I have the occasional dysphoria when packing...but it helps to remind myself that my STP packer is fairly functional, and is also advertised for bio-males with a micro-penis as well as transmales. If I have pants on I don't tend to think about it much, since I don't really feel it. But when I do, it bothers me to no end. But at the same time, for me, having it off is worse, but I'm pre-t, so I'm not sure it's the same for me yet.