Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2023 May 13;11(2):qfad018.
doi: 10.1093/sexmed/qfad018. eCollection 2023 Apr.

Partial dissociative identity disorder and gender incongruence: a case report

Roland Hasler  1   2 , Jérôme Pache  3 , John Köhl  3 , Lorenzo Soldati  3
Affiliations
Case Reports

Partial dissociative identity disorder and gender incongruence: a case report

Roland Hasler et al. Sex Med. .

Abstract

Introduction: Gender incongruence (GI) is characterized by a marked and persistent incongruence between an individual's experienced gender and assigned sex, which often leads to a desire to "transition" and a demand for medical treatments. Dissociative identity disorder and partial dissociative identity disorder (PDID) are poorly known mental disorders whose clinical presentation can be confused with GI.

Aims: To provide a case report of a patient with PDID and GI who required treatment for GI.

Methods: A case report and follow-up were described.

Results: The case report describes a person suffering from PDID and GI and asked for hormonal treatment for GI. In view of the complexity of the case, it was decided to start a follow-up to investigate the gender experience of the different personalities. After 4 months of follow-up, the symptomatology changed, and the patient waived treatment for GI and continued psychotherapeutic treatment for PDID.

Conclusion: Our case report shows the complexity of providing treatment for patient with PDID and GI.

Keywords: dissociative identity disorder; gender affirming medical and/or surgical treatment; gender incongruence; hormonal treatment.

PubMed Disclaimer

References

    1. Reed, GMD J, Krueger RB, Alatta E, et al. . Disorders related to sexuality and gender identity in the ICD-11: revising the ICD-10 classification based on current scientific evidence, best clinical practices, and human rights considerations. World Psychiatry. 2016;15:205–221. - PMC - PubMed
    1. Coleman E, Radix AE, Bouman WP, et al. . Standards of care for the health of transgender and gender diverse people, version 8. Int J Transgend Health. 2022;23(suppl 1):1–259. - PMC - PubMed
    1. Soldati L, Hasler R, Recordon N, Clement M, Köhl J, Perroud N. Gender dysphoria and dissociative identity disorder: a case report and review of literature. Sex Med. 2022;10(5):100553. - PMC - PubMed
    1. World Health Organization . International Classification of Diseases. World Health Organization; 2019/2021.
    1. International Society for the Study of Trauma and Dissociation . Guidelines for treating dissociative identity disorder in adults, third revision: summary version. J Trauma Dissociation. 2011;12(2):188–212. - PubMed

Publication types