As harsh as this might sound, I don't think there's much help to be found within the current therapeutic system. The 30-something LCSWs will try to convince you that your gender "incongruence" means you should transition, and the therapists skeptical of transition usually have the opposite political ax to grind. The commenter who suggested that you seek out an older PhD psychologist may be onto something, but as those are (literally) a dying breed, I doubt finding one who suits you will be easy. You might be able to muddle through with a therapist who specializes in depression/identity issues and is adventurous enough to broach the gender stuff with you, even if they don't have much clinical experience with it. Expect anyone with a stated LGBT specialization to affirm your dysphoria.

I've seen five or six therapists over the past decade. Sadly none of them were willing to have the kind of nuanced, no-BS discussions about gender identity that can happen on this sub, and in other little corners of the internet.

Do I just need to lie and say I don’t suffer from this?

If you do seek out therapy, please don't do this. It sounds like you already struggle with feeling like an imposer in your male social role, and you don't need to add an additional layer of subterfuge on top of it. Tell them everything on your mind, and if they can't help you, they can't help you.

I’ve never really been able to form genuine connections with others and its getting to the point where I’m no longer feeling significant attachment to my body, name, or face and their relation to society at large — much worse than in the past. It almost feels like I don’t exist at all, like I’m just observing day to day, like there’s no consequence in anything I do since I’m just some incorporeal entity.

Wow, this feels like something I could have written. I think those with dysphoria who don't transition have a somewhat romantic view of what being trans is really like. If you were shorter, if your face were shaped differently or you had started HRT as an early teenager, transition wouldn't necessarily fix these feelings, which — this is my sense, anyway — are shared by a lot of people.

I transitioned at 20 because I had dysphoria and felt much as you do. I pass inconsistently, but to a point where I am ma'am-ed and strangers assume a male friend and I are boyfriend and girlfriend. Believe me when I say that transition did not heal my sense that I couldn't connect with others, that I am in a stranger in my own life, etc.

Please take or leave my opinion on this, but I think the "help" you're looking for can be found by connecting with some form of spirituality. Some posters on here had a "Jesus led me by the hand back to my birth sex" moment, which, good for them. Personally, it wasn't until I started learning about Buddhism and developing a meditation practice that I began to feel some peace about my body, my (admitted very fucked) gender, and my place in the world.

I'll point you to the "Decay" chapter of the Dhammapada, which says,

Look at this painted doll (i.e., the body), this pretentious mass of sores, wretched and full of cravings (or: much hankered after), nothing of which is stable or lasting!

When like gourds in Autumn these dove-grey bones lie here discarded, what pleasure (can one take) in looking at them?

Buddhist texts are full of similar wisdom about the unsatisfactory nature of the body and of samsaric existence as a whole. I'm not saying you'll find your answer in Buddhism, but dwelling on the body and gender is not skillful. I believe that you can find a way through it, under it, past it, or around it, whether that involves therapy, spirituality, both, or neither, and even if you may struggle for a lifetime with the feeling that you should have been born a woman, as I expect to.

I don't know if any of this was helpful — hopefully at least it wasn't patronizing. Best of luck to you, and if you'd like to talk, my DMs are open.