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First Therapist Session

Started by Britney_413, September 22, 2010, 02:54:00 AM

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Britney_413

Well I've been told by various people that I ought to consider seeing a therapist about my gender issues since early 2009. I finally went. This was kind of a shot in the dark as I merely looked up gender therapists online in my area through a Google search and risked one of them.

I have to say I think I made a wise decision. Granted I've only had one session but this therapist does seem pretty good. Most of the session was just me explaining as concisely as possible my background and what has brought me there. She didn't give me much advice though other than considering more sessions and that my gender issues/concerns are real and not to be ashamed of. She stated that she follows the Harry Benjamin Standards of Care and briefed me on its details. She said she works with a number of transgender clients and knows a couple of good endocrinologists that she refers clients to.

I am quite pleased with her and will be returning for another session in about ten days. I explained that my main goal is some sort of action plan on how I can work through these gender issues. She stated that as part of the HBSOC she recommends a visit at least twice per month for several months. Since I'm out about my gender expression to everyone to one degree or another it really is coming down to simple planning.

I stated I'm not making any hasty decisions (i.e. going full time starting tomorrow). I came in presenting as the way I normally present when I go to work in the morning as an androgynous male with my long hair, 5 o'clock shadow, nail polish, feminine shoes, regular guy's shirt and jeans. The next visit I'm sure I'll present in a more female fashion (same hairstyle, some makeup to cover up 5 o'clock shadow, same shoes, padded bra, women's blouse and jeans) simply because I'm doing something else that day that I don't want to be dressed as a "boy" for. I mainly flip-flop appearances so far out of convenience and not as a form of "crossdressing." I explained to her that I used to think of myself as a crossdresser with simply a male side and female side but realized that it isn't about clothes but who I feel inside which is why I'm not making an effort to dress any particular way when I go to see her. It will simply depend on the time and day and what else is going on.

The only thing that is really annoying is the cost. She charges more than $100/hour. Doctors, lawyers, and therapists are not cheap. We'll see how it goes and I will post any updates as needed. Happy Wednesday everyone. :)
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Jillieann Rose

That's great Britney.
You have now made another move froward in this journey of discovery.
Jillieann
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Colleen Ireland

Quote from: Britney_413 on September 22, 2010, 02:54:00 AMThe only thing that is really annoying is the cost. She charges more than $100/hour. Doctors, lawyers, and therapists are not cheap. We'll see how it goes and I will post any updates as needed. Happy Wednesday everyone. :)

A good one is worth every penny, Britney, and it sounds like you found one.  Congratulations!  Your experience sounds a lot like mine.  I'm looking forward to my second session this evening, and based on a conversation with my wife last night, there'll be lots to talk about.  I present as female to my therapist, and she has no problem with it.  And there's a good place to change there, so there are no issues for me.  That, in fact, is one of the best things for me, being able to talk to my therapist as myself, instead of "that guy".

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Britney_413

I had another visit and this time she did recommend starting the facial hair removal process. The problem generally is money but I usually find ways of working things out. I also mentioned this therapist to someone else who is an M.D. and is familiar with trans issues and this person said that I picked a highly recommended therapist. This therapist also knows endocrinologists she refers clients to for the hormones.
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Britney_413

Does anyone know what is typical for the length of time to get a referral for HRT? My therapist said between 3-6 months. I'm wondering what other people's experiences have been here. I've had four visits so far. Does anyone know what I should expect? I'm hoping by visit #7 but I don't want to be over-optimistic.
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Colleen Ireland

I think it probably depends on the therapist, but from what I've read, the HBSOC recommends at least 3 months of therapy before HRT, so it sounds like your therapist is pretty right-on with that, at least as far as the norm.  My therapist would, I think, write the letter if I but asked, but I'm nowhere near ready for it yet.  Lots of other stuff to get out of the way first (family issues - wife and kids, etc.), plus I'm waiting (on the advice of trans friends) for a formal assessment at the GIC.  So I'm several months away yet.  Don't think I'm not champing at the bit, tho, lol!

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Aidan_

Quote from: Britney_413 on November 07, 2010, 09:34:43 PM
Does anyone know what is typical for the length of time to get a referral for HRT? My therapist said between 3-6 months. I'm wondering what other people's experiences have been here. I've had four visits so far. Does anyone know what I should expect? I'm hoping by visit #7 but I don't want to be over-optimistic.

3 is the minimum put out by the HBSOC, but some therapists may choose to do it sooner/later depending on the case. You can ask about how your therapist sees you so far and how far off HRT may be so you can prepare for it, but that might accidentally push your referral back a visit or two seeing as the therapist will think you're focused on HRT and not the "problem" at hand.
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Christy Edwards

Hey Britney, I start with a new therapist in the morning. #1...This will be an on-line session.
If I dont like her, I will change....Keep all posted....Good luck..
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Britney_413

Great news. I had another session and the therapist said I was doing very well and plans on getting me started on HRT in January. I got the impression that she wanted to start me on them now but has to follow protocol. I'm hoping my T levels are already low (and I suspect they are lower than the average male) so I don't need too many hormones. I do not like putting pills or shots in my body in general. I mentioned to her wanting an orchiectomy and she suggested calling Dr. Toby Meltzer's office for information. I will have that surgery as one of my goals for 2011. I hope he will accept the letter from my therapist and not require a full year of RLE for that surgery alone because then that would delay it until 2012. I really just want to get rid of the T levels in my body as soon as possible and a castration is a higher priority for me right now than even the HRT.
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Debra

Quote from: Britney_413 on September 22, 2010, 02:54:00 AM

The only thing that is really annoying is the cost. She charges more than $100/hour. Doctors, lawyers, and therapists are not cheap. We'll see how it goes and I will post any updates as needed. Happy Wednesday everyone. :)

Yeah they are all like that really. But it's worth it IMHO...if you get a good one anyway ;)

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