Grayken lessons: a multidisciplinary approach to care for a patient with severe ketamine use disorder.
Addiction science & clinical practice February 4, 2026 Maya Appley, Jessica R Gray, Dima Abdulrahim et al. 1 citation
A young woman with severe post-traumatic stress disorder developed a severe ketamine use disorder, along with gastrointestinal toxicity and uropathy from chronic use. A multidisciplinary care plan, modeled on a UK clinic for club drug users, included specialist referrals for physical complications and mental health support. With this approach, she significantly reduced ketamine use for a time. US healthcare providers need awareness of non-medical ketamine use and its harms to counsel and treat the growing number of users. The UK's multidisciplinary clinic offers a model for patient-centered care that could inform US systems.