Voices change my name

Introduction We present the clinical case of a patient where the psychotic clinic coexists with gender dysphoria. This scenario can be the result of a change in gender identity derived from the psychotic process or appear independently of it. Objectives We want to explain the importance of knowing...
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Autor*in:	C. Vallecillo Adame [verfasserIn] T. Jiménez Aparicio [verfasserIn] C. De Andrés Lobo [verfasserIn] A. Gonzaga Ramírez [verfasserIn] M. Queipo De Llano De La Viuda [verfasserIn] G. Guerra Valera [verfasserIn] I. Santos Carrasco [verfasserIn] J. Gonçalves Cerejeira [verfasserIn] B. Rodríguez Rodríguez [verfasserIn] M. Fernández Lozano [verfasserIn] M.J. Mateos Sexmero [verfasserIn] N. Navarro Barriga [verfasserIn] N. De Uribe Viloria [verfasserIn] G. Medina Ojeda [verfasserIn] L. Rodriguez Andrés [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	Gender Dysphoria schizophrénia Transgender Psychosis

Übergeordnetes Werk:	In: European Psychiatry - Cambridge University Press, 2020, 65(2022), Seite S801-S801
Übergeordnetes Werk:	volume:65 ; year:2022 ; pages:S801-S801

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.1192/j.eurpsy.2022.2070

Katalog-ID:	DOAJ094613265

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520			\|a Introduction We present the clinical case of a patient where the psychotic clinic coexists with gender dysphoria. This scenario can be the result of a change in gender identity derived from the psychotic process or appear independently of it. Objectives We want to explain the importance of knowing how to act with a patient in whom these two processes coexist. Methods 20-year-old woman, with no history of mental health. She comes to the emergency department for behavioral alteration. The family observes strange behaviors, unmotivated laughter, soliloquies and aggressive episodes. Abandonment of studies, hobbies and radical physical change. Delusions of prejudice and self-referential delusions. Possible phenomena of echo and diffusion of the thought. Auditory hallucinations talking to her in male gender, since then she presents doubts about her sexual identity and manifests her desire to change sex. Altered judgment of reality. Results During admission, we started treatment with an antipsychotic with good tolerance and she was referred to mental health team, where psychopharmacological treatment was adjusted with good response. In the following medical appointments the psychotic clinic disappeared at the same time that sexual identification was completely restored and made a critique of the behavior and experiences. Conclusions This case highlights the importance of assessing the chronology of symptoms, the patient’s criticality, the response to antipsychotic treatment and the need to exclude the psychotic background of the desire for gender reassignment before making a therapeutic decision. Disclosure No significant relationships.
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allfields	10.1192/j.eurpsy.2022.2070 doi (DE-627)DOAJ094613265 (DE-599)DOAJ5599cd967e594c388de55763ae560f0a DE-627 ger DE-627 rakwb eng RC435-571 C. Vallecillo Adame verfasserin aut Voices change my name 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction We present the clinical case of a patient where the psychotic clinic coexists with gender dysphoria. This scenario can be the result of a change in gender identity derived from the psychotic process or appear independently of it. Objectives We want to explain the importance of knowing how to act with a patient in whom these two processes coexist. Methods 20-year-old woman, with no history of mental health. She comes to the emergency department for behavioral alteration. The family observes strange behaviors, unmotivated laughter, soliloquies and aggressive episodes. Abandonment of studies, hobbies and radical physical change. Delusions of prejudice and self-referential delusions. Possible phenomena of echo and diffusion of the thought. Auditory hallucinations talking to her in male gender, since then she presents doubts about her sexual identity and manifests her desire to change sex. Altered judgment of reality. Results During admission, we started treatment with an antipsychotic with good tolerance and she was referred to mental health team, where psychopharmacological treatment was adjusted with good response. In the following medical appointments the psychotic clinic disappeared at the same time that sexual identification was completely restored and made a critique of the behavior and experiences. Conclusions This case highlights the importance of assessing the chronology of symptoms, the patient’s criticality, the response to antipsychotic treatment and the need to exclude the psychotic background of the desire for gender