"Over here in Hoosier land(Indiana) they really have my transition experience about as hosed up as it can be, my HRT is handled not by a transgender doctor but by an endocrinologist in Indianapolis, the rest of my treatment is handled here locally by a mental heath person, who's main thrust has been to see that any anxiety I have is treated by a pill 'Sertraline' otherwise known as Zoloft. Getting anyone to commit to my gender marker issues seems foreign to them"
Thanks Shelle, I wish you the best! I have been fortunate in that my VA Center seems to be extremely sensitive to transgender needs to the point of being proud about it. Having said that though, I had to fight for nearly two years to get my endocrinologist care under the same "roof" so to speak. (I too have never had a 'transgender doctor')
Also, as I embark on the "gender marker" trip the people at the VA I will be dealing with have quite a bit of experience with me. In fact-one has three years and is the psychologist who initially approved my HRT. The other is a therapist who gets along with me well too. Perhaps (and I hope I am not overly speculating on Shelle's comment) I am heavily "monitored" because I am "bi-polar" too. My struggle with them has been over the years has been to separate being trans from bi-polar. You can't necessarily connect the dots with me. I do understand though the connection between adding estrogen into the mix and extra depression.
Truthfully, it's a constant battle for me. I have always called my moods "battling my demons" and sometimes they were wearing dresses. Therapists seem to understand that. Plus, once I accepted they should be wearing dresses, my life was happier.
As far as going forward, it has been such a long time since I have had an appointment with the psychologist who can/maybe/will sign off on my gender marker request, I may have to start lower in the mental health VA system and work my way back to her. (Not a problem.)
As I understand it, all the "shrinks" meet today for a "consult" and I will find out what's going on tomorrow (Thursday) I do know the key to my decision will probably be the tight knit ever growing group of family and friends who accept me as a transgender woman.
Bless them all!