Psychomedical care in gender identity dysphoria during adolescence

Introduction: In the clinical literature, the term gender dysphoria is used to define the perception of rejection that a person has to the fact of being male or female. In children and adolescents, gender identity dysphoria is a complex clinical entity. The result of entity is variable and uncertain, but in the end only a few will be transsexuals in adulthood. Objectives: - To review the current status of the etiology and prevalence, Spanish health care protocols, DSM-v, ICD-10 and international standards. - Psychomedical intervention in under 18 year-olds. Methodology: - A review of PubMed and UpToDate databases. - Presentation of a clinical case in adolescence woman > man. Results and conclusions: - There is evidence of a hormonal impact on the etiology of gender identity dysphoria and an underestimation of its prevalence. - Relevance to DSM-v, including the replacement of the term << gender identity disorder >> by << dysphoria gender identity >>, and thus the partial removal of the previous disease connotation. - The seventh edition of the international standards World Professional Association for Trans gender Health highlight the role of the therapist for advice on the way to the transition. - The Spanish 2012 guide stands out for its wealth of details and explanations, with a language targeted at different professionals. - Dysphoria gender identity must be studied by a multidisciplinary team, in which the psychotherapist must be expert in developmental psychopathology and evaluate emotional and behavioral problems. (C) 2015 SEP y SEPB. Published by Elsevier Espana, S.L.U. All rights reserved.