Emma,
Great post. Very helpful. One thing that someone told me is that it is not just our transition is our spouse's. They may see themselves as now being with someone who is a woman, and thus a lesbian.
The other point your therapist made about gender concerns being identical between men and women, really makes sense.
Thank you so much for sharing so much detail. That is such deeply personal information, I know that everyone here appreciates it. And I hope that anyone thinking of going to therapy with someone who specializes in gender issues, reads this post and does it. I've only been going since November, approximately once a month. But it has helped me tremendously.
--Lisa