Abstract
This chapter highlights the experience of Amy, a 20-year-old transgender female with diagnoses of schizoaffective disorder, gender dysphoria, marijuana use disorder, and a history of cocaine abuse who was initially referred to an outpatient gender and sexuality mental health clinic at age 17 for an evaluation of gender and sexual identity issues. This case hopes to illustrate the developmental pathway of an adolescent with gender dysphoria and psychosis, to examine unique challenges in treating patients with both psychotic spectrum disorders and gender dysphoria, and to highlight the frequent traumas transgender individuals’ face as a part of their gender identity.
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References
Murad MH, Elmain MB, Garcia MZ, Mullan RJ, Murad A, Erwin PJ, et al. Hormonal therapy and sex reassignment: a systematic review and meta-analysis of quality of life and psychosocial outcomes. Clin Endocrinol (Oxf). 2010;72:214–31.
Randell JB. Transvestitism and transsexualism: a study of 50 cases. Br J Psychiatry. 1959;2:1448–52.
Lukianowicz N. Transvestite episodes in acute schizophrenia. Psychiatry Q. 1962;36:44–54.
Dhejne C, Van Vlerken R, Heylens G, Arcelus J. Mental health and gender dysphoria: a review of the literature. Int Rev Psychiatry. 2016;28(1):44–57.
Bower H. The gender identity disorder in the DSM-IV classification: a critical evaluation. Aust N Z J Psychiatry. 2001;35:1–8.
Pope H, Katz D. Affective and psychotic symptoms associated with anabolic steroid use. Am J Psychiatr. 1988;145:487–90.
Costa R, Colizzi M. The effect of cross-sex hormonal treatment on gender dysphoria individuals’ mental health: a systematic review. Neuropsychiatr Dis Treat. 2016;12:1953–66.
Grigoriadis S, Seeman MV. The role of estrogen in schizophrenia: implications for schizophrenia practice guidelines for women. Can J Psychiatr. 2002;47(5):437–42.
Meijer J, Eeckhout GM, van Vlerken RH, de Vries AL. Gender dysphoria and co-existing psychosis: review and four case examples of successful gender affirmative treatment. LGBT Health. 2017;4:2.
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Janssen, A., Ito, B.S. (2018). Gender Dysphoria and Psychotic Spectrum Disorders. In: Janssen, A., Leibowitz, S. (eds) Affirmative Mental Health Care for Transgender and Gender Diverse Youth. Springer, Cham. https://doi.org/10.1007/978-3-319-78307-9_12
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DOI: https://doi.org/10.1007/978-3-319-78307-9_12
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