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Rapid Resolution of Grief with IV Infusion of Ketamine: A Unique Phenomenological Experience.

Mahesh Ramanna Gowda, Preethi Srinivasa, Prabha S Kumbar, Vinay Hosagavi Ramalingaiah, Chandrashekar Muthyalappa, Sumit Durgoji

Indian Journal of Psychological Medicine 2016 DOI: 10.4103/0253-7176.175121 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case study Case report Peer reviewed
Sample size 1
Population 28-year-old graduate male with complicated grief following his wife's death from obstetric complications
Intervention Ketamine
Topics Ketamine Esketamine
Keywords Antidepressant Grief Rapid resolution
Key findings The authors report that a single intravenous ketamine infusion produced a distinctive phenomenological experience in a man with complicated grief and, in their account, resolved his grief within minutes. They argue this case highlights ketamine's therapeutic promise for complicated grief, while noting the prior absence of literature on this use.

Abstract

Ketamine, a primarily FDA-approved anaesthetic agent is also used as recreational drug. Based on preclinical findings and later the clinical observations it is noted to have rapid antidepressant effect due to its mechanisms related to NMDA antagonism. In spite of established evidence of ketamine being effective in depression with significant role in treatment resistant cases as well, there was absolute dearth of literature regarding its utility in grief-related disorders. In this context we present a case of 28-year-old graduate male who presented to us in complicated grief following death of his wife due to obstetric complications. With the patient and immediate family members consenting for use of ketamine as off-label use, patient had single IV infusion of ketamine following which he had unique phenomenological experience ultimately resolving his grief in few minutes. Through this case we highlight the enormous therapeutic promise of ketamine in complicated grief.

Comparable studies

Other case reports and case series on ketamine, most cited first.

Study Year Design Participants
The destruction of the lower urinary tract by ketamine abuse: a new syndrome? Young recreational abusers of street-ketamine in Hong Kong referred to urology units 2008 Retrospective case series n = 59
Electroconvulsive Therapy, Ketamine, and Esketamine in a Patient with Major Depressive Disorder and Multiple Comorbidities: A Case Report over 10-year Treatment from Adolescence to Adulthood. A patient with treatment-resistant depression and comorbid generalized anxiety... 2025 Case report n = 1
Treatment of compulsive behaviour in eating disorders with intermittent ketamine infusions Chronic and treatment-resistant eating disorder patients 1998 Case series n = 15
Oral Administration of the NMDA Receptor Antagonist S-Ketamine as Add-On Therapy of Depression: A Case Series Four depressed patients taking standard antidepressants 2009 Case series n = 4
A longitudinal case series of IM ketamine for patients with severe and enduring eating disorders and comorbid treatment‐resistant depression Patients with enduring eating disorders and treatment-resistant depression 2021 Case series n = 4

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