for me, the anxiety WAS the indirect dysphoria.
when I first realized i was trans, various things in my life made me think transition was neither necessary or perhaps good in my case. I figured, "physicality doesn't matter. I'm a girl up here and that's enough, no matter how people see me." and I started pushing things away a little. partly from having anhealthy upbringing food-wise, and partly from the dysphoria-induced depression, I stopped taking nearly ass good care of myself.
I also started getting more and more nervous, especially around people - I got anxious enough to vomit if I an interview for school/a job, and I was completely unable to speak in front of a group. it kept getting worse and worse until shortly after my decision to find a time to start transition, I ended up having to quit my job because I was having about three panic attacks a week. on the way home, to console myself, I went to target and bought my first dress. I officially started my transition then, and after worries of getting clocked in public passed, my anxiety faded to a level Where I could function. after about a week on HRT, what remained was obliterated. I'm still working on getting my body up to how I'd want it, but I'm finally free to be a person instead of a recluse.