As soon as someone says I feel 'like' they are about to say something which is not a feeling. Emotions are not the same as strategies for correcting an emotional state. Someone with gender dysphoria might feel anxious, confused, disgusted, scared, angry, depressed, resentful or any combination of those emotions plus more. Feeling 'like' a woman is not a feeling. The decision that one needs to chop off their penis and take pharmaceuticals for the rest of their lives is a strategy to correct an underlying emotional disturbance.