ABSTRACT
Anorexia nervosa seems to be rather more common in gender dysphoric male patients than chance would allow. The rate of bulimia nervosa seems to be no higher than chance, in both male and female patients. Patients with obsessive-compulsive disorder coincidental with a gender identity disorder need cognitive-behavioural therapy. Conversion disorders are a particular worry, since there is always the suspicion that the disorder reflects the expression of a strong unconscious ambivalence. They are considered in the section dealing with disabled patients. Working with patients who have a learning disability should be based upon a multiprofessional approach. As in any other setting, a proportion of the patients seen in a gender identity clinic are physically disabled. Visual disabilities present particular problems for patients at a gender identity clinic. Patients whose disability is thought to represent a conversion disorder present a different problem.