reassignment before making a therapeutic decision. Disclosure No significant relationships. Gender Dysphoria schizophrénia Transgender Psychosis Psychiatry T. Jiménez Aparicio verfasserin aut C. De Andrés Lobo verfasserin aut A. Gonzaga Ramírez verfasserin aut M. Queipo De Llano De La Viuda verfasserin aut G. Guerra Valera verfasserin aut I. Santos Carrasco verfasserin aut J. Gonçalves Cerejeira verfasserin aut B. Rodríguez Rodríguez verfasserin aut M. Fernández Lozano verfasserin aut M.J. Mateos Sexmero verfasserin aut N. Navarro Barriga verfasserin aut N. De Uribe Viloria verfasserin aut G. Medina Ojeda verfasserin aut L. Rodriguez Andrés verfasserin aut In European Psychiatry Cambridge University Press, 2020 65(2022), Seite S801-S801 (DE-627)320445070 (DE-600)2005377-0 17783585 nnns volume:65 year:2022 pages:S801-S801 https://doi.org/10.1192/j.eurpsy.2022.2070 kostenfrei https://doaj.org/article/5599cd967e594c388de55763ae560f0a kostenfrei https://www.cambridge.org/core/product/identifier/S0924933822020703/type/journal_article kostenfrei https://doaj.org/toc/0924-9338 Journal toc kostenfrei https://doaj.org/toc/1778-3585 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_217 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2110 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 65 2022 S801-S801
spelling	10.1192/j.eurpsy.2022.2070 doi (DE-627)DOAJ094613265 (DE-599)DOAJ5599cd967e594c388de55763ae560f0a DE-627 ger DE-627 rakwb eng RC435-571 C. Vallecillo Adame verfasserin aut Voices change my name 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction We present the clinical case of a patient where the psychotic clinic coexists with gender dysphoria. This scenario can be the result of a change in gender identity derived from the psychotic process or appear independently of it. Objectives We want to explain the importance of knowing how to act with a patient in whom these two processes coexist. Methods 20-year-old woman, with no history of mental health. She comes to the emergency department for behavioral alteration. The family observes strange behaviors, unmotivated laughter, soliloquies and aggressive episodes. Abandonment of studies, hobbies and radical physical change. Delusions of prejudice and self-referential delusions. Possible phenomena of echo and diffusion of the thought. Auditory hallucinations talking to her in male gender, since then she presents doubts about her sexual identity and manifests her desire to change sex. Altered judgment of reality. Results During admission, we started treatment with an antipsychotic with good tolerance and she was referred to mental health team, where psychopharmacological treatment was adjusted with good response. In the following medical appointments the psychotic clinic disappeared at the same time that sexual identification was completely restored and made a critique of the behavior and experiences. Conclusions This case highlights the importance of assessing the chronology of symptoms, the patient’s criticality, the response to antipsychotic treatment and the need to exclude the psychotic background of the desire for gender reassignment before making a therapeutic decision. Disclosure No significant relationships. Gender Dysphoria schizophrénia Transgender Psychosis Psychiatry T. Jiménez Aparicio verfasserin aut C. De Andrés Lobo verfasserin aut A. Gonzaga Ramírez verfasserin aut M. Queipo De Llano De La Viuda verfasserin aut G. Guerra Valera verfasserin aut I. Santos Carrasco verfasserin aut J. Gonçalves Cerejeira verfasserin aut B. Rodríguez Rodríguez verfasserin aut M. Fernández Lozano verfasserin aut M.J. Mateos Sexmero verfasserin aut N. Navarro Barriga verfasserin aut N. De Uribe Viloria verfasserin aut G. Medina Ojeda verfasserin aut L. Rodriguez Andrés verfasserin aut In European Psychiatry Cambridge University Press, 2020 65(2022), Seite S801-S801 (DE-627)320445070 (DE-600)2005377-0 17783585 nnns volume:65 year:2022 pages:S801-S801 https://doi.org/10.1192/j.eurpsy.2022.2070 kostenfrei https://doaj.org/article/5599cd967e594c388de55763ae560f0a kostenfrei https://www.cambridge.org/core/product/identifier/S0924933822020703/type/journal_article kostenfrei https://doaj.org/toc/0924-9338 Journal toc kostenfrei https://doaj.org/toc/1778-3585 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_217 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2110 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 65 2022 S801-S801
