Endokrinologische Aspekte der Jugendpsychiatrie

A reviev is given on a seven-year-teamwork of the departments of youth psychiatry and psychoendocrinology. In 10% of all patients of the department of youth psychiatry (100 clinical; 600–700 ambulant cases/year) an endocrine disorder is the determinant factor. The essential causes of psychic retardation and disturbances of personality are: dystopia testes (not noted; treated insufficiently; operated unsuccessfully), testes and ovary dysgenesia, pubertas tarda, pituitary dvarfism, primary and secondary amenorrhea, cycle-dependent female hypersexuality and depressive reactions. An experienced hormonal treatment must be combined vith youth psychiatric treatment. The possibility to reduce or inhibit male sexuality temporarily and reversibly by antiandrogens (cyproterone acetate) opens new aspects for the treatment of juvenile sex offenders.