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Therapy and wait time for T and surgery.

Started by Darrin Scott, October 11, 2010, 03:20:16 PM

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Darrin Scott

I went to my first appointment today with a regular therapist and we talked about the idea of transitioning. She said that from what she understands, you have to be in therapy for at least 2 years and then try living as a male before T and surgery. She said she wasn't 100% sure, though. It didn't sound right from what people have posted here. How does all that work? Do you have to see a specialist before getting the note to start T? Can it be just a regular therapist?





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Osiris

I think the norm is before you get your hrt letter you need 3 months of therapy and/or at least 3 months of real life experience. It of course depends on your therapist and how ready they think you are to start HRT so timelines vary. You can get letters from regular therapists but it might be good to see if you can find one who specializes in gender dysphoria who you can go to. They may know more about transition and have a better idea on what they need to do to help you get to where you need to go. They may also know who to refer you to such as hospitals and endos to help prescribe hormones and stuff.

With the therapist you have now it seems like you'll need to do your research on the part they'll need to play in your transition as they aren't quite sure themself.
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Tyler90210

Quote from: Fumbling Toward Ecstasy on October 11, 2010, 03:20:16 PM
I went to my first appointment today with a regular therapist and we talked about the idea of transitioning. She said that from what she understands, you have to be in therapy for at least 2 years and then try living as a male before T and surgery. She said she wasn't 100% sure, though. It didn't sound right from what people have posted here. How does all that work? Do you have to see a specialist before getting the note to start T? Can it be just a regular therapist?

If I remember correctly the waiting two years was an old policy when people didn't know as much about GID?  I could be totally wrong about this though.  Also I think, and I can't remember where I heard this, it's longer for a MtF to get on hormones and surgery.  Again I'm not really sure about this.  I'm pretty sure you need to be living 100% as male before you can get on T though.
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Adio

Check out the WPATH Standards of Care.  Print out a copy for you and your therapist.  There's a difference in protocol for adults versus teenagers.  I'm more familiar with the adult one so forgive me if your under 18.  Also, sorry if this is way more info that you want.

Here are the requirements to get on T (not all therapists and doctors go by these, but it's a starting point):
1. Age 18 years;
2. Demonstrable knowledge of what hormones medically can and cannot do and their social benefits and risks;
3. Either: 
a. A documented real-life experience of at least three months prior to the administration of hormones; OR
b. A period of psychotherapy of a duration specified by the mental health professional
after the initial evaluation (usually a minimum of three months).

So basically, you have to be of age, know what T does and can't do, and either go to a therapist (gender or regular one) for 3 months or have some documentation of "real-life experience" for 3 months.

"Real-life experience" has six components:
1. To maintain full or part-time employment;
2. To function as a student;
3. To function in community-based volunteer activity;
4. To undertake some combination of items 1-3; (that means you can be a student AND/OR a volunteer AND/OR an employee)
5. To acquire a (legal) gender-identity-appropriate first name;
6. To provide documentation that persons other than the therapist know that the patient functions in the desired gender role.

All that's in WPATH's SOC.  It also lists some of the responsibilities for the "mental health professional" (your therapist).  And lists all the components necessary for a good T letter.  Your therapist doesn't have to be well-versed in trans issues to help you.  They just have to be willing to learn.
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Darrin Scott

Thank you! I'll definitely print that out. I'll also have a discussion. Is getting a legal name change hard? From what I hear it's a long process. I was wondering how I could live as male and have all my bank accounts, school records..etc under my female name...

BTW, I'm 25 so yeah....the adult protocol is the one I need!  ;)





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Robert Scott

Name change is a piece of cake ... fill out the paperwork and file

As for time waiting on T and living as a guy...in some cases it is very hard to live as a guy... there is also a trend that is called informed consent...that you are knowledgeable about things and agree to it ... my son went that route and it was a month before he got the letter.  Truth of the matter is that we know the dr on a personal level here who works with the transmen...he would have given it to my son without a letter ... since she knows him.
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TheOtherSide

I went to therapy for only 6 weeks and immediately started T after that. If you're anywhere near boston I highly suggest going to the Sidney Borum Jr. Health Center. 3 months sounds way too long for me but 2 years?? that's crazy. I think the required time living as male before T is ridiculous. Most of us aren't going to pass without testosterone so trying to live as male while still looking like a woman for your therapist is just a waste of time.


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Darrin Scott

That's what I think. I'm nowhere near Boston, but I'll look more into this. I might pass for a 14 year old boy (with a binder on, mind you), but I'd never pass for a 25 year old man as I am now.





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Adio

Quote from: Fumbling Toward Ecstasy on October 11, 2010, 05:30:19 PM
Thank you! I'll definitely print that out. I'll also have a discussion. Is getting a legal name change hard? From what I hear it's a long process. I was wondering how I could live as male and have all my bank accounts, school records..etc under my female name...

BTW, I'm 25 so yeah....the adult protocol is the one I need!  ;)

No problem.  Glad to have helped. :)

I got on T without changing my name first.  It was difficult, but not impossible, to live full-time as male with all my documents in my old name and with the F on them.  I just always carried cash with me and didn't do anything that require an ID check (cigarettes, alcohol, rated-R movies, casinos, etc).

I wanted to be able to change my name and legal gender at the same time.  It wasn't a long process (about 2 weeks from hiring the lawyer and getting the court order).  Well worth it to wait for both, I think.  I only had to pay once for it all which was a big factor.  All the fees add up quickly.

If you aren't passing for your age, then keeping your name for the time being would probably be a good idea.  It might be better to change it after a couple months on T.
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Tad

Depends on your country.. not everywhere follows the wpath.

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Zrfm

Does anyone know anything about the under 18's 'protocol'?
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Robert Scott

I only have information on what is going on around me....since I belong to a parents group of transkids...the kids in our area are given hormone blockers until they reach 15/16 and then they can get put on their appropriate hormone.  One kid in our group is on T and has had chest surgery ... he is 16 and a junior in high school.   However, there is a surgeon in our area who accepts cash only and requires no letter.  The twin cities has a big research organization that is kinda trying to set the standards nation wide ... so there is lots of groups and stuff for youth here.  We have a group for kids 10 and younger for example.
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