PDF(Pubmed)
Abstract：
Gender confusion in the context of mania is very less frequently described in the literature. The actuality of a primary psychiatric condition in gender identity complaint has significant bearing on the applicable operation and prognostic. This case series describes cases of bipolar affective complaint presenting in a manic occasion whose mania was marked by hypersexuality and the desire to be of opposite gender. Both of these symptoms resolved with treatment of the manic occasion. Case 1 describes a 17-year-old male presenting with an episodic illness, with current manic episode. He is currently interested in boys and has started enjoying feminine activities. Upon treatment, his symptoms showed improvement. Case 2 describes a 22-year-old gay male, with a total duration of 7 years, current episode mania. Now, he is considering himself a lesbian and feels he is mentally a modern female. After 4 months of treatment, there was significant improvement in his complaints and he stopped cross-dressing as a female. Case 3 shows a 21-year-old female, with manic episode. After 1 month, the patient began acting and speaking more like a boy. The patient has shown improvement while taking lithium 900 mg, divalproex sodium 1000 mg, risperidone 6 mg, and chlorpromazine 150 mg. Gender dysphoria occurring along with a psychotic episode and resolving with management of the primary psychiatric disorder are rarely recorded. The central issue in similar cases is a proper workup and diagnosis. Psychiatrists should be aware of this scenario so that proper treatment strategies for gender incongruence can be planned and not be brushed aside as \"just another symptom.\"
摘要：
在文献中很少描述躁狂症背景下的性别混淆。性别认同投诉中主要精神疾病的现状对适用的操作和预后有重要影响。此案例系列描述了在躁狂场合出现的双相情感投诉案例，其躁狂的特点是性欲亢进和渴望成为异性。这两种症状都通过躁狂发作的治疗解决。案例1描述了一名17岁的男性，患有偶发性疾病，目前的躁狂发作。他目前对男孩感兴趣，并开始享受女性活动。经治疗,他的症状有所改善。案例2描述了一个22岁的男同性恋者,总持续时间为7年，目前的情节躁狂症。现在,他认为自己是女同性恋，觉得自己在精神上是现代女性。经过4个月的治疗，他的投诉有了显着改善，他停止了变装为女性。案例3显示一名21岁女性，躁狂发作。一个月后,病人开始表现和说话更像一个男孩。患者在服用900毫克锂时表现出改善，双丙戊酸钠1000毫克，利培酮6毫克，和氯丙嗪150毫克。很少记录与精神病发作一起发生的性别烦躁不安，并通过原发性精神疾病的管理解决。类似情况下的中心问题是适当的检查和诊断。精神科医生应该意识到这种情况，以便可以计划针对性别不一致的适当治疗策略，而不是将其视为“另一种症状”。\"
