this post was submitted on 03 Mar 2026
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Hey everyone,

so yeah, yesterday I went to a psychiatrist that's been referred to me by a local trans support center. They said he'd have relatively low waiting times, I got the appointment after waiting another month in that shit male body of mine. Read a bit about that psychiatrist, there have been some bad experiences by some clients, but the general consensus seemed to be that he does give people what they need eventually. And what I need right now is access to gender-affirming healthcare, starting with HRT.

I've been really anxious about this appointment, but the last few days that mostly dissolved and I became really hopeful. After all, the support center even said I should also make an appointment with a gynecologist or endocrinologist right away so that I wouldn't have to wait for that appointment as well. Now I have to cancel it.

The appointment has been a reality check. He said he's never giving anyone the go after a single session. He's working after some fucked guidelines that expect trans people to live as their felt gender for a whole fucking year without HRT. I was pretty shaken after this and he let through that it might be sooner, but I'd at least have to wait til midyear.

Really eyeing DIY rn, but I'm scared that would bring me further away from other gender-affirming care and the psychiatrist let me in the dark about whether he'd proceed working with me if I'd go that route.

I fucking hate this. I've been waiting almost 30 years to finally find out who I am, suffering from depression, anxiety and addiction, and now I have to keep on waiting and waiting and keep on suffering because some entitled white coats think they'd have to gatekeep my cure, "to make sure it's not just a phase". I'm a grown woman and able to make up my own mind about my gender, ffs. Got the saddest and angriest I've been since cracking my egg. Would've loved to just break down crying when going home, but had to wait until I journeyed home.

There's no doubt that I'll get through this, because for the first time in my life I'm looking into the future with the hope of actually living a happy life. It's ironic, I've never been able to fight depression and addiction long-term, I was waiting for something and didn't know what it is. Now that I finally know what it is I'm forced to keep on waiting. Another bit of irony, in earlier therapies I've been pressed to get on antidepressants even though I never felt comfortable about this. Now the right medicine is sitting right there and I have to fight to even get a chance to try it.

Ugh, hope your week started better than mine.

Feel free to share, especially interested in experiences and advice from german trans women, but everyone is welcome. I do realize I'm somewhat complaining on a high level here, at least I got an actual shot at getting the care I need eventually, the care we'd all deserve.

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[โ€“] phr@discuss.tchncs.de 6 points 8 hours ago* (last edited 8 hours ago) (2 children)

There's no doubt that I'll get through this, because for the first time in my life I'm looking into the future with the hope of actually living a happy life.

โœŠ๐Ÿณ๏ธโ€โšง๏ธ you will succeed eventually! :)

i'm in germany. i know two therapists in northern germany you might wanna try. both fans of informed consent. maybe they can even help you out via remote therapy. (if you like i'd send you their contacts via pm, bc location ...)

  • first one is pretty much a person to give you his rubberstamp after one or two sessions. but in the region endocrinologist tend to not accept indications from him. so living somewhere else and having an endo somewhere else might be an option.
  • second one is also super trans friendly, does group therapy over half a year, so that it counts for surgeries. an indication for hrt might? be possible earlier.

in both cases, if getting there physically is not an option, asking for remote sessions would at least be an option if you'd be ok with paying yourself? idk ...

[โ€“] Duke_Nukem_1990@feddit.org 3 points 7 hours ago (1 children)

I'm pretty sure I know the second one (J.B.?) and I got my hrt indication from him after the first session. Group therapy is online too so it doesn't really matter where OP lives.

[โ€“] phr@discuss.tchncs.de 2 points 7 hours ago

nope. i'll send you mine. ;)

[โ€“] Eskarina@piefed.blahaj.zone 3 points 7 hours ago* (last edited 7 hours ago)

Thank you. Especially the first one sounds really promising to start hormones sooner, would gladly take his contact information or both. Would be a bit of a journey, but would be worth it. Can you give me an idea of the cost I should expect?

Just called the gynecologist I had an appointment with and he suggested I come anyway to get info and see what could be done from his side. Sounded like he might be open to accept an indication like that. He even hinted that "indication is the official way" with some kind of emphasis on official, but not entirely sure what he meant by that. Don't dare to be too hopeful rn.