Re: Several Responses

[Guest guest]

Hello Edith

Could you please explain - gender Identity disorder? Does this include

homosexuality?

Re: Several Responses

> wrote:

>

> > My question has often been the relationship to ADD/ADHD and BPD. My son

was

> > diagnosed with ADD, although he was an antsy kid. Not enough that it was

a

> > problem. I read often of BPDs being diagnosed ADD/ADHD. Have any studies

> > been done on this?

>

> Hi ,

>

> Thanks for your response to my question.

> About the ADD/ADHD-BPD relationship. There is no " pure " BPD; it coexists

> with other illnesses. These are the most common that BPD may coexist with:

> Post traumatic stress disorder (PTSD)

> Mood disorders (usually bipolar)

> Panic/anxiety disorders

> Substance abuse: 54% of BPs also have a problem

> with substance abuse

> Gender identity disorder

> Attention deficit disorder

> Eating disorders

> Dissociative disorder (formerly multiple personality

> disorder)

> Obsessive-compulsive disorder (OCD)

>

> - Edith

>

>

>

>

>

>

>

> Send questions & concerns to WTOParentsOfBPs-owner . " Stop

Walking on Eggshells, " a primer for non-BPs can be ordered via

1-888-35-SHELL (). For the table of contents, see

http://www.BPDCentral.com

>

[Guest guest]

wrote:

> My question has often been the relationship to ADD/ADHD and BPD. My son was

> diagnosed with ADD, although he was an antsy kid. Not enough that it was a

> problem. I read often of BPDs being diagnosed ADD/ADHD. Have any studies

> been done on this?

Hi ,

Thanks for your response to my question.

About the ADD/ADHD-BPD relationship. There is no " pure " BPD; it coexists

with other illnesses. These are the most common that BPD may coexist with:

Post traumatic stress disorder (PTSD)

Mood disorders (usually bipolar)

Panic/anxiety disorders

Substance abuse: 54% of BPs also have a problem

with substance abuse

Gender identity disorder

Attention deficit disorder

Eating disorders

Dissociative disorder (formerly multiple personality

disorder)

Obsessive-compulsive disorder (OCD)

- Edith

[Guest guest]

Kate Mora - The Ferns wrote:

> Hello Edith

>

> Could you please explain - gender Identity disorder? Does this include

> homosexuality?

Hi Kate,

The following info is from PsychNet-UK at:

http://www.psychnet-uk.com/dsm_iv/gender_identity_disorder.htm

Gender Identity Disorder

There are two components of Gender Identity Disorder, both of which

must be present to make the diagnosis. There must be evidence of a

strong and persistent gross-gender identification, which is the desire

to be, or the insistence that one is of the other sex. This cross-gender

identification must not merely be a desire for any perceived cultural

advantages of being the other sex. there must also be evidence of

persistent discomfort about one’s assigned sex or a sense of

inappropriateness in the gender role of that sex. The diagnosis is not

made if the individual has a concurrent physical intersex condition

(e.g., androgen insensitivity syndrome or congenital adrenal

hyperplasia). To make the diagnosis, there must be evidence of

clinically significant distress or impairment in social, occupational,

or other important areas of functioning.

Diagnostic Criteria for Gender Identity Disorder:

A strong persistent cross-gender identification (not merely a

desire for any perceived cultural advantages of being the other sex). In

children, the disturbance is manifested by four (or more) of the following:

Repeatedly stated desire to be, or insistence that he or she

is, the other sex.

In boys, preference for cross-dressing or simulating female

attire; In girls, insistence on wearing only stereotypical masculine

clothing.

Strong and persistent preferences for cross-sex roles in make

believe play or persistent fantasies of being the other sex.

Intense desire to participate in the stereotypical games and

pastimes of the other sex.

Strong preference for playmates of the other sex.

In adolescents and adults, the disturbance is manifested by

symptoms such as a stated desire to be the other sex, frequent passing

as the other sex, desire to live or be treated as the other sex, or the

conviction that he or she has the typical feelings and reactions of the

other sex.

