INTRODUCTIONThe Eating Disorders Unit (EDU) of the Santa Cristina Hospital (Madrid) is an intensive treatment resource addressed to chronic patients diagnosed with eating disorders (ED) with repeated therapeutic failures and / or psychiatric comorbidities.In recent years the number of patients referred with overweight and obesity is increasing more and more, becoming the 21% of the treated patients.ObjectivesConsidering the increasing demand to treating patients with overweight and obesity and their differential clinical features we created a specific treatment program specially for this population.MethodsEDU is a partial hospitalization resource with two shifts, the one in the afternoon is addressed to patients with impulse control deficit, diagnosed with Bulimia Nervosa and Binge Eating Disorder. The treatment at this Unit is essentially multidisciplinary and mainly based on group dynamics.Overweight and obese patients attend to a specific program to manage eating symptoms, disease awareness and motivation to change, and futhermore to enhance weight loss promoting moderate physical exercise and the acquisition of healthy habits based on the Mediterranean Diet. They are also provided a more homogeneous space to deal with their body dissatisfaction.ResultsPatients who follow the specific overweight / obesity program experience strong group cohesion that is very motivating to introduce progressive changes in self-care.ConclusionsClinical management of overweight and obesity is complicated when there is a comorbid eating disorder. A specific and intensive multidisciplinary treatment is recommended in these type of patients.

INTRODUCTIONObesity is a high prevalent disease with great impact in life quality and can become a risk factor to development of other health problems. Most of treatment programs usually focus on control of diet and exercise, with minimal long-term impact. The causal and maintenance role of psychological and emotional distress has been showed in recent literature. Including these factors in a multidisciplinary treatment could improve interventions effectiveness.AimsObesity Unit of Psychiatry Department was created to offer first-class medical treatment to patients with obesity in a district of Madrid (Vallecas) since 2011. The main objective is to obtain diagnostic information about the patients in order to decrease the prevalence of obesity in our community.MethodsWe are presenting the data of the 100 first patients referred to our Unit, 5 people were excluded due to exclusion criteria. Sociodemographic and clinical data were obtained from evaluation interviews and were complemented by a battery of psychometric tests.ResultsThe average BMI is 41 (SD 6.8). The average age, 41.7 (SD 12.7) and 76 patients were women. 85% of the patients were not able to maintain weight loss. 50% of the patients had consulted a physician before. 95% of patients have taken a pharmacological treatment. No one had followed a combined treatment, addressing physical and emotional aspects together.ConclusionsA specific multidisciplinary treatment is recommended in these patients. In addition to pharmacological treatment, our integral attention program also includes a psychoeducational group one a month and a psychotherapy group one a week.