Friday, October 23, 2009

TREATMENT OF GID

ASSESSMENT & TREATMENT OF GENDER IDENTITY DISORDER
( Part 2 )


SIGNS, SYMPTOMS AND COMPICATIONS

GIRLS

1. Display intense negative reactions to parental expectations.
2. Attempts not to wear dresses or other feminine attire.
3. Prefer boy's clothing and short hair.
4. Often misidentified by strangers as boys.
5. May ask to be called a boy's name.
6. Their fantasy heroes are most often powerful male figures.
7. Prefer boys as playmates.
8. Like sports,rough-and-tumble play and traditional boyhood games.
9.Show little interest in dolls or any form of feminine dress up or role-play activity.
10.May occasionally refuse to urinate in a sitting position.
11.May claim that she has or will grow a penis.
12.May claim not want to grow breasts or menstruate.
13.May assert that she will grow up to be a man.

ADULTS

1. Preoccupied with their wish to live as a member of the other sex.
2. Possess an intense desire to adopt the social role of the other sex.
3.Manifested to acquire the physical appearance of the other sex through hormonal or surgical manipulation.
4.Adopt the behavior,dress, and mannerisms of the other sex.
5. Spend much time cross-dressed and working on the appearance of being
the other sex.
6.Many attempt to pass in public as the other sex.
7. Desire to live as a person of the opposite sex
8. Believe that he or she was born the wrong sex
9. Wish to be rid of their own genitals
10. Dress like the opposite sex
11. Be heterosexual or homosexual
12. Feel isolated
13. Be depressed
14. Be withdrawn
15. Have low self-esteem
Wow ! So cute !
TREATMENT


When an individual begins to question and feel persistent dissatisfaction with his or her gender identity, no matter at what age, therapy ( psychological, endocrine or surgical ) should begin.
*Untreated gender identity disorders may manifest in associated disorders and emotional distress that can interfere with the individual's ability to function socially at school and work or in relationships.
*Treatment helps a patient achieve and maintain a healthy and stable life

1. SENTENCE PROJECTION TEST ( Cognitive Behavioural Therapy )

How do you hurt your family by being transsexual ?
How is your sexuality hurt your spouse ?
What are the risks being one ?
Doing treatment – Pro and Cons
Not doing treatment p- Pro and Cons

2. FAMILY AND INDIVIDUAL COUNSELLING

Social and physical intervension
Self-esteem building
Treatment of associated complications
Behavioural counseling
Behavioral rehearsal with in vivo training sessions
Teaching about the difference between men and women.

3. CLINICAL TREATMENT

Girlish man – Inject more male hormone.
Surgical operation – sex change
Hi . Hi...... I like it !
4. DECISION METRICS -

To be transsexual – Benefit and cost incurred for sex change
Not to be transsexual – Benefits and cost of treatment

5. FATHER – SON INTERACTION PROGRAMME

Athletic skill training.
Male role models if fathers are not available to young boys,
Received appropriate sex education in either the home or in counseling sessions



WHAT CAN BE DONE TO PREVENT THE CONDITION?

There is no known prevention for gender identity disorder.

WHAT ARE THE LONG-TERM EFFECTS OF THE CONDITION?

• A person with gender identity disorder is usually isolated.
• Isolation and ostracism adds to the low esteem.
• More prone to suicide atempts
• Increase risk of alcohol abuse, drug abuse, depression and anxiety disorder.


That's all for the time being.
PowerPoints available but too big the file to be sent using email.

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