Trastorno de identidad sexual/transexualidad y salud mental

Abstract

Childhood sexual identity disorder, which may or may not evolve into adult transsexuality, presents clinical conditions to overcome that demand long-term clinical discernment. Its symptomatology (dissatisfaction that produces a persistent feeling of incongruence with the biological sex, a desire to change it and to be known socio-legally in the chosen sex) and the state that keeps its serious and infrequent nosoographic condition in international studies, contrast its incidence/prevalence in the countries that deal with it with the various theories about its origin. The complexity of approach in diagnosis, therapeutics and long-term rehabilitation from the relative absence of publications on the subject, include triadic therapy (hormonal therapy for the desired gender, reality test on the desired role and sex reassignment surgery). Its scope in the different disciplines, its effects and comorbidity compromise different areas of patients' lives. Given the irreversible consequences on the general health of those affected, recommendations are made for a careful global vision that improves the prognosis of each case in the hands of specialized professionals. The rights of patients to aspire to better health and quality of life within the framework of the ethics of medical-psychological praxis are highlighted. Participation from the point of view of public policies is encouraged.