Caring for the Transgender Adolescent: It Takes a Village

CASE: Christa is a 15-year-old male-to-female (MTF) transgender patient who comes to your Developmental-Behavioral Pediatrics office for consultation on attention deficit/hyperactivity disorder (ADHD) management and concerns about worsening anxiety. Review of medical history included mild persistent asthma managed with steroid inhaler and leukotriene antagonist. She was diagnosed with ADHD at 12 years and has been placed on methylphenidate and clonidine over the years with little improvement. She struggles in school, with barely passing grades, and feels that she cannot focus on her assignments. She was diagnosed with MTF transition gender dysphoria, social anxiety disorder, and depressive disorder at 13 years by a psychiatrist and was treated with sertraline with some mood improvement. More recently, she reports having thoughts of wanting to hurt people and “wanting to watch them wither away.” She expressed being terrified by these thoughts, which lasted for a couple of days but have since resolved. She denied any suicidal thoughts recently and gives credit to her “best girlfriend” for her overall improved mood, improved sleep pattern, and increased energy level. She expressed having deepening feelings for this girlfriend but admitted to not having acted on these feelings as she is afraid of the consequences. She currently uses the pronouns she/her/hers. Family history is pertinent for paternal bipolar disorder. There is considerable psychosocial ...
Source: Journal of Developmental and Behavioral Pediatrics - Category: Child Development Tags: Challenging Case Source Type: research

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Conclusion: The nursing academic environment presents the potential for students to become ill. Institutions should rethink their curricular elements, promote resilience, and create spaces to promote students ’ health.RESUMEN Objetivo: Identificar las alteraciones de salud en estudiantes de enfermer ía un año después del ingreso en la carrera universitaria. Método: Investigación longitudinal, prospectiva y cuantitativa, llevada a cabo en 2016 con estudiantes de enfermería del primer año de dos universidades de São Paulo. En el inicio y el fin del año lect...
Source: Revista da Escola de Enfermagem da USP - Category: Nursing Source Type: research
This study showed that vortioxetine reduces the number of acutely-induced epileptic discharges. Vortioxetine may be an important alternative for epileptic patients with major depressive disorder-related cognitive dysfunction.RESUMO A vortioxetina é um agente antidepressivo multimodal que modula os receptores 5HT e inibe o transportador de serotonina. Está indicada, principalmente nos casos de transtorno depressivo maior (TDM), relacionado à disfunção cognitiva. Existem muitos estudos que investigam os efeitos dos antidepressivos no limi ar convulsivo e na atividade epiléptica de cu...
Source: Arquivos de Neuro-Psiquiatria - Category: Neurology Source Type: research
Conclusions Current allergic rhinoconjunctivitis is related to enhanced disability caused by headache in childhood migraine.RESUMO A enxaqueca é condição comum na população pediátrica e causa significativo impacto na qualidade de vida. Doenças atópicas estão entre as principais morbidades associadas. Objetivo Teorizamos que a rinite alérgica possa agravar a enxaqueca na população pediátrica. Métodos Este estudo transversa l avaliou consecutivamente 90 pacientes pediátricos (46 crianças de 6 a 12 anos; 44 adolesce...
Source: Arquivos de Neuro-Psiquiatria - Category: Neurology Source Type: research
Conclusions Our results suggest that current allergic rhinitis, allergic rhinoconjunctivitis, and seasonal allergic rhinitis are not related to headache disability in adults with episodic migraine.RESUMO A migr ânea é uma condição dolorosa crônica com fisiopatologia complexa. Apesar de disfunções imunológicas já terem sido ligadas à migrânea, poucas foram as tentativas, na literatura, de se avaliar a possibilidade da rinite alérgica como um fator agravante da migrânea em adultos, tornando a qu estão ainda não esclarecida. O...
Source: Arquivos de Neuro-Psiquiatria - Category: Neurology Source Type: research
Discussion Participants classified with IMS had lower gross scores when compared with both the patients classified as asymptomatic and with the control group, and when tested for auditory episodic memory of immediate (p
Source: Arquivos de Neuro-Psiquiatria - Category: Neurology Source Type: research
For every additional hour that teenagers spend on social media or watching TV, they report more symptoms of depression and negative thoughts University of Montreal research suggests.
Source: the Mail online | Health - Category: Consumer Health News Source Type: news
This study identified potential therapeutic targets against nicotine-related cardiovascular diseases.
Source: Molecular and Cellular Endocrinology - Category: Endocrinology Source Type: research
Nine out of 10 people worldwide breathe polluted air and 7 million die every year from air pollution, according to the World Health Organization. Air quality mobile applications could mitigate these health risks by educating people and promoting preventive behavioral changes, a UCLA study found.“I think information can be very powerful to change your behavior,” said the study’s lead author, Magali Delmas, a professor of management at the UCLA Institute of the Environment and Sustainability and the Anderson School of Management.To test the effectiveness of an air quality app, a team of UCLA researchers cre...
Source: UCLA Newsroom: Health Sciences - Category: Universities & Medical Training Source Type: news
Abstract Background: Resting sympathetic hyperactivity and impaired parasympathetic reactivation after exercise have been described in patients with heart failure (HF). However, the association of these autonomic changes in patients with HF and sarcopenia is unknown. Objective: The aim of this study was to evaluate the impact of autonomic modulation on sarcopenia in male patients with HF. Methods: We enrolled 116 male patients with HF and left ventricular ejection fraction
Source: Arquivos Brasileiros de Cardiologia - Category: Cardiology Source Type: research
Abstract Background: Resting sympathetic hyperactivity and impaired parasympathetic reactivation after exercise have been described in patients with heart failure (HF). However, the association of these autonomic changes in patients with HF and sarcopenia is unknown. Objective: The aim of this study was to evaluate the impact of autonomic modulation on sarcopenia in male patients with HF. Methods: We enrolled 116 male patients with HF and left ventricular ejection fraction
Source: Arquivos Brasileiros de Cardiologia - Category: Cardiology Source Type: research
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