Department of Psychiatry, Shifa College of Medicine, Islamabad, Pakistan.
J Ayub Med Coll Abbottabad. 2022 Apr-Jun;34(2):375-377. doi: 10.55519/JAMC-02-10323.
The DSM 5 defines Gender Dysphoria (GD) as a marked incongruence between one's biological gender and experienced gender. Individuals with GD face increased discrimination in the form of decreased job opportunities, healthcare facilities and increased violence. The definitive treatment for GD is sex reassignment surgery (SRS). The case we present follows a 24-year-old biological male, self-identifying as a female. His experience seeking treatment made him a target for misdiagnoses and mistreatment by healthcare professionals (including psychiatrists, endocrinologists and plastic surgeons) and family resulting in mental agony. After struggling for a long time, he was able to move abroad for SRS. Upon her return to Pakistan as a female she presented as being finally content with her gender and life. The article places emphasis on creating inclusive healthcare plans for individuals with GD and raising awareness among healthcare professional and general population regarding the issue.
DSM-5 将性别焦虑症(GD)定义为一个人生物学性别与体验到的性别之间明显不一致。患有 GD 的人会面临更多的歧视,包括工作机会减少、医疗设施不足和暴力增加。GD 的明确治疗方法是性别重置手术(SRS)。我们提出的这个案例是一个 24 岁的生物学男性,自认为是女性。他在寻求治疗的过程中成为了医疗保健专业人员(包括精神科医生、内分泌学家和整形外科医生)和家人误诊和虐待的目标,导致了他的精神痛苦。经过长时间的挣扎,他终于能够移居国外接受 SRS 手术。当她作为女性回到巴基斯坦时,她表示对自己的性别和生活终于感到满意。这篇文章强调为 GD 患者制定包容的医疗保健计划,并提高医疗保健专业人员和普通民众对这一问题的认识。