Yeah, sometimes it makes me feel much worse. It's happened a few times that I've thrown it across the room out of frustration that my attempts to solve my bottom dysphoria are futile, or at least feel like it at times. The only time a flying dick isn't kinda hilarious.
This is random, but if it goes sideways or wonky because my harness gets messed up it makes me really dysphoric. My girlfriend thinks it's funny, but it makes packing feel like a ridiculous and silly coping mechanism, and reminds me that I can't have what I need. I know that sounds stupid, but it's a problem I have often.
But other times I feel more dysphoric for not wearing it, so I guess it depends. Overall, after I got used to it I usually miss it if I can't.