That is totally about Dr. Marie's orientation. Like farmergirl said, 10 years of working on the exact same issue probably means therapy isn't working. But 10 years of fluid growth and change and working on deeper issues, IMO, is totally fine.

Like others have said about themselves, I plan on being in T off and on for the rest of my life, whenever I think it will be helpful and I can afford it. I have a dysfunctional history to overcome here, so when I make major life changes, I need some support so that I don't re-enact my dysfunction when I start a family, decide on lifelong relationships, or go through any other adjustment periods.

Any T worth her salt would be cool with that I would think.