I thought I had gotten much better, but last weekend I broke down sobbing to my current bf over some intense lower dysphoria. Many things have been brought to light in this new relationship (such as finding out I'm way more of a dom and a top rather than a switch and vers). If I'm lacking my packer (hard or soft) and I get in a certain position, I pretty much break down. It's like..a part of me is missing and I feel helpless. Not a good place to be in.
I wish I had some tips. I only know what helps me. Keeping my underwear on unless I pull it down slightly for oral, having at least my soft packer on (prefer hard), and staying away from positions that cause me to feel like crap. As far as getting caught up in the moment, I can understand that. Maybe just going over boundaries again, discussing the things that make you dysphoric and finding solutions together will help ease some of those feelings.