Review help needed. Wrote out a hormone readiness assessment for my therapist..

[Strivexwolf]

I am considering presenting this to my therapist on the 7, and I wanted y'all to read it and help me get an idea of how the therapist will react to this, and proceed. Please give me feed back please, please, pretty please!!!!  Thank you!



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Realistic-expectations around hormone therapy and transitioning.



•   How do you think taking hormones and transitioning will affect your relationships?
•   Answer: I feel it will be the same, as I am still the same person I was before, just with the matching gender on the outside finally.
•    What do you think the impact might be on your work, school or community life?
•   Answer: I am confident it will not affect my performance in the work industry honestly I'm not that worried about it.
•    What will you do if your gender transition doesn't turn out as you had expected?
•   Answer: Well if it does not go how I expect I'm not just going to give up on myself I'll take whatever steps I need to take next until I'm happy with who I am. n_n
•    What changes are you most looking forward to? Are there any potential changes you are not sure about?
•   Answer: I'm looking forward to it all the good and the bad. I'm not unsure about anything.
•    If you experience side effects, what will you do?
•   Answer: Take the appropriate steps need with my provider to make sure I am safe and everything goes well.
•   Are there any potential side effects that you are concerned about?
•   Answer: No.
•    How do you feel about the irreversibility of some effects of hormones, including the possibility of permanent sterility?
•   Answer: I am content with the possibility of such.










Questions about Gender Social readiness.



•   Who makes up your support system? How readily accessible are they?
•   Answer: My mom, My Best Friends, And My spouse. They Are all able to talk anytime of the day. n_n
•   Do you know anyone else who has transitioned? What were the major struggles they had? How can you address those issues?
•   Answer: I don't know anyone in my town who is transgender like I am I wish I did.
•   What are the challenges you foresee with your family/friends?
•   Answer: Time Adjusting to how I look.
•   How will you manage your transition at work/school?
•   Answer: The way I always have and will continue to do on hormone replacement therapy by doing my job.










Gender Identity & Expression Questions.


•   How would you describe your gender identity?
•   Answer: A tomboy girl who exhibits characteristics considered typical of a boy such as clothing. (Tomboyish.)
•   Have there been changes to your gender identity over time? What was puberty/adolescence like?
•   Answer: Puberty Was Horrible For Me, I lost a great majority of my vocal range I preferred to use for voice acting, I started growing facial hair which is something I wished had never happened if I could afford it I would have full body electrolysis done already.... The worst part was the way my skin, and hormones affected my mind and body it was upsetting I still don't feel like I used to, I just want to feel like I did before puberty, or better. Some days I scratch my face, and back raw until it bleeds just to get it to feel soft again like. On those days I just want to sit down and cry.
•   How does your gender identity impact how you feel about work, relationships, family, or other aspects of your life?
•   Answer: I don't talk, or work with a lot of people because my actions, and the way I prefer to walk are feminine which Is the only thing right now I love about myself. I don't have many friends because I am scared to be confronted about such, so I keep the friends and family I have, and keep my feelings inside myself, when I really feel I need to talk I go online.
•   Answer cont: I use online help groups for support and guidance as needed if I feel I need someone to turn to, and it's worked well for now anyways.
•   Answer cont: I am Socially Awkward. I mean yes physically I look like a dude, but that doesn't mean that's how I want to be treated as such. It can be really upsetting at times, but I just keep it bottled inside knowing that I am stuck this way unless I go get help which Is why I am here asking for help.

•   If you could change your external appearance in any way you wanted, what would this look like in terms of your gender?

•   Answer: (Tomboyish, or a soft-butch lesbian.) This the best I can explain it physically female with a boyish clothing look.

•   Have you taken any steps to change your outward appearance to make it more closely match your identity?

•   Answer: yes I have I have tried self medicating, but it didn't work I still felt masculine. I have also used nail polish, shaving, and having my hair done. I was so pissed that I still didn't look like a girl in the face, so I stopped trying and looking at myself directly in the mirror. U_U

•   If so, what was that like for you? How do you want to be perceived in terms of your gender?

•   Answer: I just want to physically have all female traits without wearing dress and heals is it to much to ask? U_U

•   What are your feelings about the parts of your body that are often associated with gender (e.g. genitals, chest/breasts)?

•   Answer: I hate having hair over my torso, I totally wish I had breasts I feel it would match my somewhat natural curves, as for my lower body parts, I can settle either way. I am waiting until the medical technology is far enough to allow transgender women to bear children that is the only reason holding me back from considering SRS at the moment. I'm sorry.