allfields_unstemmed	10.1192/j.eurpsy.2022.2070 doi (DE-627)DOAJ094613265 (DE-599)DOAJ5599cd967e594c388de55763ae560f0a DE-627 ger DE-627 rakwb eng RC435-571 C. Vallecillo Adame verfasserin aut Voices change my name 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction We present the clinical case of a patient where the psychotic clinic coexists with gender dysphoria. This scenario can be the result of a change in gender identity derived from the psychotic process or appear independently of it. Objectives We want to explain the importance of knowing how to act with a patient in whom these two processes coexist. Methods 20-year-old woman, with no history of mental health. She comes to the emergency department for behavioral alteration. The family observes strange behaviors, unmotivated laughter, soliloquies and aggressive episodes. Abandonment of studies, hobbies and radical physical change. Delusions of prejudice and self-referential delusions. Possible phenomena of echo and diffusion of the thought. Auditory hallucinations talking to her in male gender, since then she presents doubts about her sexual identity and manifests her desire to change sex. Altered judgment of reality. Results During admission, we started treatment with an antipsychotic with good tolerance and she was referred to mental health team, where psychopharmacological treatment was adjusted with good response. In the following medical appointments the psychotic clinic disappeared at the same time that sexual identification was completely restored and made a critique of the behavior and experiences. Conclusions This case highlights the importance of assessing the chronology of symptoms, the patient’s criticality, the response to antipsychotic treatment and the need to exclude the psychotic background of the desire for gender reassignment before making a therapeutic decision. Disclosure No significant relationships. Gender Dysphoria schizophrénia Transgender Psychosis Psychiatry T. Jiménez Aparicio verfasserin aut C. De Andrés Lobo verfasserin aut A. Gonzaga Ramírez verfasserin aut M. Queipo De Llano De La Viuda verfasserin aut G. Guerra Valera verfasserin aut I. Santos Carrasco verfasserin aut J. Gonçalves Cerejeira verfasserin aut B. Rodríguez Rodríguez verfasserin aut M. Fernández Lozano verfasserin aut M.J. Mateos Sexmero verfasserin aut N. Navarro Barriga verfasserin aut N. De Uribe Viloria verfasserin aut G. Medina Ojeda verfasserin aut L. Rodriguez Andrés verfasserin aut In European Psychiatry Cambridge University Press, 2020 65(2022), Seite S801-S801 (DE-627)320445070 (DE-600)2005377-0 17783585 nnns volume:65 year:2022 pages:S801-S801 https://doi.org/10.1192/j.eurpsy.2022.2070 kostenfrei https://doaj.org/article/5599cd967e594c388de55763ae560f0a kostenfrei https://www.cambridge.org/core/product/identifier/S0924933822020703/type/journal_article kostenfrei https://doaj.org/toc/0924-9338 Journal toc kostenfrei https://doaj.org/toc/1778-3585 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_217 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2110 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 65 2022 S801-S801
allfieldsGer	10.1192/j.eurpsy.2022.2070 doi (DE-627)DOAJ094613265 (DE-599)DOAJ5599cd967e594c388de55763ae560f0a DE-627 ger DE-627 rakwb eng RC435-571 C. Vallecillo Adame verfasserin aut Voices change my name 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction We present the clinical case of a patient where the psychotic clinic coexists with gender dysphoria. This scenario can be the result of a change in gender identity derived from the psychotic process or appear independently of it. Objectives We want to explain the importance of knowing how to act with a patient in whom these two processes coexist. Methods 20-year-old woman, with no history of mental health. She comes to the emergency department for behavioral alteration. The family observes strange behaviors, unmotivated laughter, soliloquies and aggressive episodes. Abandonment of studies, hobbies and radical physical change. Delusions of prejudice and self-referential delusions. Possible phenomena of echo and diffusion of the thought. Auditory hallucinations talking to her in male gender, since then she presents doubts about her sexual identity and manifests her desire to change sex. Altered judgment of reality. Results During admission, we started treatment with an antipsychotic with good tolerance and she was referred to mental health team, where psychopharmacological treatment was adjusted with good response. In the following medical appointments the psychotic clinic disappeared at the same time that sexual identification was completely restored and made a critique of the behavior and experiences. Conclusions This case highlights the importance of assessing the chronology of symptoms, the patient’s criticality, the response to antipsychotic treatment and the need to exclude the psychotic background of the desire for gender reassignment before making a therapeutic decision. Disclosure No significant relationships. Gender Dysphoria schizophrénia Transgender Psychosis Psychiatry T. Jiménez Aparicio verfasserin aut C. De Andrés Lobo verfasserin aut A. Gonzaga Ramírez verfasserin aut M. Queipo De Llano De La Viuda verfasserin