A few months I posted that I finally made an appointment to be evaluated for PTSD as a result of my career field. By the second appointment I was diagnosed with chronic PTSD, and based on my occupational experiences, the therapist told me, "how can you not have PTSD." I was also very honest about my lifelong history of cross dressing and gender dysphoria. The issues related to managing PTSD are going well so we're currently spending a lot of time on the cross dressing/gender issues. The therapist's main point to me is that my issue is not the cross dressing or gender thoughts, but the guilt and shame I associate with them. She wants to work with me on shedding that guilt and shame.
I do have constraints on my ability to dress as no one at work knows, I don't go out publicly, and my wife (although accepting) does not want anyone to know.
I'm learning about the concept of mindfulness and radical acceptance as part of my PTSD treatment and the therapist believes that may help with the other issues as well.
I'm wondering if anyone has examples of concrete and intentional steps you have taken to deal with guilt and shame issues.