title: [A mourning case that referred with sexual identity disorder secondary to a general medical condition].
abstract: D.G. was a 59-year-old male patient who was retired and married, and had 3 children. He reported no psychopathology prior to a myocardial infarction he had in 1996. Following bypass surgery he had erectile dysfunction. Subsequently, gynecomastia developed as a side effect of spironolactone and digoxin treatment. After a long period of depression he claimed was caused by non-adaptation to the changes in his body, he realized differences about himself; he began to feel like a woman. Upon referral to our clinic, he said that he had decided to continue his life as a woman and wished to get pink colored (as opposed to blue for male) identity card issued by the Turkish Government for female Turkish citizens. He reported that his wish was to learn how to become a woman. This is the first case in the medical literature defined as sexual identity disorder secondary to a general medical condition. The case is discussed in terms of pathological grief reaction.
authors.affiliation: Uzm., Ankara U Tip Fak., Psikiyatri AD., Ankara. aysgulyilmaz@yahoo.co.uk
authors.forename: Ayşegül
authors.initials: A
authors.lastname: Yilmaz
authors.forename: Ozge
authors.initials: O
authors.lastname: Ceri
authors.forename: Elif
authors.initials: E
authors.lastname: Tatlidil
authors.forename: Orhan Murat
authors.initials: OM
authors.lastname: Koçak
authors.forename: Atilla
authors.initials: A
authors.lastname: Soykan
mesh_terms: D001601:Bereavement; D003863:Depression / Q000209:etiology* / Q000523:psychology; D004077:Digoxin / Q000009:adverse effects / Q000627:therapeutic use; D007172:Erectile Dysfunction / Q000209:etiology / Q000523:psychology; D005260:Female; D005783:Gender Identity; D006177:Gynecomastia / Q000139:chemically induced / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D000451:Mineralocorticoid Receptor Antagonists / Q000009:adverse effects / Q000627:therapeutic use; D009203:Myocardial Infarction / Q000150:complications / Q000188:drug therapy / Q000601:surgery; D013148:Spironolactone / Q000009:adverse effects / Q000627:therapeutic use
chemical_list: D000451:Mineralocorticoid Receptor Antagonists; D013148:Spironolactone; D004077:Digoxin