aut G. Guerra Valera verfasserin aut I. Santos Carrasco verfasserin aut J. Gonçalves Cerejeira verfasserin aut B. Rodríguez Rodríguez verfasserin aut M. Fernández Lozano verfasserin aut M.J. Mateos Sexmero verfasserin aut N. Navarro Barriga verfasserin aut N. De Uribe Viloria verfasserin aut G. Medina Ojeda verfasserin aut L. Rodriguez Andrés verfasserin aut In European Psychiatry Cambridge University Press, 2020 65(2022), Seite S801-S801 (DE-627)320445070 (DE-600)2005377-0 17783585 nnns volume:65 year:2022 pages:S801-S801 https://doi.org/10.1192/j.eurpsy.2022.2070 kostenfrei https://doaj.org/article/5599cd967e594c388de55763ae560f0a kostenfrei https://www.cambridge.org/core/product/identifier/S0924933822020703/type/journal_article kostenfrei https://doaj.org/toc/0924-9338 Journal toc kostenfrei https://doaj.org/toc/1778-3585 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_217 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2110 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 65 2022 S801-S801
allfieldsSound	10.1192/j.eurpsy.2022.2070 doi (DE-627)DOAJ094613265 (DE-599)DOAJ5599cd967e594c388de55763ae560f0a DE-627 ger DE-627 rakwb eng RC435-571 C. Vallecillo Adame verfasserin aut Voices change my name 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction We present the clinical case of a patient where the psychotic clinic coexists with gender dysphoria. This scenario can be the result of a change in gender identity derived from the psychotic process or appear independently of it. Objectives We want to explain the importance of knowing how to act with a patient in whom these two processes coexist. Methods 20-year-old woman, with no history of mental health. She comes to the emergency department for behavioral alteration. The family observes strange behaviors, unmotivated laughter, soliloquies and aggressive episodes. Abandonment of studies, hobbies and radical physical change. Delusions of prejudice and self-referential delusions. Possible phenomena of echo and diffusion of the thought. Auditory hallucinations talking to her in male gender, since then she presents doubts about her sexual identity and manifests her desire to change sex. Altered judgment of reality. Results During admission, we started treatment with an antipsychotic with good tolerance and she was referred to mental health team, where psychopharmacological treatment was adjusted with good response. In the following medical appointments the psychotic clinic disappeared at the same time that sexual identification was completely restored and made a critique of the behavior and experiences. Conclusions This case highlights the importance of assessing the chronology of symptoms, the patient’s criticality, the response to antipsychotic treatment and the need to exclude the psychotic background of the desire for gender reassignment before making a therapeutic decision. Disclosure No significant relationships. Gender Dysphoria schizophrénia Transgender Psychosis Psychiatry T. Jiménez Aparicio verfasserin aut C. De Andrés Lobo verfasserin aut A. Gonzaga Ramírez verfasserin aut M. Queipo De Llano De La Viuda verfasserin aut G. Guerra Valera verfasserin aut I. Santos Carrasco verfasserin aut J. Gonçalves Cerejeira verfasserin aut B. Rodríguez Rodríguez verfasserin aut M. Fernández Lozano verfasserin aut M.J. Mateos Sexmero verfasserin aut N. Navarro Barriga verfasserin aut N. De Uribe Viloria verfasserin aut G. Medina Ojeda verfasserin aut L. Rodriguez Andrés verfasserin aut In European Psychiatry Cambridge University Press, 2020 65(2022), Seite S801-S801 (DE-627)320445070 (DE-600)2005377-0 17783585 nnns volume:65 year:2022 pages:S801-S801 https://doi.org/10.1192/j.eurpsy.2022.2070 kostenfrei https://doaj.org/article/5599cd967e594c388de55763ae560f0a kostenfrei https://www.cambridge.org/core/product/identifier/S0924933822020703/type/journal_article kostenfrei https://doaj.org/toc/0924-9338 Journal toc kostenfrei https://doaj.org/toc/1778-3585 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_217 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2110 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 65 2022 S801-S801
language	English
source	In European Psychiatry 65(2022), Seite S801-S801 volume:65 year:2022 pages:S801-S801
sourceStr	In European Psychiatry 65(2022), Seite S801-S801 volume:65 year:2022 pages:S801-S801
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Gender Dysphoria schizophrénia Transgender Psychosis Psychiatry
isfreeaccess_bool	true
container_title	European Psychiatry
authorswithroles_txt_mv	C. Vallecillo Adame @@aut@@ T. Jiménez Aparicio @@aut@@ C. De Andrés Lobo @@aut@@ A. Gonzaga Ramírez @@aut@@ M. Queipo De Llano De La Viuda @@aut@@ G. Guerra Valera @@aut@@ I. Santos Carrasco @@aut@@ J. Gonçalves Cerejeira @@aut@@ B. Rodríguez Rodríguez @@aut@@ M. Fernández Lozano @@aut@@ M.J. Mateos Sexmero @@aut@@ N. Navarro Barriga @@aut@@ N. De Uribe Viloria @@aut@@ G. Medina Ojeda @@aut@@ L. Rodriguez Andrés @@aut@@
