Desires

A 16 year old boy complains of experiencing recurrent desires to wear his mother's clothing, for the last 2 years.

These desires were accompanied by sexual feelings, which would not subside until he wore her clothes and masturbated.

He finds this behavior disturbing, and says that it has significantly interfered with his studies and social functioning. He denies wanting to become female, or to be treated as a woman.

His medical and family histories are unremarkable. He does not use recreational drugs.

Select Relevant Investigations
CT Brain

Performed

The CT scan of the brain is completely normal.
EEG

Performed

The EEG appears completely normal.
Hormonal Profile

Performed

Total Testosterone, free Testosterone, T3, T4, TSH, FSH, LH, and Prolactin are all within normal parameters.
Urine Drug Screen

Performed

The urine drug screen is negative.

Select Relevant Management
Fluoxetine
Psychosurgery
Cognitive Behavioral Therapy
LHRH agonists