Jeez, I coulda sworn I posted a reply. Guess I never finished or pressed reply or something, I dunno.

I don't know how it works in the States, exactly, and I'm guessing it's going to be a little different depending on which state, or even city, you are in. That said, you say you have a psych, is that a psychologist? If they are PhD level, they are quite qualified to make the diagnosis. But I'm going to assume they are not.

I strongly recommend that you check with your nearest Pride group, via facebook, e-mail, phone, in person, whatever is clever, for more specific advice. Honestly, that there is probably one of the best things you can do. It will make everything immensely easier/smooth. You will likely need both a pcp and an endocrinologist. See if there are any endocrinologists in your area who have experience with trans people. You'll probably need a pcp to get a physical health checkup at least, but I don't know. It's probably not bad to have a pcp anyways if you can. Whether you need a pcp for the diagnosis or if the endo will be enough, your Pride group will know. Endo should know, too, if they have some experience with trans folk.