Hi Paula,
I came out to my partner about 7 years ago and started down the path to hormones and broader transition but slowed down because I wanted to progress while maintaining my family. Although I was ready to transition I had others that I wanted to bring along with me. Although my kids do not have health conditions, I was worried about being secure in my job and benefits because we are a single income family so I appreciate that there are lots of things that each of us has to way up on our journey.
I personally couldn't hold back forever and my partner slowly recognized that it wouldn't go away. And, to be honest, the dysphoria kept getting harder to manage. We agreed that I could finally move forward transitioning. Now, my partner says things like 'I wouldn't want you to stop hrt and transitioning.' In fact, she is often one of my biggest advocates to go further faster because I am so much more relaxed and happy. I am lucky but it has also taken a lot of patience and communication by everyone in the family.
I wish your family well and that you find little things to make it through.