Everyone is different and in different situations. Going full-time is probably not going to happen for me, but I am 65 and suffering from the effects of dysphoria. My wife has been part of the process to decide to go on HRT, but I won't tell anyone else until it becomes necessary. My loved ones and friends also have a kind of dysphoria, in that it would cause them difficulty to see a male figure, but be asked to see that male as a female. I think it would be easier on them if I looked more female than male, then I would be asking them to accept a female looking person as a female. Does this make sense?
Anybody close to me has known I have had a strong female side all of my life, but that was wrapped up inside quite a powerful male body. I need to soften quite a bit before I could expect anyone to accept the real me. Having said that, this year I have had to come out to my GP, Psychologist, the receptionist at my Endo practice, my Endo, and my pharmacist. It is very frustrating for me not to tell the world, but it's not all about me.
Allie