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Known past medications included sertraline, buspirone, and vilazodone. In addition, this case series shows that admissions may be prompted due to psychosocial stressors, including lack of family support or bullying. Published online Mar All patients had a history of depressive symptoms with SI as the key factor prompting admission, often due to psychosocial stressors. 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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He desired to pursue hormone therapy in the future and had started his transition a few weeks prior to admission.

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No patients in this case series were diagnosed with an autism spectrum disorder or anorexia nervosa; however, one patient had a history of binge eating disorder. Psychiatric comorbidity among children with gender identity disorder. Hormone replacement therapy produces physical changes consistent with the identified gender. Standards of care for the health of transsexual, transgender, and gender-nonconforming people, version 7. The only previous medication trial was sertraline, which was ineffective.

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This case series supports the conclusions of previous literature that anxiety, depression, and SI are common comorbidities leading to psychiatric hospitalization of adolescent transgender patients. The patient was continued on his current medication regimen, fluoxetine 40 mg daily, lurasidone 60 mg with dinner, and trazodone mg at bedtime, and he participated in psychotherapy. Desisting and persisting gender dysphoria after childhood: Gender dysphoria is defined as a marked incongruence between one's experienced gender and gender assigned at birth that causes significant distress. Please review our privacy policy.

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