Community Conversation => Transsexual talk => Male to female transsexual talk (MTF) => Topic started by: Miki on March 08, 2012, 11:34:34 AM Return to Full Version
Title: Limited therapy coverage and timing angst.
Post by: Miki on March 08, 2012, 11:34:34 AM
Post by: Miki on March 08, 2012, 11:34:34 AM
I've just started seeing my therapist, after years of hand-wringing and false-starts. It's a good thing after having made a few questionable choices in the past around self-medication and other dangerous (non) judgement calls. I am 100% resolute in moving forward within the established SOC under the correct supervision.
After my 3rd session with my therapist, she determined what my insurance situation was and now I am wheel-spinning in my head. After a $100 deductible, which is not a big deal, the sessions scale from a 10% co-pay for the first 10 sessions to a 50% co-pay for the next 10 sessions, with the maximum amount of sessions covered being 20 for an entire calendar year. 20..total..for a whole year.
Not sure how anyone is supposed to establish a good relationship with a therapist and suss out any mitigating issues around transitioning in 20 sessions.
This is especially worrying to me as she's recently suggested that we try to meet twice a week, when at all possible. I have total faith and trust that she's being up-front and not treating me like a revenue source. She's the first therapist I've found that I feel comfortable with and that isn't treating me like a case study for a yet to be written book.
So now I am juggling this conflict between a renewed sense of urgency due to the "insurance clock" ticking down and my established goal of transitioning this year. There's no way I can afford 2 sessions a week out of pocket, and it is doubtful I am going to get the HRT recommendation I need if we burn through 20 sessions in 2 1/2 months. That's just not enough time for an honest, non-checkbox recommendation and I am not going to even hint to her that she skimp on her ethics here.
At a loss here and it feels like that cliche "one step forward, two steps back" routine x20 and I am not sure how to reconcile that internally. Meh.
Past venting, I guess my question is this: Has anyone else been faced with a similar situation?
-Miki
After my 3rd session with my therapist, she determined what my insurance situation was and now I am wheel-spinning in my head. After a $100 deductible, which is not a big deal, the sessions scale from a 10% co-pay for the first 10 sessions to a 50% co-pay for the next 10 sessions, with the maximum amount of sessions covered being 20 for an entire calendar year. 20..total..for a whole year.
Not sure how anyone is supposed to establish a good relationship with a therapist and suss out any mitigating issues around transitioning in 20 sessions.
This is especially worrying to me as she's recently suggested that we try to meet twice a week, when at all possible. I have total faith and trust that she's being up-front and not treating me like a revenue source. She's the first therapist I've found that I feel comfortable with and that isn't treating me like a case study for a yet to be written book.
So now I am juggling this conflict between a renewed sense of urgency due to the "insurance clock" ticking down and my established goal of transitioning this year. There's no way I can afford 2 sessions a week out of pocket, and it is doubtful I am going to get the HRT recommendation I need if we burn through 20 sessions in 2 1/2 months. That's just not enough time for an honest, non-checkbox recommendation and I am not going to even hint to her that she skimp on her ethics here.
At a loss here and it feels like that cliche "one step forward, two steps back" routine x20 and I am not sure how to reconcile that internally. Meh.
Past venting, I guess my question is this: Has anyone else been faced with a similar situation?
-Miki
Title: Re: Limited therapy coverage and timing angst.
Post by: lilacwoman on March 08, 2012, 02:36:47 PM
Post by: lilacwoman on March 08, 2012, 02:36:47 PM
I transitioned totally by myself after just one long session with the UK's best professional in TS matters so I have to say if you are still uncertain about transitioning you need to try living the life rather than spending time and money talking about it.
Title: Re: Limited therapy coverage and timing angst.
Post by: Stephe on March 08, 2012, 08:38:17 PM
Post by: Stephe on March 08, 2012, 08:38:17 PM
I went for 3 sessions with a therapist for my HRT letter which was easily 2 sessions too many. I would hope a therapist would be able to weed out the people with serious mental problems rather easily. I have no idea what it would take to get a surgery letter but I would hope after years of living full time it wouldn't take a lot of convincing I am a candidate for it.