I used to have one small motherboard based PC. Mine was fan less with processor soldered on PCB (AMD C60 i think).
Top power consumption was something in range 40-50w.
200w is power consumption for entry level gamer PC. Calculate power consumption of the components you have on the motherboard.
If you don't have some super duper graphic card, you can use something like 90W power adapter for laptop.
Even if you make configuration with powerful processor and graphic card main problem will be cooling not power supply unit.
My experience is that ITX format is too much thermal limited that is only useful for kiosk like applications and limited internet surfing.