publishDateDaySort_date	2022-01-01T00:00:00Z
hierarchy_top_id	320445070
id	DOAJ094613265
language_de	englisch
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Vallecillo Adame</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Voices change my name</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2022</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Introduction We present the clinical case of a patient where the psychotic clinic coexists with gender dysphoria. This scenario can be the result of a change in gender identity derived from the psychotic process or appear independently of it. Objectives We want to explain the importance of knowing how to act with a patient in whom these two processes coexist. Methods 20-year-old woman, with no history of mental health. She comes to the emergency department for behavioral alteration. The family observes strange behaviors, unmotivated laughter, soliloquies and aggressive episodes. Abandonment of studies, hobbies and radical physical change. Delusions of prejudice and self-referential delusions. Possible phenomena of echo and diffusion of the thought. Auditory hallucinations talking to her in male gender, since then she presents doubts about her sexual identity and manifests her desire to change sex. Altered judgment of reality. Results During admission, we started treatment with an antipsychotic with good tolerance and she was referred to mental health team, where psychopharmacological treatment was adjusted with good response. In the following medical appointments the psychotic clinic disappeared at the same time that sexual identification was completely restored and made a critique of the behavior and experiences. Conclusions This case highlights the importance of assessing the chronology of symptoms, the patient’s criticality, the response to antipsychotic treatment and the need to exclude the psychotic background of the desire for gender reassignment before making a therapeutic decision. 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callnumber-first	R - Medicine
author	C. Vallecillo Adame
spellingShingle	C. Vallecillo Adame misc RC435-571 misc Gender Dysphoria misc schizophrénia misc Transgender misc Psychosis misc Psychiatry Voices change my name
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topic_title	RC435-571 Voices change my name Gender Dysphoria schizophrénia Transgender Psychosis
topic	misc RC435-571 misc Gender Dysphoria misc schizophrénia misc Transgender misc Psychosis misc Psychiatry
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author_browse	C. Vallecillo Adame T. Jiménez Aparicio C. De Andrés Lobo A. Gonzaga Ramírez M. Queipo De Llano De La Viuda G. Guerra Valera I. Santos Carrasco J. Gonçalves Cerejeira B. Rodríguez Rodríguez M. Fernández Lozano M.J. Mateos Sexmero N. Navarro Barriga N. De Uribe Viloria G. Medina Ojeda L. Rodriguez Andrés
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title_sort	voices change my name
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title_auth	Voices change my name
abstract	Introduction We present the clinical case of a patient where the psychotic clinic coexists with gender dysphoria. This scenario can be the result of a change in gender identity derived from the psychotic process or appear independently of it. Objectives We want to explain the importance of knowing how to act with a patient in whom these two processes coexist. Methods 20-year-old woman, with no history of mental health. She comes to the emergency department for behavioral alteration. The family observes strange behaviors, unmotivated laughter, soliloquies and aggressive episodes. Abandonment of studies, hobbies and radical physical change. Delusions of prejudice and self-referential delusions. Possible phenomena of echo and diffusion of the thought. Auditory hallucinations talking to her in male gender, since then she presents doubts about her sexual identity and manifests her desire to change sex. Altered judgment of reality. Results During admission, we started treatment with an antipsychotic with good tolerance and she was referred to mental health team, where psychopharmacological treatment was adjusted with good response. In the following medical appointments the psychotic clinic disappeared at the same time that sexual identification was completely restored and made a critique of the behavior and experiences. Conclusions This case highlights the importance of assessing the chronology of symptoms, the patient’s criticality, the response to antipsychotic treatment and the need to exclude the psychotic background of the desire for gender reassignment before making a therapeutic decision. Disclosure No significant relationships.
