European Psychiatry - Volume 33 - March 2016

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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.
EV1212
Resolution strategies focused on side
effects
S. Goretti ∗ . Sanchez Sanchez T. Lorente Molina
A. Rodriguez Chinchilla ongora Oliver
P. Ortega Gutierrez
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.
EV1213
Premature ejaculation in Spanish men
H. Guillen Rodrigo ∗ 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.
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.