Gender Dysphoria and Dissociative Identity Disorder: A Case Report and Review of Literature

Article Article scientifique Revue de la littérature Gender Dysphoria and Dissociative Identity Disorder: A Case Report and Review of Literature eng 2022-08-20 2022-10 author Soldati Lorenzo 634225 author Hasler Roland 510492 author Recordon Nathalie Catherine Marie 502095 author Clement Marie 975506 author Köhl John author Perroud Nader Ali 0000-0002-9282-9216 94458 100553 10.1016/j.esxm.2022.100553 35998393 2050-1161 PMC9537239 https://linkinghub.elsevier.com/retrieve/pii/S205011612200068X Background: World Professional Association for Transgender Health guidelines support the importance of a mental health assessment before providing medical treatment for Gender Dysphoria (GD). During this assessment, patients without GD but with mental health disorder and who request treatment for GD should be excluded. Dissociative Identity Disorder (DID) is a poorly known mental disorder which can be confused for GD. Aim: To provide a case report of a patient suffering for DID but asking for treatment for GD and to provide a review of the literature on GD and DID. Method: A case report assessment and follow-up was described and a systematic review of the literature was performed in Pubmed, PsychInfo, and Embase databases. Outcome: To provide all cases with assessment and follow-up of DID and GD. Results: The case report describes a man suffering from DID and asking for hormonal treatment for GD. After assessment the patient was able to let go of his wish for treatment for GD and begin psychotherapy for DID. During the literature review 11 articles were included. 3 articles showed a prevalence of DID of 0%, 0.8% and 1,5% in GD samples. 5 articles were case reports of patients with both diagnoses of GD and DID which showed the complexity of the care of these patients. 2 articles were case reports, where a GD diagnosis was done first, and then counseling for GD was proposed. After a second session, the diagnosis was changed for DID. In 1 other case report and our case report there was a description of 2 persons suffering from DID and asking for treatment for GD. Clinical implications: Our review shows the complexity of providing care to patients with a comorbidity of GD and DID, as well as the complexity of making the differential diagnosis between GD and DID. Strengths and limitations: A systematic review was performed on these rare cases. Our study presents the results for a small group of patients. Conclusions: This article provides the first systematic review on GD and DID and shows that DID in a GD sample does not seem to be higher than in the general population. In addition, it allow clinicians to gain better knowledge about patients suffering from both DID and GD and patients suffering from DID who ask for GD treatment. Dissociative Identity Disorder Gender Dysphoria Mental Health Assessment Mental Health Care Systematic Review Dewey 616.89 60 Département de psychiatrie 225 false 1342 Régulation des émotions : TDAH et trouble de la personnalité borderline 1028 Sexual medicine 10 5 ddcb209c-6fed-4495-b34c-6c83b34f17b7 Article (Published version) Public PIIS205011612200068X.pdf 426116 application/pdf CC BY-4.0 openAccess Faculté de médecine / Section de médecine clinique / Département de psychiatrie

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Gender Dysphoria and Dissociative Identity Disorder: A Case Report and Review of Literature	Sexual medicine			2022	229	567

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