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Puberty-suppressing and hormone replacement therapy for transgender patients 6. Discussion This case series describes 5 adolescent transgender patients admitted to an inpatient psychiatry unit. Abstract Gender dysphoria is defined as a marked incongruence between one's natal gender and gender identity that causes significant distress. Due to the lack of literature related to psychiatric management of transgender adolescent patients, this case series briefly describes the past medical history, pharmacotherapy, and discharge diagnoses of 5 transgender adolescents admitted to an inpatient psychiatry unit. Known past medications included sertraline, buspirone, and vilazodone.

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A year-old white transgender male to female patient with a past medical history of MDD and binge eating disorder was admitted due to SI and self-harm.

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Psychiatric admission in adolescent transgender patients: A case series

He had first identified with the male gender approximately 4 years prior to admission and preferred male pronouns and clothing. Psychiatric evaluation is recommended, and symptoms should be stabilized prior to making any treatment decisions. Patients with gender dysphoria have a greater incidence of psychiatric comorbidities that may be socially induced eg, bullying, lack of friends, minimal family support. Discharge diagnoses included MDD, unspecified anxiety, parent-child relational problem, and phase-of-life problem. Gender dysphoria is defined as a marked incongruence between one's experienced gender and gender assigned at birth that causes significant distress.

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Gender variance and dysphoria in children and adolescents. Diagnostic and statistical manual of mental disorders. Pharmacotherapy considerations in the management of transgender patients: Discharge diagnoses included unspecified depression, unspecified anxiety, gender dysphoria, and parent-child relational problem. It is important to ensure that additional psychosocial stress is not encountered during hospitalization. Of the 5 patients, 4 identified as FtM, which is consistent with the higher persistence of gender dysphoria in natal females.

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