Electroconvulsive Therapy in Transgender and Gender Diverse Population: A Case Report and Review of Literature

Objective. Present a case of a transgender and gender diverse (TGD) individual receiving gender affirming hormone therapy (GAHT) who presented with first episode bipolar mania and received electroconvulsive therapy (ECT). To understand the safety and efficacy of ECT in the TGD population including t...

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Main Authors: Lachlan Draper, Ashis Vikas, Subhash Das, Suresh Yadav, Frances Walker, Ivona Bandilovska
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2024/5552781
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author Lachlan Draper
Ashis Vikas
Subhash Das
Suresh Yadav
Frances Walker
Ivona Bandilovska
author_facet Lachlan Draper
Ashis Vikas
Subhash Das
Suresh Yadav
Frances Walker
Ivona Bandilovska
author_sort Lachlan Draper
collection DOAJ
description Objective. Present a case of a transgender and gender diverse (TGD) individual receiving gender affirming hormone therapy (GAHT) who presented with first episode bipolar mania and received electroconvulsive therapy (ECT). To understand the safety and efficacy of ECT in the TGD population including those receiving GAHT through literature review. Materials and Methods. Case report using informed consent from an individual TGD patient who received ECT. A review of the literature was conducted using PubMed, Embase, and Medline. Results. The case illustrated safe and effective ECT use in a TGD individual receiving GAHT. Eight studies were reviewed. GAHT has been reported to interfere with certain anaesthetic agents used in ECT. ECT appeared to be a safe and effective treatment in the TGD samples in those studies. Conclusion. There is limited literature on the safety and efficacy of ECT for TGD individuals receiving GAHT. More research is required to address mental health inequalities in this population and to support safe and effective gender affirming treatment modalities.
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spelling doaj-art-d6b2ff4251fe475d880ca5b9760eaf9a2025-08-20T02:19:34ZengWileyCase Reports in Psychiatry2090-68382024-01-01202410.1155/2024/5552781Electroconvulsive Therapy in Transgender and Gender Diverse Population: A Case Report and Review of LiteratureLachlan Draper0Ashis Vikas1Subhash Das2Suresh Yadav3Frances Walker4Ivona Bandilovska5North West Area Mental Health Service Northern HealthNorthern Area Mental Health Service Northern HealthNorthern Area Mental Health Service Northern HealthNorthern Area Mental Health Service Northern HealthNorthern Area Mental Health Service Northern HealthThe University of MelbourneObjective. Present a case of a transgender and gender diverse (TGD) individual receiving gender affirming hormone therapy (GAHT) who presented with first episode bipolar mania and received electroconvulsive therapy (ECT). To understand the safety and efficacy of ECT in the TGD population including those receiving GAHT through literature review. Materials and Methods. Case report using informed consent from an individual TGD patient who received ECT. A review of the literature was conducted using PubMed, Embase, and Medline. Results. The case illustrated safe and effective ECT use in a TGD individual receiving GAHT. Eight studies were reviewed. GAHT has been reported to interfere with certain anaesthetic agents used in ECT. ECT appeared to be a safe and effective treatment in the TGD samples in those studies. Conclusion. There is limited literature on the safety and efficacy of ECT for TGD individuals receiving GAHT. More research is required to address mental health inequalities in this population and to support safe and effective gender affirming treatment modalities.http://dx.doi.org/10.1155/2024/5552781
spellingShingle Lachlan Draper
Ashis Vikas
Subhash Das
Suresh Yadav
Frances Walker
Ivona Bandilovska
Electroconvulsive Therapy in Transgender and Gender Diverse Population: A Case Report and Review of Literature
Case Reports in Psychiatry
title Electroconvulsive Therapy in Transgender and Gender Diverse Population: A Case Report and Review of Literature
title_full Electroconvulsive Therapy in Transgender and Gender Diverse Population: A Case Report and Review of Literature
title_fullStr Electroconvulsive Therapy in Transgender and Gender Diverse Population: A Case Report and Review of Literature
title_full_unstemmed Electroconvulsive Therapy in Transgender and Gender Diverse Population: A Case Report and Review of Literature
title_short Electroconvulsive Therapy in Transgender and Gender Diverse Population: A Case Report and Review of Literature
title_sort electroconvulsive therapy in transgender and gender diverse population a case report and review of literature
url http://dx.doi.org/10.1155/2024/5552781
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