Multidisciplinary Treatment of Transgender Woman With Severe Gender Dysphoria and Comorbid Psychiatric Disorders - Case Report

The case report describes the successful 10-year multidisciplinary treatment of a 45-year-old transgender woman with severe gender dysphoria and comorbid psychiatric disorders, including alcohol dependency and severe depression. Initially presenting as a male, the patient underwent a diagnostic phase, addiction treatment, and eventually hormone therapy with antiandrogens followed by oestrogens. The treatment led to the cessation of alcohol use, resolution of psychiatric disorders, and alleviation of gender dysphoria. The patient achieved emotional stability, improved self-esteem, and a positive body image, although she experienced hair loss and now wears a wig. She underwent various medical procedures, including circumcision, face laser therapy, genital epilation, nose operation, breast augmentation, and genital reconstructive surgery. She received support from non-government organizations and other transgender women, secured a permanent job, and gained acceptance from her family. The patient now lives as a woman, desires a biological male partner, and is on permanent therapy with oestradiol, aldactone, dutasteride, and vitamin D.