IntroductionThe coronavirus crisis has had an impact on the mental health of children and adolescentsObjectivesDetermine how it has affected this population and what mental pathologies are occurringMethodsLiterature bibliographic reviewResultsSchool closures and lockdown have been seen to have produced higher levels of anxiety, anger, and sleep and appetite disruption. On the one hand, the children had more anxiety and regressive behaviors, and the adolescents had more isolation, depressive symptoms and even autolytic ideation. The economic crisis and lockdown have affected the family environment, having reported greater situations of domestic violence and substance use among parents. Studies show a prevalence up to 28-34% of post-traumatic stress symptoms among adolescents. In Spain it has been determined that ¼ children present anxiety and / or depression. Their parents noticed in them greater irritability, less concentration and greater feelings of loneliness There has been an increase in addiction to new technologies. This is partly a method of maintaining social relationships, but prolonged use is associated with higher levels of anxiety and depression. Regarding to patients with mental pathology, they have presented greater tantrums, especially ADHD and ASD, due to the loss of structure and routine.ConclusionsConfinement and fear of COVID have affected mental health of children and adolescents, with anxiety and depression occurring more frequently. Is highlighted the presence of feelings of loneliness among adolescents and the increase in the use of screens. Finally close to 80% of patients who had mental health conditions referred that this crisis had worsed their symtponms

IntroductionA 15-year-old man who comes to the consultation referred from neurology for a poorly progressive tic disorder that is resistant to treatment. This is a patient with no relevant medical history. He has good academic performance, without symptoms of inattention, hyperactivity or impulsivity. He does not present buccophonatory ticsObjectivesTo Show guanfacine as a efficient treatment fot tics disorderMethodsCase reportResultsHe has presented complex motor tics as cervical contractions that have had to receive physiotherapeutic treatment. He also presents simple ocular tics. The patient at our evaluation is on a 4 mg dose of pimozide without response. He was previously on risperidone. It was decided to start treatment with guanfacine up to 5 mg with reduction of pimozide, to 1 mg. The patient with this dose adjustment shows a notable improvement in the frequency and intensity of the tics, both cervical and ocular. The patient also refers to a feeling of being calmer and being able to face stressful situations such as being exposed to social relationships, intervening more in class without increasing their anxiety levels.ConclusionsGuanfacine is a selective alpha-2a adrenergic receptor agonist that has an indication for attention deficit hyperactivity disorder. Like its precursor, clonidine, there is more and more literature that proposes this medication and others for ADHD as useful drugs in pathologies such as tic disorder. It has a safe use profile, which with progressive adjustment and hardly any side effects is placed as a treatment to take into account in this pathology.DisclosureNo significant relationships.

IntroductionFaced with recent onset psychotic symptoms in patients over 60 years of age without a psychiatric history, it is important to carry out an adequate differential diagnosis.ObjectivesThe objective is to carry out a review of Charles Bonnet syndrome through the presentation of a caseMethods75-year-old patient who suddenly began to present auditory hallucinations. The patient had no relevant psychiatric history or medical history. She reported that suddenly, two months ago, she had begun to listen to his neighbor through the walls of his home. She heard him talk about her, threatening and insulting her. Later, as a result of these hallucinations, she began to believe that in the bathroom he was spying on her through a camera, forcing her to shower in the dark. Weeks later, she thought that he was also chasing her down the street through a chip that had implanted her. She was distressed and highly anxious. She had started not sleeping out of fear of this neighbor.ResultsIn addition to the psychiatric evaluation, an MRI was requested to rule out incipient cognitive deterioration, as well as a hearing examination. It was found that he had severe hearing loss in the left ear. Given these findings, he was diagnosed with Charles Bonnet syndrome.ConclusionsCharles Bonnet syndrome is normally associated with blindness, however, it is also described in deafness. It occurs with hallucinations of the lost sensory organ. It is a clinical picture that does not respond well to treatments.DisclosureNo significant relationships.

IntroductionThe objective of this poster is to show the importance of understanding the situation of the patient’s family in order to know the development and role that eating symptoms are occupying both in the patient and in the different members that make up the familyObjectivesHighlight the triggering and sustaining factors of a case of anorexia nervosaMethodsCase ReportResultsPatient is a 14-year-old woman who begins to develop excessive concern about her body image initiating eating behaviors in the form of high restriction and counting of calories from food. Also she explains that she began to compulsively perform more than two hours a day of sports in order to lose weight Family genogram: she is an only daughter, whose parents have been separated for 4 years. Parents recognize conflictive relationship. The patient recognizes a very close relationship with her mother. When she talks about her relationship with her father, she explains how she felt very close to her father when she was young but that after the separation her father moved away. She describes that his father rebuilt his life a year ago and that he recently informed her that he is going to be a father again. She recognizes intense feelings of abandonment from her father. She acknowledges that the sense of control starting with anorexia initially helped her to feel confident about herself.ConclusionsUnderstanding the origin of the symptoms and their function is essential for a better management of cases of anorexiaDisclosureNo significant relationships.

Background: An increase in prescription of psychotropic medications in children and adolescents has been reported in some countries. We report the evolution in a Health Area in Spain in the period 2013-2017. To describe psychopharmacologic prescriptions and the users’ profile in a paediatric population attending a Mental Health Care Service and its evolution between 2013-2017. Methods: An observational, longitudinal study was conducted. All Electronic Medical Records of the paediatric population (0-18 years) attending our Mental Health Area during this period were included. Each year is treated as a specific cohort including all patients attended during that year in order to perform a trend analysis over the 5 years period. Demographic data, psychiatric diagnoses and psychotropic prescription were collected for all patients attended. Results: A total of 4,228 individual patients were included with a mean of 1.011 individual patients in each year cohort. The rate of ADHD patient receiving pharmacological treatment increased up to 85.1% in 2017. The use of antidepressants increased, along with its use in disorders other than depression such as ADHD. Antipsychotics use increases in patients with diagnosis such as depression or eating disorders. The rate of patients receiving more than one type of psychotropics (20%) shows a significant increasing trend during years 2013-2017. Conclusions: In our sample, psychotropic prescriptions is high and shows a significant increasing trend in the period 2013-2017.There is a strong need to improve our scientific knowledge about the effectiveness and long term safety of the use of psychotropics in children and adolescents.