*sorry If I do something wrong or put this in the wrong place or I ramble I'm new here
Anyways I'm 17 a Transguy and I'm ready to take the next step. The only problem is I don't have the guts  to come out of the closet after bad things happening in the past when I tried to come out to a friend. I know though if  I'm prescribed T it would help me make the big step forward knowing change will come. My dad just wants me happy so I don't fear rejection. I suffer depression and GAD. I'm on Prozac and I have a visit with my psychiatrist Friday to speak about my meds. I think I wanna tell him I'm trans but it's hard because I hate opening up knowing change may not come. I see a therapist every couple weeks but she doesn't have the same power as my psychiatrist. I don't wanna have to visit my psychiatrist every week nor can I because he can't schedule me for that. So I was wondering if it was possible or if anyone else have had testosterone prescribed even after one visit?

It really depends on the doctor you are talking to. Some do and some don't. I have heard it go both ways among members on here.

Odds are they'll make you get bloodwork before they actually write you a prescription for T, just to establish your baseline levels and make sure you don't have any kind of condition that would make it dangerous. You may or may not be able to get that done at the same appointment, depending on whether there's a nurse available at the time and whether or not they want to refer you to an actual endocrinologist. 

Keep in mind that some clinics won't let you self inject right away. Mine made me come in for six weeks (and a second blood test) before they cleared me to do it myself unsupervised. So you may or may not need additional weekly appointments even after you have the prescription.

Welcome to Susan's Place. As you are underage you may not be able to get T until you turn 18. Depending on where you live it could be even more difficult. Often it takes 3-4 visits before writing a letter for T and if you live in the UK, it could take 2 years to be accepted into treatment. My suggestion is that you bring this up in your next therapy session and find out what the treatment guidelines are for were you live.

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I was nervous when I decided to tell my psychiatrist about being FTM. When there was a quiet space, when she wrote on the computer...I just said it. And waited for a reaction. She stopped typing and came to me and sat down. She said "Tell me more".

I have the best psychiatrist ever. Because that just broke the ice and then it was easy to talk about it.

I was her first patient who is transgender. She has been a psychiatrist for 30 years!

What I'm trying to say is that, just say it! Your psychiatrist is a professional and has to help you get in touch with a gender therapist. It does not matter if she has met another transgender person or not, it's her job to help you.


Tony

Hi! I'm one and half months on T right now, and I've been to a psychiatrist and a doctor's office once a piece. However, I know my case is extremely uncommon. The psychiatrist was aware of me being trans because my mother (who is also trans) told her about me, and she offered to write me the recommendation letter for it.

The office I go to allowed me to waive the waiting for blood test results and such via "informed consent" form, but you have to be 18 for that. I started T on that day (or, I would have, if we had gotten to the pharmacy before closing that day lol. I got the script then), though they did draw blood to measure my baseline levels, check my liver function, etc.

My roommate and I asked if any of the nurses there would need to do the first few injections, and they said they usually don't, but if we needed help, we could come in with all our supplies and they would do it for us. I'm terrified of needles, so she instructed my roommate how to do it without actually stabbing me. The nurse showed us a video and had roomie practice via a "fake thigh", showed her how to flick out the air bubbles, etc.

I think what state you live in probably factors into it as well.

The psychiatrist does not prescribe the T - they write you a referral to see an endocrinologist, who is the medical professional that prescribes you the T.

When you get you referral depends on the psychiatrist and what standards they follow. Don't expect to get a referral the same session you "come out" to them. Chances are they are going to want to discuss it with you - the pros, cons, why you think you feel this way, what you think the outcome of transitioning will be, social, personal, your hopes and goals, etc etc. They could be satisfied within a couple of sessions, or may require more than that.

I don't believe the sessions have to be "regular" (IE weekly).

From what i've been told not all therapists or psychiatrists can write these referrals, so you HAVE to check that yours can - which means asking them. If your therapist or psychiatrist does not have much trans experience, even if they can write the letter, then you might want to find one that does anyway just so you know you're getting good and accurate advice and information.

And that's just the first step to getting T. Once you've got your referral you have to find an endocrinologist. It may take one or more visits with them to get your script... or at least get your first dose. Some may require you to come back a couple of times for your dose, before letting you do it yourself. Then you've got regular blood work to think about. But we're getting ahead of ourselves!

If you want to take the next step, you have to be open about it with your psychiatrist. You're worried that nothing might happen even if you tell them? Well, nothing DEFINITELY will happen if you stay silent. Telling them is the first step. They will guide you from there, it is their JOB to do so even if it means referring you to a specialist for further aid.

Good luck!