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ent resulted in an augmentation in acute response. We also found that medications have a positive impact in acute response when added to TSD. Furthermore, this higher response rate was maintained after 3 months while keeping Lithium therapy. Copyright © 2020 Ramirez-Mahaluf, Rozas-Serri, Ivanovic-Zuvic, Risco and Vöhringer.Background Patients with mental disorders are more likely to be frequent emergency department (ED) users than patients with somatic illnesses. There is little information about recurrent ED visitors (≥four ED visits/ye