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Case Reports
. 2022 Jan 21:11:74.
doi: 10.12688/f1000research.75144.1. eCollection 2022.

Complex psychiatric comorbidities in Thai trans women: A case series

Sorawit Wainipitapong  1   2 , Soravit Burakitpachai  3 , Thanapob Bumphenkiatikul  2   4
Affiliations
Case Reports

Complex psychiatric comorbidities in Thai trans women: A case series

Sorawit Wainipitapong et al. F1000Res. .

Abstract

Trans women (TW) have a high prevalence of poor mental health. Gender-affirming treatments could reduce distress regarding their gender incongruity. However, psychiatric comorbidities might complicate the management or even confirmation of being transgender. We reported three TW with complex mental illnesses, including anxiety disorder with cultural explanation, neurodevelopmental disorders with cross-dressing, and severe personality disorder accompanied by major depression. All cases received both psychiatric and gender-affirming treatments, which demonstrated promising outcomes. Along with gender dysphoria (GD), psychiatric comorbidities also altered these TW's identity and manifestations. Recognition of such conditions would be beneficial in providing care for all TW, both with and without GD.

Keywords: Case Study; Gender Dysphoria; Gender Identity Disorder (GID); Mental Health; Trans; Transgender; Transwomen; gender dysphoria; mental illness; psychiatric disorder.

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Conflict of interest statement

No competing interests were disclosed.

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