I have several issues in my life that are not germaine to my crossdressing (PTSD) but in one of the sessions I mentioned that I was a crossdresser. He never batted an eye. He asked in a later session if it was something I wanted to address. I said I wasn't wanting to change, I was okay with it. He stated that if that was the case, and if my wife was okay with it, he saw no reason for me to change. BTW, he is a Christian counselor.