Low dose E for a good part of my life was my "Break Glass in Case of Emergency" salvation from my GD when it became too overwhelming. On low dose for a few weeks to months, feel better in weeks, and finally going off when things started to take a hit below the belt in violation of "The Prime Directive" of being a normal(ish) guy.
Like you, I have two crummy and a third even worse option. Sucking it up and living male is the lesser of all evils. With my new doc worried about slightly (as a couple of points over) elevated prolactin my E was cut to barely nothing. After a couple of months of that, stopping altogether was easy between easing off slowly vs cold-turkey and a reborn "Life sucks and then you die" outlook. Oh, and likely no option to up the dose to my usual with the slightly elevated prolactin level. So my third really even worse option often seems way too viable

Unfortunately I am too depressed to make the followup appointment for new blood workup and the findings from my research on what's troubling her. Oh, and there is that big flu thing so stay away from doctors offices if you can
So Yes, E does help emotionally. Even low dose. Impossibly low like the same as 1 pill a week? Shoot me now and end the pain.
NNJ just 3 miles from the GWB here and work next door to Asbury Park. The therapist I see is in Eatontown. In the New Brunswick area is IPG's main office. They cater to LGBT. I can't say mine is the greatest (formerly w/IPG) but far better, especially for TG stuff then then the generalist I saw before her. TBH 90% of why I see her has been non-trans related.
I feel your pain about therapists being more enablers then challengers. I have a TG Support group for that. For "Challenging", there is only so much a spouse can be called upon for. I have gotten the reality check questioning or challenges but not to the depth or intensity beyond mine, either pro or con.
But then, if you are stuck between a rock and a hard place with a pile driver pounding your head.....