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Aug 14, 2019

WCP-2019

14 - MENTAL HEALTH IN GENDER DYSPHORIA: IS COMORBIDITY ALARMING?

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gender

gender dysphoria

sexuality

psychopathology

Abstract

Abstract

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Keywords

gender

gender dysphoria

sexuality

psychopathology

Abstract

Objectives: Our objective is to examine current existing literature regarding common mental health issues and psychiatric comorbidity in individuals presenting with gender dysphoria (GD). Background: High rates of comorbid psychopathology are consistently reported in the literature. Mood and anxiety disorders are likely to occur in people with GD (lifetime prevalence of 60% and 28%, respectively). There is still a lot of debate about this subject, especially regarding sex specificity. Materials and Methods: We surveyed all PubMed-available scientific articles up to March 2019 with the search term “gender dysphoria”. Articles were chosen based on the topic of mental health in GD. Results and Conclusions: Perceived prejudice and discrimination have been found to be positively associated with an increased prevalence of mental health problems, depression, suicidality and self-harm and they are more prevalent early in the transition process. There is a major concern regarding suicidality and self-harm, with lifetime rated ranging from 30% to 81%. Despite these concerning rates of comorbid psychopathology, studies show its significant reduction after the transition process, displaying the positive association with a successful transition. In recent years GD has been viewed as an identity rather than being perceived as a mental health disorder, reducing the associated stigma. Since mood and anxiety disorders are common in these patients, the clinician must be able to diagnose not only GD but also identify comorbid symptoms, especially before transition and treat them accordingly. Risk of suicidality remains alarming in these patients.

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© Copyright 2019 Morressier GmbH.
All rights reserved.