all the time now, "I'm a transitioning transgender woman."
Once I was clear about what I wanted and needed, I was able to put everything else, all (well, the lion's share at least) the fears and doubts, in the past and move on. I think maybe what my therapist was getting at is if one can't really see a positive future for oneself. Visualize it. If the vision is always dark, negative and fraught with foreboding then it's going to be tough to realize a positive future.