194. Patients with Somatic Symptoms and Related Disorders (SSRD) in a Tertiary Care Pediatric Hospital Center: The Need for a Structured Approach to Limit the COVID-19 Pandemics’ Impacts on Medical Care

During Covid-19 pandemics, a drop of 39% of all visits was observed through all Quebec pediatric emergency rooms for adolescents from 12 to 17 years old. Meanwhile, consultation for mental health problems showed a rise after waves 1 and 2. Adolescents were heavily impacted by the pandemic, SSRD being one expression of their difficulties. In 2019, a need for a dedicated clinic for somatisation was recognized through a survey in our Pediatric University Center. SSRD were identified in most specialities.