How very difficult for you Galen, I am sorry.
I've been closely involved with 2 people who went through the whole process here in Switzerland (both male to female)- and here they will not agree to go ahead with the hormonal and physical reversal unless and until other psychiatric problems, or any issues with drugs or alcohol, are first resolved.
One went through the whole process aged 19- and no-one would ever know she was ever a man. Right voice, small and delicate hands and feet and figure. The other did this in late 40s- after being married for almost 20 years and the father of two teenage daughters. No regrets, but it is not easy for her, as she is tall and still has a low voice and masculine features which everyone notices immediately.
Before we got to know her well, she was called a 'disgusting pervert' at a Fête, by one local expat we had invited- as she said hello to her at the Ladies'. We were truly embarrassed and shocked by our guest's reaction (who was not invited again).