Persistent discomfort with his or her sex or sense of

inappropriateness in the gender role of that sex. In children, the

disturbance is manifested by any of the following:

In boys, assertion that his penis or testes are disgusting or

will disappear or assertion that it would be better not to have a penis,

or aversion toward rough-and-tumble play and rejection of male

stereotypical toys, games, and activities.

In girls, rejection of urinating in a sitting position,

assertion that she has or will grow a penis, or assertion that she does

not want to grow breasts or menstruate, or marked aversion toward

normative feminine clothing.

In adolescents and adults, the disturbance is manifested by

symptoms such as preoccupation with getting rid of primary and secondary

sex characteristics (e.g., request for hormones, surgery, or other

procedures to physically alter sexual characteristics to simulate the

other sex) or belief that he or she was born the wrong sex.

The disturbance is not concurrent with physical intersex condition.

The disturbance causes clinically significant distress or

impairment in social, occupational, or other important areas of functioning.

The patient strongly and persistently identifies with the other

sex. This is not simply a desire for a perceived cultural advantage of

being the other sex. In adolescents and adults, this desire may be

manifested by any of::-

Stated wish to be the other sex.

Often passing as the other sex.

Wish to live or be treated as the other sex.

Belief that the patient's feelings and reactions are typical of

the other sex.

There is strong discomfort with the patient's own sex or a feeling

that the gender role of that sex is inappropriate for the patient:-

Preoccupation with hormones, surgery or other physical means to

change one's sex characteristics.

Patient's belief in having been born the wrong sex.

The patient does not have a physical intersex condition.

These symptoms cause clinically important distress or impair work,

social or personal functioning.

Associated Features:

Separation Anxiety Disorder

Generalized Anxiety Disorder

Symptoms of Depression

Transvestic Fetishism

Other Paraphilias.

Androgen Insensitivity Syndrome

Congenital Adrenal Hyperplasia.

Differential Diagnosis:

Some disorders have similar or even the same symptoms. The

clinician, therefore, in his/her diagnostic attempt has to differentiate

against the following disorders which need to be ruled out to establish

a precise diagnosis. Children with Gender Identity Disorder may manifest

coexisting Associated Personality Disorders are more common among males

than among females being evaluated at adult gender clinics.

Schizophrenia.

Delusions.

Cause:

The onset of cross-gender interests and activities is usually

between ages 2 and 4 years, and some parents report that their child has

always had cross-gender interests. Only a very small number of children

with Gender Identity Disorder will continue to have symptoms that meet

criteria for Gender Identity Disorder in later adolescence or adulthood.

Typically, children are referred around the time of school entry because

of parental concern that what they regarded as a phase does not appear

to be passing. Most children with Gender Identity Disorder display less

overt cross-gender behaviors with time, parental intervention, or

response from peers.

In adult males, there are two different courses for the development

of Gender Identity Disorder. The first is a continuation of Gender

Identity Disorder that had an onset in childhood or early adolescence.

These individuals typically present in late adolescence or adulthood. In

the other course, the more overt signs of cross-gender identification

appear later and more gradually, with a clinical presentation in early

to mid-adulthood usually following, but sometimes concurrent with,

Transvestic Fetishism. The later-onset group may be more fluctuating in

the degree of cross-gender identification, more ambivalent about

sex-reassignment surgery, more likely to be sexually attracted to women,

and less likely to be satisfied after sex-reassignment surgery. Males

with Gender Identity disorder who are sexually attracted to males tend

to present in adolescence or early childhood with a lifelong history of

gender dysphoria. In contrast, those who are sexually attracted to

females, to both males and females, or to neither sex tend to present

later and typically have a history of Transvestic Fetishism. If Gender

Identity Disorder is present in adulthood, it tends to have a chronic

course, but spontaneous remission has been reported.

Treatment:

Counselling and supportive system establishment are thought to be

the best approaches to treating this disorder

Counseling and Psychotherapy [ See Therapy Section ]:

Individual and family counseling is recommended for children, and

individual or couples therapy is recommended for adults.

Medical & Other:

Sex reassignment through surgery and hormonal therapy is an option,

but often severe problems persist after this form of treatment.

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