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S736

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

Introduction

Sex abuse within the military has long been an

open-secret afflicting both male and female veterans whose etiol-

ogy is often attributed to character deficits (personality disorders

or paraphilic disorders). Few studies look at the sex-stress phe-

nomenon as a feature of military life itself and the role this plays

in sex abuse within the military milieu. While much attention is

focused on US forces, this problem in endemic within military cul-

tures per se. The recent sex abuse scandal involving the French

military in the Central African Republic illustrates the pervasive-

ness of the problem.

Objectives/aims

To explore the psycho-cultural mechanisms of

stress and its sexual expression and how certain scenarios within

the military milieu exacerbates this impulse-control reaction. To

address the relationship of the availability of sex-release options –

without and/orwithout themilitary population (and how increased

enlistment of women has changed the nature of the target popula-

tion in today’s military).

Methods

Look at the problemhistorically (fromWWII – present)

with particular illustrations. Evaluate common (often failed)

approaches to addressing the problem, including the fallacy that

superior officer know best how to handle these cases. Explain the

psycho/physiology of the sex-stress phenomenon – mechanism of

the hypothalamic-pituitary-adrenal-gonad axis. Look at the rela-

tionship between sex-trauma and suicides among veterans.

Results/conclusions

Offer a viable assessment/diagnostic of sex-

ual problems within the military culture along with a treatment

model that offers both psychotherapeutic (cognitive-behavioral

protocols

. . .

) as well as identifying acute clinical symptoms that

may respond to psychotropic medications.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2196

EV1212

Resolution strategies focused on side

effects

S. Goretti

1 ,

, M .C

. Sanchez Sanchez

2 , M.

T. Lorente Molina

3 ,

A. Rodriguez Chinchilla

4 , B. G

ongora Oliver

5 ,

P. Ortega Gutierrez

2

1

UGC Almeria, Unidad de Hospitalizacion Salud Mental

Torrecardenas, Almeria, Spain

2

UGC Almeria, UHSM Torrecardenas, Almeria, Spain

3

UGC Almeria, Unidad de Hospitalización Salud Mental

Torrecardenas, Almeria, Spain

4

UGGC Almeria, USMI-J Almeria, Almeria, Spain

5

UGC Almeria, AECC-hospital Torrecardenas, Almeria, Spain

Corresponding author.

Introduction

Lack of adherence for side effects of treatment is one

of the main causes of discontinuation therapy and readmission in

the acute care setting.

The elevation prolactin, capable of generating amenorrhea, osteo-

porosis and sexual dysfunction, can be one of the main causes of

treatment discontinuation.

Objectives

Our objective was the study of prolactin in blood with

three different patient who presented adverse effects that motivate

the change in treatment, with better adherence and normalization

of prolactin.

Method

Clinical series of three patients.

Results

Treatment was changed by oral aripiprazolo the first 4

days.

After verifying the tolarabilidad was administered Abilify Main-

tena, associating an oral dose of aripiprazole between 10–30 by

status clinic.

We get rapid normalization of prolactinamia with side effects dis-

appearance.

Conclusions

In patient who principal problema lack of adherence

for sexual secondary effects, aripiprazolemay be a good therapeutic

option.

At the same time, it has demonstrated that depot formulation guar-

anty better adherence with respect to the oral treatment.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2197

EV1213

Premature ejaculation in Spanish men

H. Guillen Rodrigo

, S. F

uentes Márquez ,

R. Alonso Díaz

Hospital Juan Ramon Jimenez, Salud Mental, Huelva, Spain

Corresponding author.

The vast majority of men experience premature ejaculation at some

point in their sexual life. It is the most common sexual problem

in men, affecting between 25–40% of them. This disease has both

organic and psychological causes so it is important to search an

organic disorder in order to dismiss the organic causes.

The following case is about a 56-year-oldmale, married and retired.

He went to the USMC in Huelva relating a premature ejaculation

problem from approximately two years ago. He relates feeling a

great discomfort due to the inability to maintain a satisfactory sex-

ual relationship with his partner.

The patient was diverted from the Department of Urology at the

Juan Ramon Jimenez hospital, so we dismissed an organic or phys-

ical disorder.

He refers an intervention of a herniated disc, whichmade him stay-

ing in bed during a long season, as a precipitating event. After that

appears a first episode of premature ejaculation, what produced

him a great discomfort, presenting anticipatory anxiety symptoms

to the sexual experience from then. These anticipatory anxiety

symptoms were characterized by negative thoughts about the own

sexual performance and the capability to satisfy the partner. After

this first episode more episodes of the same type occurred, increas-

ing the described anxiety and worsening his sexual performance.

During the treatment, the basilar compression technique was prac-

ticed in addition a restructuration of the negative thoughts of the

patient regarding to his sexual performance was made. Lastly, we

worked together with his partner strengthening the relationship

and the communication between them.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2198

EV1214

I am trapped in a wrong body

R. Hernandez Anton

, C. Noval Canga , E. Rybak Koite ,

H. De La Red Gallego , L. Gallardo Borge , A. Alonso Sanchez ,

I. Sevillano Benito , M.J. Garcia Cantalapiedra ,

P. Marques Cabezas , F. Uribe Ladron De Cegama ,

J.A. Espina Barrio , G. Isidro Garcia

HCUV, PSQ, Valladolid, Spain

Corresponding author.

Introduction

Gender dysphoria is incoherence between the sex a

person feels or expresses and the biological.

Objective

Revise the inclusion criteria for hormone therapy and

sex reassignment surgery in gender dysphoria. Expose the mul-

tidisciplinary approach. Make differential diagnosis with other

psychological disorders.

Methodology

A 45 years old male patient (biological female),

who was sent from Endocrinology Unit for a psychiatric evalua-

tion before restart a hormonal treatment. Since his childhood, he

has presented dissatisfactionwith his sexual characteristics; he has

had fantasies and dreams, in which he belonged to the other sex.