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Trans-sexualism in schizophrenia : a case report
R C Jiloha1, J C Bathla, A Bawbja
1R.C. JILOHA, M.D., Professor of Psychiatry, Maulana Azad Medical College, New Delhi-110002.
Indian Journal of Psychiatry
|April 16, 2011
Summary
This case study describes a 19-year-old female with schizophrenia experiencing a delusion of being male, including romantic interest in another female. Effective schizophrenia treatment resolved these symptoms.
Area of Science:
- Psychiatry
- Clinical Psychology
- Neuroscience
Background:
- Schizophrenia can manifest with complex delusions affecting gender identity and behavior.
- Gender identity delusions in schizophrenia are rare but significant clinical presentations.
Purpose of the Study:
- To present a case of a 19-year-old female with schizophrenia experiencing a delusion of being male.
- To illustrate the impact of such delusions on personal relationships and identity.
- To discuss the implications of effective treatment on these specific symptoms.
Main Methods:
- Case report of a 19-year-old female diagnosed with schizophrenia.
- Clinical observation of delusion, behavior, and relationship dynamics.
- Assessment of response to standard pharmacological and therapeutic interventions for schizophrenia.
Main Results:
- The patient exhibited a persistent delusion of being male, including cross-gender behavior and dress.
- She formed an intimate relationship with another female, intending marriage.
- Antipsychotic medication and therapy led to the resolution of the delusion and associated behaviors.
Conclusions:
- Gender identity delusions in schizophrenia are treatable with effective management of the underlying psychosis.
- Successful treatment can lead to remission of complex delusional symptoms and improved psychosocial functioning.
- This case highlights the importance of comprehensive psychiatric care for schizophrenia patients with diverse symptom presentations.
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