WINNING THE BATTLE - A SUCCESS STORY OF MANAGING GENDER DYSPHORIA

Authors

  • Abdul Wahab Yousafzai Department of Psychiatry, Shifa College of Medicine, Islamabad-Pakistan
  • Ayesha Tariq Shifa International Hospital Islamabad
  • Nida Bangash Shifa International Hospital Islamabad

DOI:

https://doi.org/10.55519/JAMC-02-10323

Keywords:

gender dysphoria, gender identity, sex reassignment surgery, case study

Abstract

The DSM 5 defines Gender Dysphoria (GD) as a marked incongruence between one’s biological gender and experienced gender. Individuals with GD face increased discrimination in the form of decreased job opportunities, healthcare facilities and increased violence. The definitive treatment for GD is sex reassignment surgery (SRS). The case we present follows a 24-year-old biological male, self-identifying as a female. His experience seeking treatment made him a target for misdiagnoses and mistreatment by healthcare professionals (including psychiatrists, endocrinologists and plastic surgeons) and family resulting in mental agony. After struggling for a long time, he was able to move abroad for SRS. Upon her return to Pakistan as a female she presented as being finally content with her gender and life. The article places emphasis on creating inclusive healthcare plans for individuals with GD and raising awareness among healthcare professional and general population regarding the issue.

Author Biographies

Abdul Wahab Yousafzai, Department of Psychiatry, Shifa College of Medicine, Islamabad-Pakistan

Department of Psychiatry, Shifa College of Medicine, Islamabad-Pakistan

Ayesha Tariq, Shifa International Hospital Islamabad

Associate Consultant Psychologist  

Nida Bangash, Shifa International Hospital Islamabad

Intern  

References

American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders (DSM-5®), Fifth Edition. American Psychiatric Publishing, Washington, DC; 2013.

Alizai A, Doneys P, Doane D. Impact of gender binarism on hijras’ life course and their access to fundamental human rights in Pakistan. J Homosex 2017;64:1214–40.

Khwaja sira: culture, identity politics, and "transgender" activism in Pakistan. [Internet]. 2014. [cited 2020 May 31]. Available from: https://surface.syr.edu/cgi/viewcontent.cgi?article=1056&context=etd

Yousafzai AW, Bhutto N. Gender identity disorder. Is this a potentially fatal condition? J Ayub Med Coll Abbottabad 2007;19(4):136–7.

Ming L, Hadi M, Khan T. Transgender health in India and Pakistan. Lancet 2016;388:2601–2.

Redding JA. From 'she-males' to 'unix': transgender rights and the productive paradoxes of Pakistani policing. Regimes of Legality: Ethnography of Criminal Cases in South Asia. Berti D, Bordia D (ed): Oxford University Press, New Delhi; 2015.

Violence against transgender. [Internet]. 2018. [cited 2020 May 31]. Available from: http://nation.com.pk/27-Aug-2018/violence-against-transgender

Pakistani transgender woman 'kidnapped and tortured' by gang. [Internet]. 2019. [cited 2020 31 May]. Available from: http://www.pinknews.co.uk/2019/06/11/pakistani-transgender-woman-kidnapped/

Valentine SE, Shipherd JC. A systematic review of social stress and mental health among transgender and gender non-conforming people in the United States. Clin Psychol Rev 2018;66:24–38.

Capetillo-Ventura NC, Jalil-Pérez SI, Motilla-Negrete K. Gender dysphoria: An overview. Med Univ 2015;17(66):53–8.

Roberto LG. Issues in diagnosis and treatment of transsexualism. Arch Sex Behav 1983;12(5):445–73.

Person diagnosed with gender dysphoria seeks IHC permission for sex reassignment 2018. [Internet]. [cited 2020 May 31]. Available from: http://www.dawn.com/news/1393533

Hughto JM, Reisner SL, Pachankis JE. Transgender stigma and health: A critical review of stigma determinants, mechanisms, and interventions. Soc Sci Med 2015;147:222–31.

Irshad U, Hashmi AM, Aamer I. Between a Rock and a Hard Place–Gender Dysphoria and Comorbid Depression in a Young, Low-Income, Pakistani Transgender Man. Cureus 2020;12(9):e10205.

Pakistan's traditional third gender isn't happy with the trans movement 2017. [Internet]. [cited 2020 31 May]. Available from: http://www.pri.org/stories/2017-07-29/pakistans-traditional-third-gender-isnt-happy-trans-movement

Gijs L, Brewaeys A. Surgical treatment of gender dysphoria in adults and adolescents: Recent developments, effectiveness, and challenges. Ann Rev Sex Res 2007;18(1):178–224.

Downloads

Published

2022-03-03