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Anorexia Nervosa and Gender Dysphoria: A Clinical Case

Published online by Cambridge University Press:  01 September 2022

J. Martins*
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
R. Vaz
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
A. Costa
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
J. Brás
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
R. Sousa
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
J. Abreu
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
E. Almeida
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
T. Casanova
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
*
*Corresponding author.

Abstract

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Introduction

Eating disorders (ED) and gender dysphoria (GD) are associated with a change in body perception. Therefore, body dissatisfaction plays a common and central role in these disorders. In GD, body image concerns are related to the features of the biological sex. In ED, body dissatisfaction comes from a distorted perception of weight and body shape and plays an important role in the development and maintenance of the psychopathology.

Objectives

To present and discuss the clinical case of a patient with a previous diagnosis of GD who presented with a clinical condition suggesting a restrictive anorexia nervosa (AN).

Methods

Patient´s clinical files consultation and literature review using Pubmed and the keywords: eating disorders and gender dysphoria.

Results

We present the case of a 25-year-old patient who was living in a shelter for victims of domestic violence and was admitted for severe restrictive AN. The patient was discharged after 40 days and medicated with sertraline, diazepam and olanzapine, as well as her previous medication (hormonal therapy): cyproterone, finasteride, estradiol, oxybutynin.

Conclusions

Although studies on this subject are still scarce, there has been some progress and the literature recognizes the coexistence of these conditions. However ED symptoms in patients with GD could have a different meaning: they may represent a dysfunctional coping strategy adopted to block features of the biological sex. Therefore health professionals may take a more holistic approach to body image. Additional studies will be necessary, allowing the establishment of cause-consequence interactions between weight loss and psychopathology related to GD.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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