I know this is a la Barney Stenson, but I just think about how awesome I am. Hahaha.
I'm going 4 months on T and I can't believe how much that has helped, too. I honestly thought it would actually make it a little worse- but finally having the physical features come that I have wanted for so long (beard, deepened voice, larger muscles, broader back/shoulders/chest) has given me an incredible amount of clarity.
Lately I get more socially dysphoric- like my dysphoria is about the fact that my name isn't changed, or gender on my ID- because I am strongly passing (passing as being six years younger than I actually am...but passing, haha). I get pissed off that I can't join the military, that we don't have as many civil rights as other groups, and that we have to go through all this stuff to change all of that but it's whatever- you can't stew in it.
The main times I have bottom dysphoria is mainly for sex reasons because I wish I could just use a urinal (I don't mess with an STP right now- too messy- especially since my anatomy's changed). My girlfriend and I finally got a penis from a sex store that did wonders for me as far as sex, and we recently purchased a VERY realistic one that did even more wonders for me. It feels more natural than the first one and makes me a lot happy- so that's helped a lot.
Top dysphoria is a lot stronger- lately it's been bothering me because it's already freaking over 100 degrees daily and I HATE having to wear a binder so I'm always reminded. I also hate that I can't swim without wearing something on top- I can't wait for top surgery. Pools are really popular in Vegas and I'm always getting access to them. What really sucks is I'm already stealth to some of my girlfriend's friends, and she always goes to the pool with them but I don't go because it will out me or they'll think it's weird if I wear a shirt. But I think that'll change with working out and surgery.
I get sad thinking about it, but I just don't think about it and focus on the positives- like passing and all the awesome changes I have and that will come and far I've come in just one year.
So short answer: focusing on the changes that have happened, savoring the cool moments like when you pass, sex toys and working out helps a TON.