European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S427
Methodology A literature review about the comorbidity between
ADHD and bipolar disorder in children and adolescents was per-
formed.
Results According to different studies, between 60 and 90% of
children and adolescents with ADHD have comorbid bipolar dis-
order. However, the percentage of children and adolescents with
ADHD that has comorbid bipolar disorder varied from 10 to 22%
(puedes poner from 60 to 90% si no quieres repetir el and).
Conclusions The prevalence of bipolar disease, particularly
among adolescents, is between 1 and 7%. This percentage is higher if
all forms of bipolar spectrum are included. Some personal and fam-
ily factors increase the probability of a patient having ADHDpresent
bipolar disease: decreased IQ, delayed development, family history
of ADHD or bipolar disease, and the combined subtype.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
Further reading
Figueroa Quintana A, et al. Comorbid ADHD and bipolar disorder
in children and adolescents: challenges in diagnosis and treat-
ment. In attention deficit disorder and hyperactivity throughout
life. Elsevier Spain SL, Masson, Madrid 2009 (pp 251–69). ISBN:
978-84-458-1907-4.
EV244
Acute psychosis in an adolescent with
cerebral palsy
C.A. Moreira ∗, A.R. Soares , G. Maia
1 Centro Hospitalar Psiquiátrico de Lisboa, Psychiatry, Lisbon,
Portugal
2 Centro Hospitalar Lisboa Ocidental, Child and Adolescent
Psychiatry, Lisbon, Portugal
∗ Corresponding author.
Introduction Cerebral Palsy is a movement, posture or muscle
toning disorder caused by an insult to the immature, developing
brain, most often before birth. It is a leading cause for serious
disabilities in childhood and a risk factor for the development
of psychiatric disorders, particularly in adolescents. Moreover,
according to DSM-5, a Brief psychotic disorder is a short-term
illness with psychotic symptoms, which arise suddenly, but
last for less than one month, after which the person recovers
completely.
Objectives/Aims The authors aim to present a case of an adoles-
cent with cerebral palsy who has developed secondary psychotic
symptoms, a rare and sparsely understood phenomenon.
Methods A non-systematic review of English scientific literature
was conducted through research in the PubMed search engine,
using the keywords “Cerebral Palsy” and “Brief Psychotic Disorder”.
Results A 16-year-old female adolescent with history of Cerebral
Palsy (due to neonatal anoxia) was admitted in the paediatric ward
due to behaviour disorder characterized by incoherent speech,
full insomnia, agitation and auto/alo-aggression. A complete clin-
ical investigation was performed, in which trauma, organic brain
injury, degenerative and inflammatory diseases, infection or toxic
ingestion were all excluded. The hypothesis of an acute psychotic
disorder was considered and after antipsychotic treatment, a total
remission of the symptoms was obtained.
Conclusions Although rare, the association between cerebral
palsy and psychotic disorders should be considered in the diagnos-
tic investigation of behavioural changes. Early identification allows
a proper therapeutic intervention and a better quality of life.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV245
Psychiatric antiepileptics side effects:
A case report
C.A. Moreira ∗, A.R. Soares , G. Maia
1 Centro Hospitalar Psiquiátrico de Lisboa, Psychiatry, Lisbon,
Portugal
2 Centro Hospitalar Lisboa Ocidental, Child and Adolescent
Psychiatry, Lisbon, Portugal
∗ Corresponding author.
Introduction Psychiatric disorders in epilepsy have a multifac-
torial etiology, being pharmacotherapy only one of many risk
factors, which can be both biological and psychosocial. The adverse
effects of antiepileptics (AEDs) embrace all categories of psychi-
atric symptomatology, including disturbances of consciousness,
psychotic state, neurotic state, behaviour and character disorder. In
fact, Psychotropic effects of AEDs require further research because
many relevant parameters related to pathological mechanisms, fre-
quency, psychopathology, and prognosis are not well understood.
Objectives The authors aimtopresent a case of an adolescentwith
epilepsy who has developed secondary psychiatric symptoms.
Aims To understand and deal with the most common Psychiatric
side effects of AEDs.
Methods A non-systematic review of English scientific literature
was conducted using keywords “Epilepsy” and “antiepileptic side
effects”.
Discussion A 14-year-old female adolescent with history of
seven years of Epilepsy (usual medication: carabamazepine
45mg/kg/day, Lamotrigine 8mg/kg/day; pregabaline 8mg/kg/day)
was admitted in the paediatric ward due to behaviour disorder
characterized by agitation, anxiety and seizures-like symptoms.
A therapeutic adjust was made (Fenetoíne and Levetiracetam).
After this medication change, the adolescent presented psychotic
symptoms namely auditory and tactile hallucinations. A complete
clinical investigation was performed and the hypothesis of drugs
side effects was considered. After AEDs reduction, a total remission
of the symptoms was obtained.
Conclusion Psychiatric disorders in epilepsy have amultifactorial
etiology and are not yet well understood. Behavioural side-effect
profiles of AEDs (both negative and positive effects) should be con-
sidered in the choice of the optimal drug for each patient.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV246
Drawing in autistic spectrum disorder
children
S. Cepedello ∗, L. Gallardo Borge , A. Alonso Sanchez ,
M.H. De la Red Gallego , A. Alvarez Astorga , S. Sanchez Gómez ,
R. Hernandez Anton , C. Noval Canga , E. Mayor Toranzo ,
I. Sevillano Benito
Hospital Clinico Universitario, psiquiatria, Valladolid, Spain
∗ Corresponding author.
Introduction Drawing can be a tool to complete the psychodi-
agnose process, especially in children with expression and verbal
problems. The Autistic Spectrum Disorder (ASD) children have
problems to describe their feelings and emotions, they can provide
us many information drawing their own world.
Objective The purpose of this study was to discover the psy-
chopathology of children with ASD through their drawings.
Methods A4-sized booklets were given for ASD children from6 to
16 years to draw an imaginary family (L. Corman), a human figure
(Buck) or a free drawing.
Results In most of the drawings of ASD children we could find at
least one of the three criteria of ASD: social deficits, communication
difficulties and restricted interests.