Manage episode 293178332 series 2851469
Today we’ll be covering Gender Dysphoria, going along with this month’s theme, Adolescent Medicine. If you haven’t listened to our podcast before, each week we have a case-based discussion about a medical topic to help you study for the pediatric medicine board exam. Episodes are released every weekend, and the case is then reviewed and reinforced on social media throughout the week.
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This month we are also joined by our wonderful guest host, Dr. Nimisha Bajaj! She created all of the cases for this month, and we are so happy to have her join us! Feel free to check her social media for more thought-provoking and insightful content, @NimishaBajaj2 (https://mobile.twitter.com/NimishaBajaj2).
A 15 year-old transgender male comes to the clinic for a well visit and for referral to the transgender health clinic. While his mother is in the room for the first part of the visit, you noticed he is appropriate, but more quiet and subdued, and you can see he is not answering questions fully. His PHQ-9 is elevated, and he suffers from insomnia, both of which concern his mother. She also continually refers to him as “she” and by the name assigned at birth. When his mother leaves the room, his affect changes completely, and he is bubbly and engaging. He is interested in testosterone therapy and access to a binder, but he knows his mother would not approve; in fact, he acknowledges that this is causing his dysphoria and insomnia. He states he wants to fully be himself but does not want to ruin his relationship with his mother.
Transgender adolescents are likely to experience an increased risk of which of the following:
- Physical violence
- Systemic oppression
- All of the above
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Intro/Outro- Hotshot by Scott Holmes
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