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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2373

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2374

EV1390

Erotomania and mood disorder: A

case report and literature review

V. Guillard

1 ,

, J. Mallet

2

, F. Limosin

3

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2375

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2376