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Secondary gender identity disorder - a case report
N Chakrabarti1, V K Sinha, A Parial
1NANDINI CHAKRABARTI, MBBS., Junior Resident, Central Institute of Psychiatry, P.O. Kanke, Ranchi-834006.
Indian Journal of Psychiatry
|April 2, 2011
Summary
A young man with bipolar disorder experienced a temporary desire for sex reassignment surgery during a manic episode. Treatment for mania resolved this wish, highlighting the link between psychosis and gender identity.
Area of Science:
- Psychiatry
- Psychology
- Gender Studies
Background:
- Bipolar Affective Disorder (BAD) is a serious mental health condition.
- Psychotic features can manifest during manic episodes.
- Gender identity can be complex and influenced by various factors.
Purpose of the Study:
- To explore the case of a patient with BAD experiencing a transient wish for sex reassignment surgery.
- To review literature on secondary gender identity disorder in psychotic conditions.
- To discuss the implications of psychosis on gender identity.
Main Methods:
- Case report of an 18-year-old male diagnosed with Bipolar Affective Disorder.
- Observation of symptoms during a manic episode with mood-congruent psychotic features.
- Review of existing scientific literature on related phenomena.
Main Results:
- The patient expressed a desire for sex reassignment surgery and claimed marriage during a manic episode.
- Effective management of the manic episode led to the complete subsidence of the wish for surgery.
- The case suggests a potential link between psychotic episodes and temporary shifts in gender identity.
Conclusions:
- Transient gender identity changes can occur secondary to psychotic conditions like mania.
- It is crucial to manage the underlying psychotic disorder to address such symptoms.
- Further research is needed to understand the relationship between psychosis and gender identity.
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