Your therapist does not sound reasonable. The model of withholding treatment unless you have "traditional" symptoms of gender dysphoria is outdated and harmful.
Many trans people are unaware of the severity of their gender dysphoria until they finally feel relief. It's actually more common for queer people to have difficulty discerning their emotions and preferences. It might even explain why queer identities and neurodivergence often co-occur. Waiting for certainty does far more harm than good, especially when the effects of HRT are fairly reversible in the first few months.
When it comes to sex hormones, there is no neutral course of action. If your body is not mostly estrogen dominated, it's testosterone dominated. There is no middle ground, as lacking sex hormones actually has the most severe health consequences. Each option has upsides and drawbacks, so the choice is medically a toss-up.
The main reason to favor the naturally occurring hormone is fertility, but that should be a private decision if one believes in bodily autonomy. Other reasons are even more based in norms rather than facts. If you decide it isn't for you, you can just stop. Few changes are totally irreversible for feminizing HRT, and those take months to reach that stage.
In countries where the government gatekeeps HRT, it's common for people to tell the doctors what they want to hear. Lying about one's childhood and pretending to have absolute certainty is necessary. This isn't the fault of the patients, but the medical establishment that refuses to get with the times.
You're already on hormones, so which would future you regret being on more?
"Neurodivergent" is a bit different though. The r-word says something normative about people's mental development. It's saying that the person has been prevented from being normal; that something is wrong with them. "Special needs" indicates that someone requires different resources than what is typical. Much like IQ when it was developed, it's a way to sort people's needs on an economic basis, which isn't poorly intentioned. However, it still labels people by how we need certain things within our socioeconomic system.
Disorder classification systems like the DSM or ICD seek to normalize people, making sure we "function" in society. It measures us by a set of standards to ensure that we can live independently with our environment. It is very much defined by how society is structured; the environment of industrial capitalism. It doesn't matter how fulfilling your life is, only that you are a functional cog.
"Neurodivergence" seeks to avoid the pathology based approach. It says nothing about us having disorders. It instead focuses on us as different and divergent from the norm, but not inherently ill because of who we are. It's invariant to economic systems or cultural norms, only saying that we are different.
Brainrot zoomer language was pioneered by members of our generation, yet is cringe to us. Same with "XD :3 ><" and the generation before us. Stuff becomes cool because older people start it, only for younger people to embody it. "UwU" is a gift that we ought to respect (≧ω≦)
Your therapist does not sound reasonable. The model of withholding treatment unless you have "traditional" symptoms of gender dysphoria is outdated and harmful.
Many trans people are unaware of the severity of their gender dysphoria until they finally feel relief. It's actually more common for queer people to have difficulty discerning their emotions and preferences. It might even explain why queer identities and neurodivergence often co-occur. Waiting for certainty does far more harm than good, especially when the effects of HRT are fairly reversible in the first few months.
When it comes to sex hormones, there is no neutral course of action. If your body is not mostly estrogen dominated, it's testosterone dominated. There is no middle ground, as lacking sex hormones actually has the most severe health consequences. Each option has upsides and drawbacks, so the choice is medically a toss-up.
The main reason to favor the naturally occurring hormone is fertility, but that should be a private decision if one believes in bodily autonomy. Other reasons are even more based in norms rather than facts. If you decide it isn't for you, you can just stop. Few changes are totally irreversible for feminizing HRT, and those take months to reach that stage.
In countries where the government gatekeeps HRT, it's common for people to tell the doctors what they want to hear. Lying about one's childhood and pretending to have absolute certainty is necessary. This isn't the fault of the patients, but the medical establishment that refuses to get with the times.
You're already on hormones, so which would future you regret being on more?