gender dysphoria (GD), body dissatisfaction-resulting from the discrepancy between “assigned” sex at birth and experienced gender—often leads to seeking medical care. Earlier research has shown that body dissatisfaction of people with GD at admission is high and often reaches beyond the characteristics of sex (Grift at al., 2016; Becker at al., 2016). Because not all body parts are affected by treatment, it is uncertain whether medical transition can completely dissolve body dissatisfaction. The diagnosis of gender identity disorder (GID) is dependent on two components. The first, in adults, a strong and persistent cross-gender identification; and in children, various behaviours like the insistence that they are the opposite sex, a preference for cross-dressing, and a preference for playmates of the opposite sex. The second component involves persistent discomfort with his or her sex or a sense of inappropriateness in the gender role of that sex (Karasic & Drescher, 2006).

Transgender people may be sexually oriented in attractions, behaviours, and identities toward men, women, other transgender people, or any combination (Grant et al., 2011; Iantaffi & Bockting, 2011; Nuttbrock et al., 2011). The present case study aimed to re-educate the client towards resolving his identity issue. The SIS-II was administered to find out the underlying psychological trauma, if any, leading to such behaviour and the therapeutic intervention with the help of Cognitive Behaviour Therapy.

Brief Clinical Description:

Index patient is 18-year-old male, un-married, studying in B.Sc. First year, Hindu, Hindi speaking, hails from urban area of Agra and belongs to lower-middle socio-economic background. He was apparently doing well until he ran away from home without informing anyone. Three m