Voices change my name
Introduction We present the clinical case of a patient where the psychotic clinic coexists with gender dysphoria. This scenario can be the result of a change in gender identity derived from the psychotic process or appear independently of it. Objectives We want to explain the importance of knowing...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822020703/type/journal_article |
| _version_ | 1797617133765525504 |
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| author | C. Vallecillo Adame T. Jiménez Aparicio C. De Andrés Lobo A. Gonzaga Ramírez M. Queipo De Llano De La Viuda G. Guerra Valera I. Santos Carrasco J. Gonçalves Cerejeira B. Rodríguez Rodríguez M. Fernández Lozano M.J. Mateos Sexmero N. Navarro Barriga N. De Uribe Viloria G. Medina Ojeda L. Rodriguez Andrés |
| author_facet | C. Vallecillo Adame T. Jiménez Aparicio C. De Andrés Lobo A. Gonzaga Ramírez M. Queipo De Llano De La Viuda G. Guerra Valera I. Santos Carrasco J. Gonçalves Cerejeira B. Rodríguez Rodríguez M. Fernández Lozano M.J. Mateos Sexmero N. Navarro Barriga N. De Uribe Viloria G. Medina Ojeda L. Rodriguez Andrés |
| author_sort | C. Vallecillo Adame |
| collection | DOAJ |
| description |
Introduction
We present the clinical case of a patient where the psychotic clinic coexists with gender dysphoria. This scenario can be the result of a change in gender identity derived from the psychotic process or appear independently of it.
Objectives
We want to explain the importance of knowing how to act with a patient in whom these two processes coexist.
Methods
20-year-old woman, with no history of mental health. She comes to the emergency department for behavioral alteration. The family observes strange behaviors, unmotivated laughter, soliloquies and aggressive episodes. Abandonment of studies, hobbies and radical physical change. Delusions of prejudice and self-referential delusions. Possible phenomena of echo and diffusion of the thought. Auditory hallucinations talking to her in male gender, since then she presents doubts about her sexual identity and manifests her desire to change sex. Altered judgment of reality.
Results
During admission, we started treatment with an antipsychotic with good tolerance and she was referred to mental health team, where psychopharmacological treatment was adjusted with good response. In the following medical appointments the psychotic clinic disappeared at the same time that sexual identification was completely restored and made a critique of the behavior and experiences.
Conclusions
This case highlights the importance of assessing the chronology of symptoms, the patient’s criticality, the response to antipsychotic treatment and the need to exclude the psychotic background of the desire for gender reassignment before making a therapeutic decision.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:51:28Z |
| format | Article |
| id | doaj.art-5599cd967e594c388de55763ae560f0a |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:51:28Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-5599cd967e594c388de55763ae560f0a2023-11-17T05:06:42ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S801S80110.1192/j.eurpsy.2022.2070Voices change my nameC. Vallecillo Adame0T. Jiménez Aparicio1C. De Andrés Lobo2A. Gonzaga Ramírez3M. Queipo De Llano De La Viuda4G. Guerra Valera5I. Santos Carrasco6J. Gonçalves Cerejeira7B. Rodríguez Rodríguez8M. Fernández Lozano9M.J. Mateos Sexmero10N. Navarro Barriga11N. De Uribe Viloria12G. Medina Ojeda13L. Rodriguez Andrés14Hospital Clínico Universitario, Psiquiatría, Valladolid, SpainHospital Clínico Universitario, Psiquiatría, Valladolid, SpainHospital Clínico Universitario de Valladolid, Psiquiatría, VALLADOLID, SpainHospital Clínico Universitario de Valladolid, Psychiatry, Valladolid, SpainHospital Clínico Universitario de Valladolid, Psychiatry, Valladolid, SpainHospital Clínico Universitario de Valladolid, Psychiatry, Valladolid, SpainHospital Clínico Universitario, Psiquiatría, Valladolid, SpainHospital Clínico Universitario de Valladolid, Psychiatry, Valladolid, SpainHospital Clínico Universitario, Psiquiatría, Valladolid, SpainHospital Clínico Universitario de Valladolid, Psiquiatría, VALLADOLID, SpainHospital Clínico Universitario, Psiquiatría, Valladolid, SpainHospital Clínico Universitario de Valladolid, Psiquiatría, VALLADOLID, SpainHospital Universitario Fundación de Alcorcón, Psychiatry, Madrid, SpainSacyl, Hospital Clínico Universitario Valladolid, Psiquiatría, Valladolid, SpainHospital Clinico Universitario de Valladolid, Psychiatry, Valladolid, Spain Introduction We present the clinical case of a patient where the psychotic clinic coexists with gender dysphoria. This scenario can be the result of a change in gender identity derived from the psychotic process or appear independently of it. Objectives We want to explain the importance of knowing how to act with a patient in whom these two processes coexist. Methods 20-year-old woman, with no history of mental health. She comes to the emergency department for behavioral alteration. The family observes strange behaviors, unmotivated laughter, soliloquies and aggressive episodes. Abandonment of studies, hobbies and radical physical change. Delusions of prejudice and self-referential delusions. Possible phenomena of echo and diffusion of the thought. Auditory hallucinations talking to her in male gender, since then she presents doubts about her sexual identity and manifests her desire to change sex. Altered judgment of reality. Results During admission, we started treatment with an antipsychotic with good tolerance and she was referred to mental health team, where psychopharmacological treatment was adjusted with good response. In the following medical appointments the psychotic clinic disappeared at the same time that sexual identification was completely restored and made a critique of the behavior and experiences. Conclusions This case highlights the importance of assessing the chronology of symptoms, the patient’s criticality, the response to antipsychotic treatment and the need to exclude the psychotic background of the desire for gender reassignment before making a therapeutic decision. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822020703/type/journal_articleGender DysphoriaschizophréniaTransgenderPsychosis |
| spellingShingle | C. Vallecillo Adame T. Jiménez Aparicio C. De Andrés Lobo A. Gonzaga Ramírez M. Queipo De Llano De La Viuda G. Guerra Valera I. Santos Carrasco J. Gonçalves Cerejeira B. Rodríguez Rodríguez M. Fernández Lozano M.J. Mateos Sexmero N. Navarro Barriga N. De Uribe Viloria G. Medina Ojeda L. Rodriguez Andrés Voices change my name European Psychiatry Gender Dysphoria schizophrénia Transgender Psychosis |
| title | Voices change my name |
| title_full | Voices change my name |
| title_fullStr | Voices change my name |
| title_full_unstemmed | Voices change my name |
| title_short | Voices change my name |
| title_sort | voices change my name |
| topic | Gender Dysphoria schizophrénia Transgender Psychosis |
| url | https://www.cambridge.org/core/product/identifier/S0924933822020703/type/journal_article |
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