fbpx

Remission From Behavioral Dysregulation in a Child With PTSD After Receiving Procedural Ketamine

– Anna C. DonoghueMark G. RobackKathryn R. Cullen

Abstract

Ketamine, an N-methyl-D-aspartate–type glutamate receptor antagonist, has long been used for anesthesia and has recently been investigated for its rapid antidepressant effects in adults with treatment-resistant depression and posttraumatic stress disorder (PTSD). We report a case of a child with PTSD and episodes of severe aggression and emotional dysregulation that were refractory to multiple medical and behavioral interventions. This child demonstrated sustained (8–13 days) remission from these symptoms when exposed to ketamine in the context of 2 procedures. We review the sparse literature on the uses of ketamine for behavioral purposes in children. This case suggests that ketamine should be further explored as a potential treatment option for children with severe refractory behavioral aggression.

Discussion

Severe behavioral dysregulation in children and adolescents is often difficult to treat, especially in the setting of a history of traumatic early experiences such as child abuse. When children’s behavioral disorders are most severe, they often require treatment in a residential setting. This is not ideal in patients like the boy presented here who have disrupted attachment relationships with their caregivers, for whom treatment focuses on fostering the caregiver-child attachment relationship; out-of-home placement inhibits the progress of this treatment goal. Given this situation, novel treatments are urgently needed for children with trauma histories who have severe and treatment-resistant behavioral problems.

Read the complete article here.

Los Angeles * Santa Monica * Las Vegas * Sedona

Online or Phone Treatment Available
for those not near one our clinics.

As Seen On:

Mental Health Care Made for You

Bespoke Treatment Clinics offer alternative therapy that works for depression,
PTSD, anxiety and more.

THE TESTIMONIALS

Related Posts

What is DBT?

DBT stands for dialectical behavior therapy; DBT is a type of psychotherapy that was developed by Dr. Marsha M. Linehan

Read More

READY FOR A BREAKTHROUGH

Your personalized plan is tailored to
your needs and schedule.

Your plan will be created based on what you need. 
Learn about our most common treatment options.

WELCOME

Are you looking for TMS & Brain Health?

You’re in the right place! We’ve changed our name and branding to emphasize our commitment to personalized mental healthcare.

Welcome to Bespoke Treatment.