Case Report: Adolescent With Autism and Gender Dysphoria

We present the case of a birth-assigned female adolescent with GD, who enrolled in our clinic at the age of 16.5 years with “being transgender” as her main complaint accompanied by a wish for surgical breast removal. His (as the patient prefers to use male pronouns) medical and developmental history involved obesity, hyperlipidemia, delays in social and language development and specific interests and rituals. He presented with half a year of untreated depression, suicidal thoughts and non-suicidal self-injuring, social phobia and relative social isolation. Comprehensive clinical assessments revealed a female karyotype (46, XX), normal female genitalia and unremarkable hormonal status. Clinical psychological assessments reported GD, ASD with average intellectual abilities and co-occurring symptoms of depression and anxiety. Other disorders, such as psychosis, personality disorder and dysmorphophobia, were excluded during longer-term diagnostic and psychotherapeutic processes. Our first aim was to build a good therapeutic alliance with the patient and treat depression and suicidality. He refused to take sertraline, but took a St. John's Wort over-the-counter peroral preparation in the form of infusions. His mood improved, he was no longer suicidal and started social transitioning, yet he remained socially phobic. At the time of writing, he is 20 years old, waiting for bilateral mastectomy and receiving regular triptorelin depot and testosterone depot intramuscular i...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research

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Conclusions This case study suggests that the new prosthesis provides removable and adaptable component; further, it delivers a comfortable sitting experience because of its new socket design and knee joint flexion. Clinical Relevance Patient satisfaction is better with TF prosthesis than with orthoprosthesis. TF prosthesis is more cosmetic than orthoprosthesis, provides a symmetrical gait pattern, decreases donning and doffing durations, and there is no uncomfortable protrusion when sitting (due to amputation of the foot and leg part).
Source: JPO Journal of Prosthetics and Orthotics - Category: Orthopaedics Tags: CASE REPORTS Source Type: research
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Source: International Journal of Prisoner Health - Category: Criminology Authors: Source Type: research
Conditions:   Pain, Postoperative;   Anxiety;   Postpartum Complication Interventions:   Behavioral: Healing Touch;   Other: Control Sponsor:   Inova Health System Enrolling by invitation
Source: - Category: Research Source Type: clinical trials
Condition:   Cognitive Impairments Intervention:   Sponsor:   Shanghai Mental Health Center Not yet recruiting
Source: - Category: Research Source Type: clinical trials
Conditions:   Anxiety;   Nursing Caries;   ART Intervention:   Behavioral: Mindfulness-based mandala activity Sponsor:   Gazi University Completed
Source: - Category: Research Source Type: clinical trials
Condition:   Obesity-Related Malignant Neoplasm Interventions:   Device: Activity Monitor;   Other: Educational Intervention;   Other: Survey Administration;   Behavioral: Telephone-Based Intervention Sponsor:   M.D. Anderson Cancer Center Not yet recruiting
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