Case Reports in Psychiatry (Jan 2017)

Autoamputation of Genitalia in Bipolar Patient

  • Vinod Sharma,
  • Aditi Sharma

DOI
https://doi.org/10.1155/2017/7275816
Journal volume & issue
Vol. 2017

Abstract

Read online

According to literature, genital self-mutilation (GSM) is more commonly associated with psychosis as compared with self-mutilation as a whole. There have been many case reports of GSM in psychotic disorders. We describe herein a case of a Caucasian, employed, and married male suffering from bipolar disorder type II with history of self-mutilating behavior, who amputated his penis during symptom-free phase of his illness. Several features are reflected as risky elements for genital self-mutilation, for example, homosexual and transsexual tendencies, abandonment of the male genitals, lack of competent male for identification during childhood, feeling of guilt for sexual offences, and self-injuries in anamnesis. This report will highlight various factors responsible for self-mutilation in nonpsychotic and nondelusional person.