Abstract
In conservative social cultures, such as those in South Asia, societal norms often lead individuals to neglect or suppress the expression of their perceived gender identity if different from their birth assignment. Gender incongruence (GI) occurs the gender identity of a person does not align with the gender assigned at birth. If GI causes significant distress or problems in functioning lasting for at least 6 months, it is described as gender dysphoria (GD). This case study contributes to understanding how gender dysphoria may result in personality disorders such as paranoid personality disorder in a conservative society. Removing societal taboos and accepting individuals with their perceived gender can lead to timely diagnosis and management of patients, preventing severe outcomes.
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