Gender Dysphoria and Psychotic Spectrum Disorders

  • Aron JanssenEmail author
  • Brandon S. Ito


This chapter highlights the experience of Amy, a 20-year-old transgender female with diagnoses of schizoaffective disorder, gender dysphoria, marijuana use disorder, and a history of cocaine abuse who was initially referred to an outpatient gender and sexuality mental health clinic at age 17 for an evaluation of gender and sexual identity issues. This case hopes to illustrate the developmental pathway of an adolescent with gender dysphoria and psychosis, to examine unique challenges in treating patients with both psychotic spectrum disorders and gender dysphoria, and to highlight the frequent traumas transgender individuals’ face as a part of their gender identity.


Transgender Gender dysphoria Schizoaffective disorder Child psychiatry Adolescent psychiatry 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Child and Adolescent PsychiatryNYU Langone Health, NYU Child Study CenterNew YorkUSA
  2. 2.Department of PsychiatryUCLA Semel Institute for Neuroscience and Human BehaviorLos AngelesUSA

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