[Psychological management of a patient with Prader Willi syndrome: case study of a young Moroccan girl]. / Prise en charge psychologique d'un cas du syndrome de Prader Willi: cas d'une jeune fille marocaine.

Prader Willi syndrome is a rare genetic disease. Symptoms include binge eating disorder associated with the risk of morbid obesity, learning difficulties and behavioral problems or even major psychiatric disorders. The purpose of this case study is to conduct a literature review on Prader Willi syndrome and to highlight its impact on daily life, both on physical and mental health, as well as its management. We report the case of an 11-year old Moroccan girl presenting with Prader Willi syndrome. She was assisted in performing activities of daily living by using a comprehensive biopsychosocial approach which improved her quality of life. We here emphasize the primary and central role of the psychotherapist in the treatment of patients with Prader Willi syndrome which is based on counselling, motivational interviewing and cognitive behaviour therapy techniques. Prader Willi syndrome is a disease with severe psychiatric symptoms. Patient's care requires multidisciplinary team approach involving psychologist or psychiatrist.

Suicidal ideations, plans and attempts in primary care: cross-sectional study of consultants at primary health care system in Morocco.

INTRODUCTION: The aim of the study is to estimate the prevalence of suicidal ideation among Moroccan consultants in primary health care system. METHODS: We conducted a cross sectional survey in three health care centers in two cities of Morocco to estimate the prevalence of suicidal ideation, plan and suicide attempts among 396 consultants in the primary health care system, using the Mini International neuropsychiatric interview. Patients were 18 years and older, without known psychiatric or chronic somatic disease. Statistical analysis was performed by the SPSS 13.0 software. RESULTS: The prevalence of suicidal ideation was 5.3%, and 2.7% of the patients planned their suicide and 1.2% tried to commit suicide. The multivariate analysis did not demonstrate significant association. CONCLUSION: Suicidal ideation, plan and suicide attempts are prevalent in primary health care patients, but they are still under diagnosed. An adequate training of physicians and the establishment of education programs is essential to reduce the rate of suicide.