I remember my first visit with my therapist. I was shaking, hunched over, talking low, unable to look him in the eye, wondering why his window was open hoping someone I knew wasn't listening. When I went home, I considered how this visit went for me - how this visit worked towards bringing out my true self. I must've looked so unsure of myself, which I knew wasn't doing me any good whatsoever. How could I ever get on HRT, let alone get SRS, if I'm so paranoid that my family may be lurking by the window listening to what I'm saying to a therapist.
My next visit, I went in there, looked him in the eyes, spoke to him with confidence and it made a big difference. He even mentioned the difference. 1 month later, I had my letter for HRT.
The point is, you can't go anywhere or do anything if you let fear cripple you. Once you expose your biggest fears .. your vulnerability, you're free. You just have to stand up and express yourself.