Harrison, dysphoria comes in all colors. For some it is so strong, and their gender identity is so clear, the are compelled to transition, or end up dying.
For others, they can cope with HRT, or cosmetic changes, or dressing, etc. There is no rule book on what you must do to calm the dysphoric feelings.
If you have not done so lately, consider talking to a therapist about the anxiety, and what might be at it's root.