Transgender Late Onset Psychosis: The Role of Sex Hormones

Dhillon, Rohan; Bastiampillai, Tarun; Krishnan, Shridhar; Opray, Nicolle; Tibrewal, Prashant

doi:10.3109/00048674.2011.580452

Cited by 6 publications

(5 citation statements)

References 7 publications

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“…Two psychiatric clinical case studies described clients for whom psychosis onset was linked to hormone replacement therapy. Both Dhillon(15) (Australia) and Summers(31) addressed the possible role of estrogen in neuroprotection with the former describing challenges linked to hormone adjustment and the latter describing psychosis onset for a transgenderwoman no longer able to afford hormone replacement therapy.…”

Section: Resultsmentioning

confidence: 99%

Severe Mental Illness in LGBT Populations: A Scoping Review

et al. 2016

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Objective There is increasing attention to diversity in psychiatric services and a widespread recognition of the mental health implications of stigma for gender and sexual minority individuals. However, these areas remain markedly underdeveloped in the area of severe mental illness. This review is intended to map out the existing base of knowledge in this area to help inform future research, practice, and policy directions. Method A review of the literature was conducted to answer the question, ‘What factors and strategies need to be considered when developing services for sexual and gender minority individuals experiencing severe mental illness?’ A comprehensive search of MEDLINE, PsycINFO, and Google Scholar was completed using Arksey and O'Malley's methodological framework for scoping reviews. Results A total of 27 publications were identified in this review. Mental health services research revealed generally lower levels of service satisfaction among lesbian, gay, bisexual, transgender and transsexual (LGBT) individuals and minimal evidence for specific interventions. Descriptive research suggested an increased risk for severe mental illness among LGBT populations, an association between risk and discrimination, and the potential benefit of cultivating spaces where individuals can be ‘out’ in all aspects of themselves. Conclusions There is a pressing need for research into interventions for LGBT populations with severe mental illness as well as descriptive studies to inform efforts to reduce illness morbidity linked to discrimination.

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Section: Resultsmentioning

confidence: 99%

Severe Mental Illness in LGBT Populations: A Scoping Review

et al. 2016

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“…However, it is essential to monitor for the side effect of postural hypotension, 4 Similarly, Viscelgia reported significant improvement in psychopathology and quality of life among people suffering from schizophrenia compared with controls. 5 There has been further research. A study from New Hampshire Hospital examined the effects of yoga on mood in 13 psychiatric inpatients and reported yoga was associated with improved mood.…”

Section: Dear Sirmentioning

confidence: 99%

“…Dillon et al . 5 have recently reported a case of late onset psychosis in a transgender female to male occurring at menopause. There is a paucity of professional literature about this group.…”

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confidence: 99%

Inadequate Psychological Assessment for Female to Male Gender Reassignment

Nancarrow¹

2011

Australas Psychiatry

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“…Psychiatric settings historically perpetuated marginalization of GE patients, entailing overt and implicit medical discrimination. Within psychiatry, gender identity disorder (prior to DSM‐5) was historically used to pathologize patients and discount other symptoms rooted in minority stress (Dhillon et al, 2011; Rodriguez et al, 2018), and desire to transition genders even considered a psychotic delusion through the 1960s (Meijer et al, 2017). There are case reports of gender dysphoria symptoms remitting following resolution of acute psychosis states (Campo et al, 2022; Fisher et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

Gender‐affirming care in the assessment and treatment of psychosis risk: Considering minority stress in current practice and future research

Ceccolini

Green

Friedman‐Yakoobian

2023

Early Intervention Psych

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IntroductionAlthough research has documented the marked disparities in rates of psychosis‐spectrum diagnoses in various socially marginalized populations, there is limited research addressing the needs of gender expansive individuals in the context of psychosis‐spectrum illnesses using a minority stress lens. As clinical high‐risk for psychosis (CHR‐p) assessment and treatment becomes accessible to increasingly diverse populations, there is a need for clinicians to demonstrate greater clinical competency working with individuals across diverse social backgrounds and identities.MethodsWe examined rates of gender expansive (GE) patients seeking evaluation at an urban‐based CHR‐p clinic and compared the diagnostic profile of GE individuals to cisgender patients. Post‐hoc analyses were conducted on clinical variables with significant differences between the cisgender and GE groups.ResultsThe proportion of GE patients seeking evaluation increased from 2017 (9.3%) to 2021 (16.7%). Compared to cisgender youth, GE patients had significantly higher depressive, social anxiety, borderline personality disorder symptoms, higher levels of suicidality and non‐suicidal self‐injurious behaviour, and lower role functioning. Gender identity was predictive of suicidality controlling for social anxiety, borderline symptoms, and role functioning.ConclusionsWe review implications for CHR‐p treatment and discuss ways to integrate minority stress theory and gender‐affirming practices into coordinated specialty care for CHR‐p patients.

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Transgender Late Onset Psychosis: The Role of Sex Hormones

Cited by 6 publications

References 7 publications

Severe Mental Illness in LGBT Populations: A Scoping Review

Severe Mental Illness in LGBT Populations: A Scoping Review

Inadequate Psychological Assessment for Female to Male Gender Reassignment

Gender‐affirming care in the assessment and treatment of psychosis risk: Considering minority stress in current practice and future research

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