European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S791
adults reveal the efficacy of several classes of medication including
psychostimulants, non-stimulants, and some antidepressants.
Conclusions Young adults with ADHD present a unique set of
diagnostic challenges along with comorbid conditions, such as
depression or alcohol/drug abuse. Accurate diagnosis and early
intervention can prevent the development of significant problems
into adulthood, reduce morbidity and promote healthy relation-
ships and career/educational success.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV1389
An approach to neuroleptic malignant
syndrome from a clinical case
A. Gomez Peinado ∗, P. Cano Ruiz , M.D. Sanchez Garcia ,
S. Ca˜nas Fraile , M. Gonzalez Cano , G.E. Barba Fajardo
Hospital Nuestra Se˜nora del Perpetuo Socorro, Mental Health,
Albacete, Spain
∗ Corresponding author.
Introduction Neuroleptic malignant syndrome (NMS) takes place
in patients in treatment with neuroleptics and it is poten-
tially lethal, being important an early diagnostic and therapeutic
approach.
Objectives To analyze from a clinical case the clinical and epi-
demiological features, and therapeutical approach to NMS.
Method Review of some articles in Mental Health journals and
analysis of the following clinical case: 68-year-old woman with
bipolar disorder, hospitalized in manic phase. Usual treatment:
lithium, trazodone, quetiapine and asenapine. During the admis-
sion to hospital, the patient started presenting hyperthermia,
sweating, electrolyte disturbances, limb rigidity, and elevation of
CPK levels. The suspicion was NMS, so neuroleptics were stopped
and fluids and dantrolene were initiated, with favorable evolution.
Results The discharge diagnosis was NMS. Neuroleptics were
gradually reintroduced under vigilance. The patient is stable and
has not had new complications. NMS is an uncommon (0.02% to
3% among patients taking neuroleptic agents), but life-threatening
condition. Its symptoms are hyperthermia, autonomic nervous
system dysfunction, limb rigidity, altered consciousness. . . The
attendant infections, consume of lithium, dehydration, iron defi-
ciency and sharp changes inneuroleptic treatment are predisposing
factors. The withdrawal of neuroleptics is the key of the treatment.
Benzodiazepines can improve the prognosis, and electroconvul-
sive therapy can be necessary if there is no response to previous
measures.
Conclusions Neuroleptic malignant syndrome is a life-
threatening medical complication we should try to avoid by
a correct and careful use of neuroleptics. Additionally, it is impor-
tant the early treatment, taking withdrawal of neuroleptics as the
key starting point.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1390
Erotomania and mood disorder: A
case report and literature review
V. Guillard ∗, J. Mallet , F. Limosin
1 Charcot hospital, Psychiatry, Plaisir, France
2 Louis-Mourier hospital, Psychiatry, Colombes, France
3 Corentin-Celton hospital, Psychiatry, Issy-les-Moulineaux, France
∗ Corresponding author.
Introduction Erotomania is a rare delusional disorder. De Cleram-
bault, a French psychiatrist, was the first who advanced the concept
of pure erotomania, one of the “passionate psychosis”, as a distinct
disorder. However, some authors tend to consider this syndrome
as related to other psychiatric disorders.
Objectives To describe the case of a female patient with ero-
tomanic delusion with no remission under an antipsychotic and
to review the links between erotomania and other psychiatric dis-
orders.
Methods Literature review and a case report.
Results We report the case of a 32 year-old epileptic woman, hos-
pitalized for a delusional erotomanic disorder. Initially, the patient
was treatedwith an antipsychotic, withpartial effectiveness. In fact,
it appeared that the conviction of being loved began while she was
depressed. After one month of combined antipsychotic and antide-
pressive medication, she became euthymic and her erotomanic
delusions disappeared. Major depressive disorder with psychotic
symptoms was diagnosed. After reviewing the literature we found
that erotomanic symptoms frequently appear secondarily in other
psychiatric disorders. Several publications indicate a frequent asso-
ciation between erotomania and mood disorder, especially bipolar
affective disorder and major depression, and describe the efficacy
of antidepressant and mood stabilizers. Numerous theories may
explain the link between erotomania and mood disorder: from
narcissistic needs, to the capacity of empathy and emotional pro-
cessing. Further studies are needed to clarify the nature of this
link.
Conclusion In clinical practice, a mood disorder must system-
atically be searched for and treated in a patient with erotomanic
delusions.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1391
Practical teaching of behavioral
sciences to medical students
M. Hammouda
Al-Azhar Faculty of Medicine, Cairo, Egypt
Introduction The teaching of behavioral sciences was in form of
lectures to the medical students in the 2nd year of the college,
because the lecture is the least beneficial method of teaching. As
I have noticed also that students were more interested to practice
behavioral skills. So I suggested to the authority of the faculty to
teach part of the behavioral sciences in a practical way and pro-
posal of that was introduced and accepted to teach in that way and
to give 20% of marks to this practical part, this in addition to the
same theoretical lectures.
Method The students were divided into groups of 30, every group
present one day only through their 2nd year. This day divided into
two parts each is 2 hours and in between have an hour break. The
1st part includes group discussion about communication, group
dynamics, group leading and scientific way of problem solving. The
2nd part is dividing students into small groups of 10 students, to
practice the previous skills in group interaction to solve one prob-
lem in a scientific way. All groups collected again to see what they
have done.
Results The results revealed more interest and more enthusiasm
to learn in that way and make it easy to practice in their daily life.
Conclusion We have to change into more practice in our teach-
ing of medical students especially skills of human communication,
group leading group dynamics as well as problem solving.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.