Case Report: Doubts and Pre-occupations About Being Transgender: Questioning One's Gender Identity or a Case of Obsessive-Compulsive Disorder?

We report the case of a biological female with gender identity-related doubts that were misconstrued as suggesting obsessive-compulsive disorder (OCD). The patient's parent seemed to favor an OCD explanation for the gender-based self-questioning over acceptance of possible transgender identity....

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Main Authors: Elias Aboujaoude, Vladan Starcevic
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-03-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2021.644114/full
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author Elias Aboujaoude
Vladan Starcevic
Vladan Starcevic
author_facet Elias Aboujaoude
Vladan Starcevic
Vladan Starcevic
author_sort Elias Aboujaoude
collection DOAJ
description We report the case of a biological female with gender identity-related doubts that were misconstrued as suggesting obsessive-compulsive disorder (OCD). The patient's parent seemed to favor an OCD explanation for the gender-based self-questioning over acceptance of possible transgender identity. We discuss what OCD is and what it is not in the context of gender identity-based doubt; analogy with the better studied sexual orientation-related OCD; cultural flashpoints around sex and gender that can become the object of OCD; how confusion about biological sex, assigned gender and gender identity can lead to clinical harm; and the role of mental health professionals in fighting the stigma faced by gender minorities.
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spelling doaj.art-60da7a880b824428a362e2f081e73d162022-12-21T20:33:28ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402021-03-011210.3389/fpsyt.2021.644114644114Case Report: Doubts and Pre-occupations About Being Transgender: Questioning One's Gender Identity or a Case of Obsessive-Compulsive Disorder?Elias Aboujaoude0Vladan Starcevic1Vladan Starcevic2Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, United StatesFaculty of Medicine and Health, Sydney Medical School, Nepean Clinical School, University of Sydney, Sydney, NSW, AustraliaDepartment of Psychiatry, Nepean Hospital, Penrith, NSW, AustraliaWe report the case of a biological female with gender identity-related doubts that were misconstrued as suggesting obsessive-compulsive disorder (OCD). The patient's parent seemed to favor an OCD explanation for the gender-based self-questioning over acceptance of possible transgender identity. We discuss what OCD is and what it is not in the context of gender identity-based doubt; analogy with the better studied sexual orientation-related OCD; cultural flashpoints around sex and gender that can become the object of OCD; how confusion about biological sex, assigned gender and gender identity can lead to clinical harm; and the role of mental health professionals in fighting the stigma faced by gender minorities.https://www.frontiersin.org/articles/10.3389/fpsyt.2021.644114/fullobsessive-compulsive disordergendertransgenderlesbiangaysexual orientation
spellingShingle Elias Aboujaoude
Vladan Starcevic
Vladan Starcevic
Case Report: Doubts and Pre-occupations About Being Transgender: Questioning One's Gender Identity or a Case of Obsessive-Compulsive Disorder?
Frontiers in Psychiatry
obsessive-compulsive disorder
gender
transgender
lesbian
gay
sexual orientation
title Case Report: Doubts and Pre-occupations About Being Transgender: Questioning One's Gender Identity or a Case of Obsessive-Compulsive Disorder?
title_full Case Report: Doubts and Pre-occupations About Being Transgender: Questioning One's Gender Identity or a Case of Obsessive-Compulsive Disorder?
title_fullStr Case Report: Doubts and Pre-occupations About Being Transgender: Questioning One's Gender Identity or a Case of Obsessive-Compulsive Disorder?
title_full_unstemmed Case Report: Doubts and Pre-occupations About Being Transgender: Questioning One's Gender Identity or a Case of Obsessive-Compulsive Disorder?
title_short Case Report: Doubts and Pre-occupations About Being Transgender: Questioning One's Gender Identity or a Case of Obsessive-Compulsive Disorder?
title_sort case report doubts and pre occupations about being transgender questioning one s gender identity or a case of obsessive compulsive disorder
topic obsessive-compulsive disorder
gender
transgender
lesbian
gay
sexual orientation
url https://www.frontiersin.org/articles/10.3389/fpsyt.2021.644114/full
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