Update, so last week we went to see the therapist together, it went well, we didn't learn much more but I think it was useful as a validation of what I had told her in the letter.
Since then, it's been *crazy*.
I'm 100% in girl mode at home, we've gone shopping together, I've ordered many new things online, she's giving me advice and fashion tips... I couldn't ask for more.
Just today, I had ordered a pair of UGG wedge sandals, they were too big for me in Size 12, so I had to send them back. I also showed her at the same time some wedge booties I liked. I had gone to Macy's to try to find them and I did something my therapist had asked me to do: say I'm trans and I'm looking for some shoes. I did it, the sales guy was super nice, he told me "I don't discriminate, all money's green!

Now tell me what you're looking for..." Since they didn't have anything I liked in my size, he told me to check Nordstrom. I went home and told my wife, she told me that we should go once the kids wake up from their nap. Crazy!
So we went to Nordstrom, and I had checked online if they had those wedge booties I liked, in size 12, they did! I told her, if they fit, I'm wearing them out, and we'll go to the restaurant while I wear them

They fit perfectly! Luckily, I had planned ahead and was wearing a pair of white pants that worked with with those shoes. It was awesome walking in the store and outside with those shoes!
We then went to the restaurant, I didn't care about anyone looking at me

All I felt was that I was so happy wearing those shoes.
Tonight, I showed her the outfit I wanted to wear for my appointment tomorrow. She helped me make a couple of adjustments. Final plan is: the wedge booties, nice black tights (wolford), a black flowy skirt, and a wonderful off-white top from Patty Boutik. This is so much fun!
In other news, I started blasting my hair with lasers last week, chest and armpits for now, and will start the beard/face in a couple of weeks.
I really would like to start HRT now... I don't want to get stuck in the middle... and I want to be able to tell everyone!