Heare Michelle R, Barsky Maria, Faziola Lawrence R
University of California , Irvine.
Department of Psychiatry and Human Behavior, University of California , Irvine, CA, USA.
Ment Illn. 2016 Nov 23;8(2):6546. doi: 10.4081/mi.2016.6546.
Hypersexuality and gender dysphoria have both been described in the literature as symptoms of mania. Hypersexuality is listed in the as part of the diagnostic criteria for bipolar disorder. Gender dysphoria is less often described and its relation to mania remains unclear. This case report describes a young homosexual man presenting in a manic episode with co-morbid amphetamine abuse whose mania was marked by hypersexuality and the new onset desire to be a woman. Both of these symptoms resolved with the addition of valproic acid to antipsychotics. This case report presents the existing literature on hypersexuality and gender dysphoria in mania and describes a treatment option that has not been previously reported.
文献中已将性欲亢进和性别焦虑症描述为躁狂症状。性欲亢进被列入双相情感障碍的诊断标准之中。性别焦虑症的描述较少，其与躁狂的关系尚不清楚。本病例报告描述了一名年轻同性恋男性，在躁狂发作时伴有苯丙胺滥用，其躁狂表现为性欲亢进以及突然产生想成为女性的愿望。在抗精神病药物基础上加用丙戊酸后，这两种症状均得到缓解。本病例报告介绍了关于躁狂症中性欲亢进和性别焦虑症的现有文献，并描述了一种此前未报道过的治疗方案。