abstractGer	Introduction We present the clinical case of a patient where the psychotic clinic coexists with gender dysphoria. This scenario can be the result of a change in gender identity derived from the psychotic process or appear independently of it. Objectives We want to explain the importance of knowing how to act with a patient in whom these two processes coexist. Methods 20-year-old woman, with no history of mental health. She comes to the emergency department for behavioral alteration. The family observes strange behaviors, unmotivated laughter, soliloquies and aggressive episodes. Abandonment of studies, hobbies and radical physical change. Delusions of prejudice and self-referential delusions. Possible phenomena of echo and diffusion of the thought. Auditory hallucinations talking to her in male gender, since then she presents doubts about her sexual identity and manifests her desire to change sex. Altered judgment of reality. Results During admission, we started treatment with an antipsychotic with good tolerance and she was referred to mental health team, where psychopharmacological treatment was adjusted with good response. In the following medical appointments the psychotic clinic disappeared at the same time that sexual identification was completely restored and made a critique of the behavior and experiences. Conclusions This case highlights the importance of assessing the chronology of symptoms, the patient’s criticality, the response to antipsychotic treatment and the need to exclude the psychotic background of the desire for gender reassignment before making a therapeutic decision. Disclosure No significant relationships.
abstract_unstemmed	Introduction We present the clinical case of a patient where the psychotic clinic coexists with gender dysphoria. This scenario can be the result of a change in gender identity derived from the psychotic process or appear independently of it. Objectives We want to explain the importance of knowing how to act with a patient in whom these two processes coexist. Methods 20-year-old woman, with no history of mental health. She comes to the emergency department for behavioral alteration. The family observes strange behaviors, unmotivated laughter, soliloquies and aggressive episodes. Abandonment of studies, hobbies and radical physical change. Delusions of prejudice and self-referential delusions. Possible phenomena of echo and diffusion of the thought. Auditory hallucinations talking to her in male gender, since then she presents doubts about her sexual identity and manifests her desire to change sex. Altered judgment of reality. Results During admission, we started treatment with an antipsychotic with good tolerance and she was referred to mental health team, where psychopharmacological treatment was adjusted with good response. In the following medical appointments the psychotic clinic disappeared at the same time that sexual identification was completely restored and made a critique of the behavior and experiences. Conclusions This case highlights the importance of assessing the chronology of symptoms, the patient’s criticality, the response to antipsychotic treatment and the need to exclude the psychotic background of the desire for gender reassignment before making a therapeutic decision. Disclosure No significant relationships.
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author2	T. Jiménez Aparicio C. De Andrés Lobo A. Gonzaga Ramírez M. Queipo De Llano De La Viuda G. Guerra Valera I. Santos Carrasco J. Gonçalves Cerejeira B. Rodríguez Rodríguez M. Fernández Lozano M.J. Mateos Sexmero N. Navarro Barriga N. De Uribe Viloria G. Medina Ojeda L. Rodriguez Andrés
author2Str	T. Jiménez Aparicio C. De Andrés Lobo A. Gonzaga Ramírez M. Queipo De Llano De La Viuda G. Guerra Valera I. Santos Carrasco J. Gonçalves Cerejeira B. Rodríguez Rodríguez M. Fernández Lozano M.J. Mateos Sexmero N. Navarro Barriga N. De Uribe Viloria G. Medina Ojeda L. Rodriguez Andrés
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