Handel S, Jäger M
Bezirkskrankenhaus Günzburg, Klinik für Psychiatrie und Psychotherapie II der Universität Ulm, Ludwig-Heilmeyer-Strasse 2, 89312, Günzburg.
Nervenarzt. 2010 Mar;81(3):335-8. doi: 10.1007/s00115-009-2915-x.
This contribution describes a case that led to hospitalization in our psychiatric clinic due to emotional instability and suicidal behavior resulting from a gender identity disorder (female to male transsexualism). During inpatient treatment that lasted for almost 4 months, considerable improvement of the patient's emotional instability and suicidal behavior could be achieved. Treatment success was maintained up to follow-up (18 months after discharge). The syndrome-oriented pharmacotherapy with quetiapine and valproate which had been administered as off-label medication to stabilize the patient's mood could be considered the effective factor. A few months after release from inpatient care, cross-gender hormone therapy was initiated accompanied by outpatient psychotherapy.
本病例报告描述了一名因性别认同障碍（女性变男性易性癖）导致情绪不稳定和自杀行为而入住我们精神科诊所的患者。在持续近4个月的住院治疗期间，患者的情绪不稳定和自杀行为有了显著改善。治疗成功一直维持到随访期（出院后18个月）。以综合征为导向的药物治疗，使用喹硫平和丙戊酸盐作为非标签药物来稳定患者情绪，可被视为有效因素。在住院治疗结束几个月后，开始了跨性别激素治疗，并辅以门诊心理治疗。
