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Chapter 37. Treatment of Lesbian, Gay, Bisexual, and Transgender Patients

Jack Drescher, M.D.
DOI: 10.1176/appi.books.9781585625031.761219

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Excerpt

This chapter addresses issues to be considered in the psychiatric treatment of lesbian, gay, bisexual, and transgender (LGBT) patients. Following the removal of homosexuality as a psychiatric disorder from DSM-II by the American Psychiatric Association (APA) in 1973 (American Psychiatric Association 1968; Bayer 1987; Drescher and Merlino 2007), psychiatry gradually shifted its therapeutic efforts away from trying to change an individual’s homosexual identity to a heterosexual one. Also, adding the diagnosis of transsexualism to DSM-III (American Psychiatric Association 1980) led to growing psychiatric recognition of a patient population that could benefit from sex or gender reassignment rather than futile attempts to change gender identities (Drescher 2010). In accepting patients’ homosexual or transgender identities, today’s psychiatric focus is treating other diagnoses in LGBT patients (depression, anxiety, etc.) as well as addressing problems encountered in living as a lesbian, gay, bisexual, or transgender person (Levounis et al. 2012).

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Sexual identities (homosexual orientation constant).LGB = lesbian, gay, or bisexual.Source. Adapted from Drescher J, Byne W: “Homosexuality, Gay and Lesbian Identities, and Homosexual Behavior,” in Kaplan and Sadock’s Comprehensive Textbook of Psychiatry, 9th Edition. Edited by Sadock BJ, Sadock VA, Ruiz P. Baltimore, MD, Williams & Wilkins, 2009, pp. 2060–2090.
Anchor for Jump
Health and mental health concerns of lesbian, gay, bisexual, and transgender (LGBT) populations

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