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A longitudinal case series of IM ketamine for patients with severe and enduring eating disorders and comorbid treatment‐resistant depression

Terry Schwartz, Mary Ellen Trunko, David Feifel, Emily Lopez, Danika Peterson, Guido Frank, Walter H. Kaye

Clinical Case Reports April 4, 2021 Peer reviewed DOI: 10.1002/ccr3.3869 via OpenAlex

Summary

Four patients with severe and enduring eating disorders and treatment-resistant depression underwent repeat ketamine treatment over more than 12 months. The results indicated an improvement in depression symptoms, while changes in eating disorder symptoms were modest. This suggests that ketamine may be beneficial for managing depression in patients with these complex conditions.

Study at a glance

Sample size 4
Population patients with severe and enduring eating disorders and treatment-resistant depression
Key finding Patients showed improvement in depression symptoms with repeat ketamine treatment, but only modest changes in eating disorder symptoms.

Abstract

Abstract Severe and enduring eating disorders (EDs) have the highest mortality rate of all psychiatric illnesses (Arch Gen Psychiatry, 2011, 68 , 724), especially when comorbid with treatment‐resistant depression (TRD) (Psychiatr Res, 2016, 244 , 45). We report on four patients with enduring EDs and TRD treated with repeat ketamine over 12 + months, showing improvement in depression with only modest changes in ED symptoms.

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