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Gender identity disorder is a rare disorder of uncertain etiology (1:30,000 M to F; 1:100,000 F to M). The emphasis of body shape in this disorder suggests that there may be an association with anorexia nervosa. Previous research suggests that eating disorders are related to homosexuality in men although links with female sexual orientation is less clear. This report describes the case of an adolescent 19-year-old biological female transgender patient presented to a Mental Health Center in Trieste. Diagnostically, this patients presents with prominent restricting, purging anorexia that was wed by the desire to obtain and then maintain an idealized prototypal masculine shape. The failure of the realization of this project involves in a self-distructive conduct. The case offers an important opportunity to explore the comorbidity about eating disorders and gender identity disorder. The patient completed this measures: a background measure of his sexual orientation, the Millon Clinical Multiaxial Inventory III (MCMI-III), the Minnesota multiphasic personality inventory (MMPI-2), the Bem Sex Role Inventory, the Eating Disorder Inventory and the Eating Attitude test. This report suggests that the divergence of body image psychopathology may be impacted by gender role orientation, which is consistent with a developing body of research. [ABSTRACT FROM AUTHOR]

Introduction From Charcot studies on Hysteria to recent analysis of the World Health Organization (WHO), mental illness seems to be a matter in which sex and gender play a non-negligible role. In the WHO data on neuropsychiatric disorders, women are prevalent in almost all types of disorder. Objective Primary prevention can only refer to the recognition of social, educational, relational, environmental factors. Few studies have been conducted on the socio-demographic characteristics of the female population relating to psychiatric services. Aims The aims of our research are to evaluate both the demographic and clinical characteristics of women related to mental health services in Trieste and their adherence to rehabilitation programs. Methods The study was conducted by collecting the personal data of clinical users women from the four mental health centers in Trieste and the psychiatric service for diagnosis and treatment (SPDC). In the year 2014, the user attending the mental health department are 4952. Results Data analysis showed that women in charge at the Department of Mental Health is 2731, representing 55% of all users. The predominant age group is between 46 and 65 years (between 17% and 23% for each CSM). The number of women taking part at rehabilitation activities is of 1332 (49%). Conclusions It is considered necessary that the services for mental health sponsor prevention, treatment and rehabilitation around the specific needs of women. [ABSTRACT FROM AUTHOR]