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Conversion disorder in a pediatric transgender patient.
Laura Orfanelli1, Winslow J Borkowski
1A. I. DuPont Hospital for Children, Division of Neurology, Wilmington, DE, USA. Lorfanel@nemours.org
Summary
Conversion disorder, a type of somatoform disorder, can manifest as neurological symptoms in children. A transgender patient
Area of Science:
- Pediatric neurology
- Psychiatry
- Gender studies
Background:
- Somatoform disorders present diagnostic challenges, often mimicking neurological conditions in pediatric patients.
- Conversion disorder is prevalent in adolescents, linked to anxiety concerning sexual behaviors and orientation.
- Transgender individuals face an elevated risk for conversion disorder.
Purpose of the Study:
- To highlight the complex interplay between somatoform disorders and gender identity in pediatric cases.
- To present a case study illustrating neurological symptoms resolving with gender affirmation in a transgender patient.
- To underscore the need for further research in both somatoform disorders and the transgender population.
Main Methods:
- Case report of a pediatric patient presenting with multiple neurological symptoms.
- Clinical observation of symptom resolution following a change in gender presentation.
- Literature review on somatoform disorders and transgender health.
Main Results:
- The patient exhibited neurological symptoms consistent with conversion disorder.
- Symptoms resolved after the patient began presenting as male.
- This case suggests a potential link between gender dysphoria and conversion disorder presentation.
Conclusions:
- Conversion disorder can manifest uniquely in transgender youth.
- Gender affirmation may lead to the resolution of somatoform symptoms in some transgender patients.
- Further research is crucial to understand somatoform disorders in transgender pediatric populations.