Indian Journal of Private Psychiatry

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VOLUME 17 , ISSUE 2 ( July-December, 2023 ) > List of Articles


Gender Dysphoria Secondary to Delusion: A Case Report

Dhrubajyoti Bhuyan, Biplab Konwar

Keywords : Gender roles, Schizophrenia, Sex assignment surgery

Citation Information : Bhuyan D, Konwar B. Gender Dysphoria Secondary to Delusion: A Case Report. Ind J Priv Psychiatry 2023; 17 (2):101-102.

DOI: 10.5005/jp-journals-10067-0140

License: CC BY-NC 4.0

Published Online: 14-06-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Gender dysphoria (GD) may appear in individuals with schizophrenia either as the consequence of a delusional change in gender identity or it may appear separately from psychotic symptoms. Differentiating between these scenarios is not only a difficult task from a diagnostic standpoint, but it also has an impact on treatment choices. People with GD should undergo detailed psychiatric and psychosocial evaluation as unnecessary hormone replacement therapy and sex reassignment surgery could be avoided in cases where it is secondary to a primary psychiatric illness. When both illnesses co-occur, it is imperative to analyze the occurrence and progression of each symptom, their consistency (across time), the patient's feedback, and their reaction to antipsychotic medication.

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