Skip to main content Accessibility help
×
Hostname: page-component-54dcc4c588-rz4zl Total loading time: 0 Render date: 2025-10-03T05:49:27.318Z Has data issue: false hasContentIssue false

Case 47: - Gender Dysphoria

from Part 1: - Vignettes

Published online by Cambridge University Press:  04 September 2025

Howard CH Khoe
Affiliation:
National Psychiatry Residency Programme, Singapore
Cheryl WL Chang
Affiliation:
National University Hospital, Singapore
Cyrus SH Ho
Affiliation:
National University Hospital, Singapore
Get access

Summary

Chapter 47 covers the topic of gender dysphoria. Through a case vignette with topical MCQs for consolidation of learning, readers are brought through the management of patients with gender dysphoria from first presentation to subsequent complications of the conditions and its treatment. Topics covered include diagnosis, differentials, course, co-morbidities, management with hormonal treatment, sex-reassignment surgery.

Information

Type
Chapter
Information
Practise Psychiatry
A Guide Through Vignettes and MCQs
, pp. 392 - 400
Publisher: Cambridge University Press
Print publication year: 2025

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Book purchase

Temporarily unavailable

References

World Health Organization. International classification of diseases, 11th edition (ICD-11). Geneva: World Health Organization; 2024. Available from: https://icd.who.int/enGoogle Scholar
American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 5th edition, text revision (DSM-5-TR). Washington, DC: American Psychiatric Association Publishing; 2022. Available from: www.psychiatry.org/psychiatrists/practice/dsmGoogle Scholar
À Campo, J, Nijman, H, Merckelbach, H, Evers, C. Psychiatric comorbidity of gender identity disorders: a survey among Dutch psychiatrists. AJP. 2003 Jul;160(7):1332–6.Google ScholarPubMed
Chodzen, G, Hidalgo, MA, Chen, D, Garofalo, R. Minority stress factors associated with depression and anxiety among transgender and gender-nonconforming youth. J Adolesc Health. 2019 Apr;64(4):467–71.CrossRefGoogle ScholarPubMed
Zucker, KJ, Lawrence, AA, Kreukels, BPC. Gender dysphoria in adults. Annu Rev Clin Psychol. 2016 Mar 28;12(1):217–47.CrossRefGoogle ScholarPubMed
Kahn, NF, Sequeira, GM, Garrison, MM, Orlich, F, Christakis, DA, Aye, T, et al. Co-occurring autism spectrum disorder and gender dysphoria in adolescents. Pediatrics. 2023 Aug 1;152(2):e2023061363.CrossRefGoogle ScholarPubMed
Wallien, MSC, Cohen-Kettenis, PT. Psychosexual outcome of gender-dysphoric children. J Am Acad Child Adolesc Psychiatry. 2008 Dec;47(12):1413–23.CrossRefGoogle ScholarPubMed
Singh, D, Bradley, SJ, Zucker, KJ. A follow-up study of boys with gender identity disorder. Front Psychiatry. 2021;12:632784.CrossRefGoogle ScholarPubMed
Bradley, SJ, Zucker, KJ. Gender identity disorder and psychosexual problems in children and adolescents. Can J Psychiatry. 1990 Aug;35(6):477–86.10.1177/070674379003500603CrossRefGoogle ScholarPubMed
Coleman, E, Radix, AE, Bouman, WP, Brown, GR, De Vries, ALC, Deutsch, MB, et al. Standards of care for the health of transgender and gender diverse people, version 8. Int J Transgend Health. 2022 Aug 19;23(Suppl 1):S1259.10.1080/26895269.2022.2100644CrossRefGoogle ScholarPubMed
Hembree, WC, Cohen-Kettenis, PT, Gooren, L, Hannema, SE, Meyer, WJ, Murad, MH, et al. Endocrine treatment of gender-dysphoric/gender-incongruent persons: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2017 Nov 1;102(11):3869–903.CrossRefGoogle ScholarPubMed
Adelson, SL, American Academy of Child and Adolescent Psychiatry (AACAP) Committee on Quality Issues (CQI). Practice parameter on gay, lesbian, or bisexual sexual orientation, gender nonconformity, and gender discordance in children and adolescents. J Am Acad Child Adolesc Psychiatry. 2012 Sep;51(9):957–74.10.1016/j.jaac.2012.07.004CrossRefGoogle ScholarPubMed
Dhejne, C, Öberg, K, Arver, S, Landén, M. An analysis of all applications for sex reassignment surgery in Sweden, 1960–2010: prevalence, incidence, and regrets. Arch Sex Behav. 2014 Nov;43(8):1535–45.CrossRefGoogle ScholarPubMed
Socialstyrensen (The Natioanal Board of Health and Welfare [Sweden]) Uppdaterat Kunskapsstöd för Vård vid Könsdysfori hos Unga (Care of Children and Young People with Gender Dysphoria. National Knowledge Support with Recommendations to the Profession and Decision Makers. 2022. The National Board of Health and Welfare [Sweden]; 2022. Available from: www.socialstyrelsen.se/om-socialstyrelsen/pressrum/press/uppdaterat-kunskapsstod-for-vard-vid-konsdysfori-hos-ungaGoogle Scholar

Accessibility standard: Inaccessible, or known limited accessibility

The PDF of this book is known to have missing or limited accessibility features. We may be reviewing its accessibility for future improvement, but final compliance is not yet assured and may be subject to legal exceptions. If you have any questions, please contact accessibility@cambridge-org.demo.remotlog.com.

Content Navigation

Table of contents navigation
Allows you to navigate directly to chapters, sections, or non‐text items through a linked table of contents, reducing the need for extensive scrolling.
Index navigation
Provides an interactive index, letting you go straight to where a term or subject appears in the text without manual searching.

Reading Order & Textual Equivalents

Single logical reading order
You will encounter all content (including footnotes, captions, etc.) in a clear, sequential flow, making it easier to follow with assistive tools like screen readers.
Short alternative textual descriptions
You get concise descriptions (for images, charts, or media clips), ensuring you do not miss crucial information when visual or audio elements are not accessible.

Visual Accessibility

Use of colour is not sole means of conveying information
You will still understand key ideas or prompts without relying solely on colour, which is especially helpful if you have colour vision deficiencies.

Structural and Technical Features

ARIA roles provided
You gain clarity from ARIA (Accessible Rich Internet Applications) roles and attributes, as they help assistive technologies interpret how each part of the content functions.

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge-org.demo.remotlog.com is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

  • Gender Dysphoria
  • Howard CH Khoe, National Psychiatry Residency Programme, Singapore, Cheryl WL Chang, National University Hospital, Singapore, Cyrus SH Ho, National University Hospital, Singapore
  • Book: Practise Psychiatry
  • Online publication: 04 September 2025
  • Chapter DOI: https://doi.org/10.1017/9781009458634.047
Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

  • Gender Dysphoria
  • Howard CH Khoe, National Psychiatry Residency Programme, Singapore, Cheryl WL Chang, National University Hospital, Singapore, Cyrus SH Ho, National University Hospital, Singapore
  • Book: Practise Psychiatry
  • Online publication: 04 September 2025
  • Chapter DOI: https://doi.org/10.1017/9781009458634.047
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Gender Dysphoria
  • Howard CH Khoe, National Psychiatry Residency Programme, Singapore, Cheryl WL Chang, National University Hospital, Singapore, Cyrus SH Ho, National University Hospital, Singapore
  • Book: Practise Psychiatry
  • Online publication: 04 September 2025
  • Chapter DOI: https://doi.org/10.1017/9781009458634.047
Available formats
×