IntroductionElectroconvulsive therapy is nowadays one of the most useful treatments for severe mental disorders. A lot of patients refer an improvement or even a remission of their psychopathology after this treatment.ObjectivesTo demonstrate how cinema has favoured the creation of a social stigma against mental health professionals, against the treatments we use and, most of all, against the people we treat.We based this project on the portrait cinema has meade of electroconvulsive therapy (ECT).MethodsECT appears in more than thirty films. We take into account the most representative ones shot from 1948 to 2008.ResultsECT makes its debut in cinema in 1948, ten years after its first use as a psychiatric treatment. During 60 years, ECT comes on stage in more than 30 films. The main indication in cinema to use ECT is to control and punish antisocial behaviors. Medical consent is not asked in most of the films. The ECT modified procedure doesn’t appear.ConclusionsCinema has contributed to stigmatize mental illness, psychiatrists and treatments we use, specially electroconvulsive therapy.

Introduction: When treating people suffering from major depression just one third achieve a complete remission of the symptoms, another one third have a partial response and the last third don´t obtain any kind of response. According to STAR*D study, in less than 40% of the cases treated with one SIRS symptoms improved totally. When changing the first SIRS for another antidepressant, in less than 25% of the cases remission was obtained. The next strategy used was to combine two antidepressant, getting just 5,8% more remission and finally, the last step when treating major depression is the potentiation between antidepressant and other therapies (lithium, T3), obtaining 6,3% of accumulated rate of benefit.Quetiapine with its triple action mechanism (dopaminergic, serotoninergic and monoaminergic) have demonstrated when used in combination with antidepressants to obtain remission stadisticaly promoved when compared with the other strategies explained above. Objectives: To demonstrate using a clinical example the remission of major depression symptoms when combining quetiapine and other antidepressant after the non response even with electroconvulsive therapy (ECT). Methods: Hamilton scale is used to measured the improvement of the case explained. Results: Quetiapine used with dual antidepressants after non response to ECT and other basic steps to treat major depression, reduces depression symptoms until total remission (Hamilton scale < 7). Conclusions: Quetiapine used in combination improves totally major depression symptoms. It can be an other clinical strategy when symptoms appear resistant.

Objectives: Comorbidity between a substance use disorder (SUD) and another psychiatric disorder is known as dual diagnosis. The relevance of SUD with mental illness owe to his influence in the clinical practice, evolution and costs of care.

Aims:The medium stay unit of the hospital of Zamudio is a psychiatric hospitalization unit where serious patients are admitted, specially those with psychotic and affective disorders. The complexity of the pathology extends the average stay of hospitalization with an average of 60 days to improve.There are 2 derivation units from which medium stay takes patients:•Short stay unit from the Hospital of Cruces;•Short stay unit from the Hospital of Zamudio.Methods:It is analyzed, retrospecitvely, the profile of patients in a medium stay unit comparing the derivation unit they come from in 2007.Results and conlusions:There are no statistically significant differences in the number of patients derived from the diverse units.The sociodemographic and administrative profile of the patients is similar in both groups: a single middle aged (between 45-50 years old) that is hospitalized knowlingly (63%). The average stay at hospital is 55 days.Attending to the clinical profile we concluded that patients derived from the Hospital of Zamudio suffer from Bipolar disorder as main diagnosis. The rest of disorders remain similar comparing both units.

Objectives: It is widely developed the idea of communitary attention of serious mental disorders, instead of being recluded in long stay hospitals. But tomake this project real it is needed a complex sociosanitay support: psychosocial rehabilitation units, protected dwellings...and nowadays some people are still discharged to long term hospitals. The objective of this work is to demonstrate that clinical characteristics are not determinant and that the main reason that supports the decision is the insufficent social resources spread. Methods: 279 inpatients that entered a Psychosocial rehabilitation unit from January 2005 to April 2009 are selected. There are two comparison groups depending on the derivation to long term units. There are compared different variables taking the HoNOS scale as measurement tool. Ths stathistical comparison test used is the Fisher exact test.