Partial dissociative identity disorder and gender incongruence: a case report

Abstract

Abstract Introduction Gender incongruence (GI) is characterized by a marked and persistent incongruence between an individual’s experienced gender and assigned sex, which often leads to a desire to “transition” and a demand for medical treatments. Dissociative identity disorder and partial dissociative identity disorder (PDID) are poorly known mental disorders whose clinical presentation can be confused with GI. Aims To provide a case report of a patient with PDID and GI who required treatment for GI. Methods A case report and follow-up were described. Results The case report describes a person suffering from PDID and GI and asked for hormonal treatment for GI. In view of the complexity of the case, it was decided to start a follow-up to investigate the gender experience of the different personalities. After 4 months of follow-up, the symptomatology changed, and the patient waived treatment for GI and continued psychotherapeutic treatment for PDID. Conclusion Our case report shows the complexity of providing treatment for patient with PDID and GI.