ext_25640 ([identity profile] shenth.livejournal.com) wrote in [community profile] trans2009-11-28 11:54 pm

Improvisation

I'm a 19 year-old trans man living in a small Midwestern college town, and am having difficulties transitioning. I have lived full-time as male for the last year and a half, though I have not legally changed my name.

1) No doctors nearby. This is not a town known for its stellar medical care, and it houses no doctors who specialize in transition-related care.

2) Iffy therapist. I am seeing a therapist for free at the health center, but I only have four more sessions left available to me. She is sympathetic and polite, but knows nothing about aiding in transition.

3) No money and little transportation. There are two bigger cities nearby, but I lack the time and funds to commute and pay for care there.

My immediate concern is getting a letter from a therapist so that when I can access medical treatment I'll be able to do so right away. However, I know nothing about the procedures for this. Do letters have to be addressed to someone specific, or are they general, "To who this may concern" letters? Is there an expected format? Is there a good way for me to convince my current therapist to do this for me, and defeat her possible argument that she doesn't know what she's doing? I'm self-reliant enough to do all the work therapists are supposed to do according to the SOC, so I'd just be using her signature for this.

I've tried looking through the tags, but didn't see anything. Help?

-Tobias