性别烦躁的临床访谈与治疗  

Interview and treatment of a case with gender dysphoria

作　　者：谢兴伟[1] 张道龙 Xie Xingwei;Zhang Daolong(Hospital of Beijing Jiaotong University,Beijing 100044,China;Zhuhai Third Renmin Hospital,Zhuhai 519000,China)

机构地区：[1]北京交通大学医院,北京100044 [2]珠海市第三人民医院,广东珠海519000

出　　处：《四川精神卫生》2022年第3期287-291,共5页Sichuan Mental Health

摘　　要：本文对一例性别烦躁的患者进行了基于生物-心理-社会医学模式的访谈。咨客为一位21岁的在校大学生,生理性别为男性,从10岁开始喜欢女性打扮,随着年龄增长,越来越认为自己应是女性,并偷偷地、不规律地进行激素治疗。随着对激素治疗副作用的担心、目前学业、将来就业以及如何与父母交代等现实问题,患者陷入焦虑的痛苦中。在本次督导中,治疗师基于生物-心理-社会模式给出了有针对性的干预治疗方案。This paper interviewed a case of patient with gender dysphoria via a bio-psycho-social approach.The client,a 21-year-old college student of male sex,had been into female dressing since the age of ten.As an adult,he became increasingly convinced that he should become a woman and began taking hormone therapy in secret and on an irregular basis.He felt himself trapped in a cycle of anxiety and distress,due to the concerns about the side effects of hormone therapy,and the practical problems regarding the impact on his academic and career arrangements,as well as the ways to explain himself to his parents.Through a remote psychiatric consultation,therapists provided targeted interventions based on the bio-psycho-social model.

关 键 词：性别烦躁 良好的精神健康管理 生物-心理-社会 

分 类 号：R749[医药卫生—神经病学与精神病学]