They are WAY TOO "by the book", and what annoys me the most is that trans-specialized therapists and psychiatrist that act as gatekeepers standing between trans people and their hormone treatments, are MOST OF THE TIME CIS PEOPLE.
Get at least ONE trans person in that work unit. Preferrably 2-4. More if the clinic is large and handles many cases.
And then you fucking ask that trans person on a regular basis about your actions as a psychiatrist to check and make sure you aren't being a discriminatory piece of shit.
Because right now, they are. I ended up filing a complaint to the state on the clinic I was assigned to. The clinic arranged for me to meet the doctor and the top boss of the clinic, and they basically tried their hardest to gaslight me, pretended to be sorry, the doctor pulled up random bits of info on mistakes I had made in attempt to EMBARRASS ME and prove a point on why they shouldn't trust me to get testosterone treatment, when I told them about the therapist who said "real transgender people attempt suicide" they just said "well we're sorry that you FEEL that that's what he said but I trust this psychiatrist".
Then they sent a letter to the state claiming they'd done what they could to meet my needs.
I was sent a letter claiming the clinic had done what they were required to do, and that I had not been discriminated against because they treat ALL transgender people this way.
How is that last bit not discrimination on a way worse level than if it was just my sorry lil ass?!?
All of this shit is the reason that I ended up self medicating on testosterone. It's also the reason I'll have to pay for my top surgery out of my own pocket in a country where I pay 33% of my wage in taxes. Part of those taxes should go to covering the medical needs I and other people have. Top surgery is a medical need for a trans person with dysphoria. It pisses me off that my hard earned money is paying the wages of worthless assholes that HURT me and my fellow trans brethren and sisters, when they are SUPPOSED TO BE HELPING.
Fuck it all.