[Gender dysphoria in the structure of psychosis].

This article describes the case of a young man diagnosed with schizoaffective disorder mixed type. The patient expressed dissatisfaction with his gender and showed a desire to change it for two years. He has applied to psychiatrists twice for permission to change his gender, having received preliminary diagnoses of «Gender dysphoria» and «Transsexualism». After treatment, which includes ECT, psychotic symptoms has disappeared, sexual identification has fully restored, and criticism of behavior and experiences has formed.