I've been on HRT for nearly a year and a half, and I had my top surgery a year ago. I wasn't expecting to have so much dysphoria at this stage of the game, but I do. I guess a lot of things are better, but some days...
I wear my packer almost all the time. If I had a harness instead of TranzWear, I would pack in the shower, like Zombie does. I'm starting to think about getting a cheap harness JUST so I can have one packer to wear in the shower. I'm usually distressed when I wash because there's nothing THERE. The worst thing is when my hands go down there, I'm not washing what I expect to wash. And the mirror is directly opposite the shower, not adjacent, so I can see my empty crotch when the shower's over. I've started to leave the fan off so the mirror mists up and I don't have to see myself.
Some people find that packing increases dysphoric feelings, but it sure helps me.
I try to stay moderately busy so I don't think about this stuff so much, but I often spend a couple of hours a day pacing and talking to imaginary people in my head. The pacing works off some of my nervous energy, and the conversation calms me psychologically. When I go to bed, I usually need someone talking to me in the same way--otherwise, I don't fall asleep; instead, my mind races and I obsess.
Jacking off helps in some ways but calls attention to my anatomy. It's a double-edged sword.