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Clinical Barriers to Effective Treatment of Eating Disorders and Co-occurring Psychiatric Disorders in Transgendered Individuals

WAGNER, REBECCA, PhD; STEVENS, JONATHAN R., MD, MPH

Journal of Psychiatric Practice®: July 2017 - Volume 23 - Issue 4 - p 284–289
doi: 10.1097/PRA.0000000000000248
CLINICAL CASE DISCUSSIONS
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Eating disorders (EDs) are complex and difficult to treat illnesses that are often chronic and disabling on their own accord or due to comorbidity with other psychiatric conditions. Historically, EDs have been viewed as illnesses of heterosexual, affluent white females. This stereotype increases the likelihood that these disorders will be underrecognized in the lesbian, gay, bisexual, and transgender community, as well as in different gender, socioeconomic, and ethnic populations. Our case report illustrates the clinical difficulties of managing a patient who presented to inpatient treatment with complaints of depression and suicidality, but who also had an active ED and was transgender.

WAGNER and STEVENS: The Menninger Clinic and Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX

The authors declare no conflicts of interest.

Please send correspondence to: Rebecca Wagner, PhD, Eating Recovery Center, 7515 South Main Street, Suite 400, Houston, TX 77030 (e-mail: rebecca.wagner@eatingrecovery.com).

Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.