•   What leads you to want to start hormones at this time in your life? Which changes are you most looking forward to? Are there any changes you are not sure about?

•   Answer: I am tired of hiding my inner feelings, and who I am inside. I'm ready to take the next step by taking hormones. I am looking forward to soft skin, breasts, and the negative affects it has as well such as loss of muscle, shrinkage downstairs, and decreased libido!!!! Yes please! n_n









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For those of you who got this far, and have read all of this thank you so much for your time.
What do you think, and how do you think they will take this?
How did they take yours by the way?

Maybe I am overthinking this, but I am so nervous, and I just want to be on hormones already it's like being in a candy store and being told you cannot have candy unless you have written consent.... ugh.  Anyways I'm excited to read responses from this post, so until then peace. ✌️

[KimOct]

Sure I will jump in.

Are you  over thinking this?  Yeah maybe a little but in my opinion considering these things is a good thing.  The over thinking may be in the sense that you might believe there are 'right' answers.  A therapist primary goal is to help you find your own answers and for the most part that comes from honest expression.

In short I have differing opinions on this.  Thinking about these things is good.  But also be candid in your conversations not trying to say the 'right' thing.

When I first started seeing my therapist I did something sort of similar.  I gave her a 6 page history of my gender issues/journey throughout my life.  Basically told her what I did over the years, how I felt, what I wished etc.

She said that it gave her a good background and starting point that would have taken several sessions to get through.
Plus it was helpful to me to give everything some thought.

You are doing something sort of the same here, just don't feel like you are studying for a school test.  Just be yourself.

[KathyLauren]

I worry that some of your answers are extremely brief.  I just went back and looked at my answers to a very similar set of questions.  My response was seven pages long. 

I think it is important, when answering these questions, not to try to get the "right" answer, but to show the therapist that you have put considerable thought into your decision and the reasons behind it.  Short answers imply the opposite. 

For example, when asked about side effects, they don't want to hear that you don't care about them.  They want to know whether you are aware of what they are, and that you have assessed the risks realistically.  So tell them about the side effects that you know about, and how you assess and plan to manage the risk, should they develop.

The same goes for the other questions.  Try to flesh out your answers a bit.

[Denise]

I agree with KimOct and KathyLauren that it seems like you're trying to get an A. 

Some of your answers will change over the course of transition.  For example, be ready for all of your relationships to change.

I quickly learned as I moved along that every step I took I planned for the worst possible outcome, hoped for the best, and found that reality was somewhere in the middle.

I wonder if you could incorporate that into some of your answers. 

Good luck and hold on tight.  It's a wild ride.

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[Devlyn]

Very few of the "questions" you're answering came up in my pre-HRT consultation. In fact, my doctor told me that the choice to start hormones was MY decision, and her role was to safely and effectively get them into me. After that statement, she put down the pen and paper and asked me to tell her my story, what brought me into her office looking for hormones.

Just be yourself, be honest with your provider. I thought about giving her the Standard Trans Narrative™, but gave her my non-binary, genderfluid truth instead. I walked out with my prescriptions.

Hugs, Devlyn

[AnneK]

In fact, my doctor told me that the choice to start hormones was MY decision

I didn't even have to do that.  I just told my doctor I waned hormones, was referred to an endocrinologist and got my prescription.

[Strivexwolf]

I worry that some of your answers are extremely brief.  I just went back and looked at my answers to a very similar set of questions.  My response was seven pages long. 

I think it is important, when answering these questions, not to try to get the "right" answer, but to show the therapist that you have put considerable thought into your decision and the reasons behind it.  Short answers imply the opposite. 

For example, when asked about side effects, they don't want to hear that you don't care about them.  They want to know whether you are aware of what they are, and that you have assessed the risks realistically.  So tell them about the side effects that you know about, and how you assess and plan to manage the risk, should they develop.

The same goes for the other questions.  Try to flesh out your answers a bit.

Thank you I will try to make sure I add to my answers in person, I did take this as if it was a test, but I also assumed the therapist already knew this stuff so I didn't add that into this version. Great point however thank you. n_n Thank all of you for your feedback it helps me feel a little bit more ready then I was, and I know I'll be prepared in 10 days. Thank you all of you.

[Meghan]

After couples sessions with my Therapist and she told me whenever I talked about transgender and crossdressing my I seen happy to talk about the subject.  She looks at me and asked me what I want and I told her I just want to become a woman.  She wrote down HRT that when my transition journey started.

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