Hope this helps, but I think I understand where you're coming from.
As long as I'm making progress each day, I feel fine, but when I miss a dose of hormones, or an unexpected road block pops up, it feels like my world is coming crashing down around me, lol. When I started seeing my therapist, she said she'd be glad to write a letter to my endo recommending me for HRT, then after 3-4 visits, she did what I felt was a bait-and-switch by telling me she wasn't ready yet. I felt like I was going to explode! I wanted to do HRT "right" by going to an endo and not using the Informed Consent route, but when I heard this, that went right out the window, lol. I called Planned Parenthood and got an appointment for like 4 days later, got my blood drawn, and a week later I had my prescriptions! I've since switched over to my endo, and my therapist did write me a letter finally.
So yeah, things that try and prevent you from transitioning can make the dysphoria worse, but as long as things are moving forward, however slowly, it's not so bad because you know you're doing something to improve your situation with each step.