Only one HRT specializing psychiatrist in Perth???
I would be seeking to find one that would take on that role.
I am in Melbourne, saw a HRT specializing Doctor on 5 Jan, blood test 6 Jan, first psychiatric appointment 7 Jan. I need two more, those are in Feb.
My transgender situation is clear and simple.
I got the psychriatic appointment, I was told, by luck ... someone had cancelled and I had phoned. I have put my name down for short notice availability.
So that is my experience ... and it is a highly variable path.
Travelling interstate just for an appointment seems a bit much. Patience is good too. I am MTF, and live as a female, albeit passing as male and looking androgynous without HRT.
Q1. "Has anyone tried travelling interstate to see someone?"
I wouldn't think of doing that myself.
Q2. "Are there any psychiatrists in Melbourne or Sydney with a short (or no) waiting list?"
I doubt it. I think they would be out of business. Those that work in the field are fully booked from my experience.
Q3. "Are follow-ups normally required, and can they be done by phone or skype?"
Extremely unlikely. The psychriatrist is basically putting their name on the line if they approve HRT. So they will want to do everything as accountable as possible. HRT is a massive life event, and so person to person contact is really needed.
The psychriatrist assesses two areas to my knowledge. The mental condition of the person and the credibility of their gender expression. There are sadly too many cases of unstable persons seeing HRT only to then be miserable and or complain. This then harms the mentally stable transgender persons that follow. Hence the signing of legal documents that are needed that protect the medicos for those that proceed with HRT.
Having said all of this, I am no expert. I am simply going through the process myself.
If you wish to communicate with me, why not check out my forum:
I wish you all the best with your journey.