Social Dichotomy Versus Gender Dichotomy: A Case Report of Gender Identity Disorder

Abstract

Gender identity disorder is one of the most controversial diagnoses of DSM-IV and almost incomparable in the complexity of its social, ethical and political considerations to any other diagnosis. We present a case of 30 year-old male who presented with complaints of suggestive of depressive disorder with a recent suicidal attempt. Careful history taking reveals underlying conflicts with prominent gender dysphoria and social complexities. The patient is managed primarily by pharmacotherapy and harm reduction model. Our case reflects a unique coping strategy against the present sociocultural values and ambiguity of law in this part of the world.

Tragedy of a Two-In-One Situation- A Rare Case Report on Gender Identity Disorder

“…[4] Management by pharmacotherapy and harm reduction model have been beneficial in many cases. [2] Lifetime psychiatric co-morbidity is high, and this should be taken into account in the assessment and treatment planning. [6] Early identification and timely intervention may lead to the remission by saving the life of these patients.…”

“…Careful history taking reveals underlying conflicts with prominent gender dysphoria and social complexities. [2] Moreover, transgender population is not a rarity in Indian perspective and due to economical pressure of family. Often they are forcefully made -hijra‖ or -zenana‖ for the livelihood, which creates immense social and psychological pressure.…”