But i have to pay for that with my own manaI want to use that other guys mana <| sep |> Do they still allow you to send postcards for gold ? I just checked the official ' about gold ' section and it ' s now a 404 . <| sep |> She said that she doesn ' t work with anyone who wants to transition or might ask for hrt forms . Honestly , that ' s the point where I ' d walk and find someone else . It ' s a euphemism for I don ' t see trans people and am not interested in learning about what they need . And this person calls themselves a gender therapist ? Even if she can be helpful in the short term , you ' re going to be constantly questioning whether this is the point where you need to find someone else . You can try to avoid repeats by asking point blank when you make the appointment When I ' m ready to start hormones , will you write a letter supporting that ? You can emphasize how not ready you feel if that makes you feel more comfortable . Situations in which the above doesn ' t apply and I think sticking with this person is reasonable she tells you why she doesn ' t write letters there may be an explanation other than I ' m not interested in treating trans people it may be that her degreequalifications aren ' t acceptable to anyone who prescribes hormones locallyperhaps they all want a letter from a PhD , though that ' s more common for surgery , not hormones it could be that her practice doesn ' t do anything with medicationthe mental health clinic in college had to refer you somewhere else for everything involving medication , from hormones to ADD she has a plan for referring you to someone who can give you a letter as in , she has a name and phone number and preferably has referred someone to them before or she doesn ' t meet the above two points , but there are no other options