在日间治疗计划中照顾有饮食障碍的跨性别青年

IF 0.4 Q4 PEDIATRICS Adolescent Psychiatry Pub Date : 2022-10-27 DOI:10.2174/2210676613666221027124554
Lauren Salvatore Farkas, I. Dancyger, Shervin Shadianloo, V. Fornari
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引用次数: 0

摘要

由于身体不满、追求苗条、营养不良以及生理和身体变化中不断演变的性别认同的独特组合,对患有饮食失调的跨性别青年的治疗提出了特别的考虑。此时,公众意识、社会认可和立法举措使女同性恋、男同性恋、双性恋和跨性别者的权利得到了更广泛的接受。然而,与此同时,跨性别青年出现心理健康问题的风险增加,包括饮食失调。描述两例接受日间治疗的跨性别青少年神经性厌食症。本文将讨论变性青少年神经性厌食症的两个临床小插曲。重点护理包括特别注意在安全空间中首次公开性别认同、姓名和代词偏好,以及衣柜和发型的变化。此外,治疗的重点是减少围绕用餐的社交焦虑,特别注意体重对第二性征发展的影响。探讨了身份、拒绝和保密等主题。总之,变性青年神经性厌食症的治疗比顺性别青年的治疗更复杂。其他问题,如激素治疗、第二性征的发展以及社会和文化因素,都会加剧进食障碍症状。治疗应侧重于了解晶状体内疾病的病因和发展轨迹。
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Caring for Transgender Youth with Eating Disorders in a Day Treatment Program
The treatment of transgender youth with an eating disorder presents particular considerations due to the unique combination of body dissatisfaction, drive for thinness, malnutrition coupled with the evolving gender identity in the midst of biological and physical changes. At this time, public awareness, societal acknowledgment and legislative initiatives have led to wider acceptance of Lesbian, Gay, Bi-sexual and Transgender rights. However, at the same time, transgender youth are at increased risk for mental health problems, including eating disorders. To describe two cases of trans adolescents with anorexia nervosa treated in a day treatment program. In this paper, the two clinical vignettes of transgender adolescent with anorexia nervosa will be discussed. The focused care included specific attention to the initial disclosure of gender identity in a safe space, name and pronoun preferences as well as wardrobe and hair style changes. In addition, treatment focused on the reduction of social anxiety around meal consumption with special attention given to the impact of weight on the development of secondary sex characteristics. Themes of identity, rejection and secrecy were explored. In summary, the treatment of transgender youth with anorexia nervosa is more complex than treatment of cis gender youth. Additional issues, such as hormonal treatments, the development of secondary sexual characteristics as well as social and cultural factors can exacerbate eating disorder symptoms. Treatment should focus on understanding the etiology and the trajectory of the disorder within this lens.
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来源期刊
Adolescent Psychiatry
Adolescent Psychiatry PEDIATRICS-
CiteScore
0.80
自引率
0.00%
发文量
20
期刊介绍: Adolescent Psychiatry a peer-reviewed journal, aims to provide mental health professionals who work with adolescents with current information relevant to the diagnosis and treatment of psychiatric disorders in adolescents. Adolescent Psychiatry reports of original research, critical reviews of topics relevant to practitioners, clinical observations with analysis and discussion, analysis of philosophical, ethical or social aspects of the fields of psychiatry and mental health, case reports with discussions, letters, and position papers. Topics include adolescent development and developmental psychopathology, psychotherapy and other psychosocial treatment approaches, psychopharmacology, and service settings and programs. The primary focus of the work should be on adolescents, transition-aged youth, The primary focus of the work should be on adolescents, transition-aged youth, or emerging adults, that is, persons 12-24 years of age . Articles on families of adolescents, or adults who have been followed since adolescence will also be considered.
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