My therapist is supportive, sensitive and cautious. She specializes in gender issues and depression, and has many trans* patients. When I went to her, initially I was looking for some way of dealing with the effects of dysphoria, except that at the time, I didn't know that it was dysphoria. After a few visits, she brought up HRT, but she didn't push it. I was a bit reluctant to start. After a few years of working with her, it became clear to me that the only way I was going to stop the pain was to take her up on her offer. She faxed an endocrinologist that same day.
All this to exemplify that she didn't push me into this, but she did provide me with the tools to arrive at the decision when I finally hit the wall. In retrospect, I should have taken her up on the offer when it was first presented, and for that matter, I'm sure I would be in a much better place had I mustered the courage to face this in the 1970s