While we always recommend a multi-disciplinary team approach to your care, this is not a requirement for you to receive GAHT at SHS. However, any substantial underlying mental health issues do need to be reasonably well-managed in order to start or continue hormonal therapy. If your evaluation at SHS at any time suggests a substantial mental health condition which is not well-managed, then you may be required to consult with a culturally competent mental health professional before starting or continuing hormonal therapy.