Gender identity disorder is a rare disorder of uncertain etiology. The emphasis on body shape in this disorder suggests that there may be an association with anorexia nervosa.
We report two cases of anorexia nervosa and gender identity disorder in biologic males who presented to an eating disorders service.
One was treated successfully as an outpatient and subsequently underwent gender reassignment surgery. The other patient required admission and prolonged psychotherapy.
Differences between the two cases are discussed. Issues of gender identity should be considered in the assessment of male patients presenting with anorexia nervosa. © 2004 by Wiley Periodicals, Inc. Int J Eat Disord 36: 109–113, 2004.