If you are underage, doctors want a letter before giving you blockers or hormones. The reason is they want to be sure this is something you truly feel. The therapist will explore your feeling and will help decide that treatment is the right thing for you. When you are young, there are many things you don't know about life and it's the therapist's job to fit what you feel into the life you want to live. The other option would be for you to learn this for your self but that would take years and by then the blockers would be of little use.