PTSDSubstance Use Disorders (SUD)Set & SettingLSDDMT

Posttraumatic Stress Disorder After a Psychedelic Experience, a Case Report

This case report describes a young man who developed posttraumatic stress disorder after an unsupervised psychedelic experience with LSD and DMT during which a repressed childhood sexual‑abuse memory surfaced. As, to the authors' knowledge, the first documented onset of PTSD following psychedelic use outside a therapeutic setting, it emphasises the need for clinicians treating substance‑use disorders or trauma to recognise such atypical presentations.

Authors

  • Rubin-Kahana, D. S.
  • Hassan, A. N.
  • Le Foll, B.

Published

Journal of Addiction Medicine
individual Study

Abstract

In the last 2 decades, there is a renaissance in the scientific investigation of the therapeutic potential of psychedelic compounds. It is studied for the treatment of many psychiatric disorders, including posttraumatic stress disorder. The treatment is always done in the setting of psychedelic-assisted psychotherapy. A little is known about the potential effects, outside of the setting of psychedelic-assisted psychotherapy, on people diagnosed with a mental disorder or have a significant trauma history. In this case report, we present a young man who developed posttraumatic stress disorder after a psychedelic experience, induced by both Lysergic Acid Diethylamide (LSD) and N, N Dimethyltryptamine (DMT). In the psychedelic experience, a repressed memory of childhood sexual abuse was recovered. To our knowledge, this is the first report on posttraumatic stress disorder onset after a psychedelic experience. We believe that this case report is important since the history of trauma is prevalent among individuals with substance use disorder. Medical staff that treat people with either substance use disorder or trauma should be familiar with irregular presentations, such as the one described in this case.

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Research Summary of 'Posttraumatic Stress Disorder After a Psychedelic Experience, a Case Report'

Introduction

Rubin-Kahana and colleagues situate their report in the context of a recent resurgence of clinical research into classical psychedelics for psychiatric conditions, including mood disorders, substance use disorders and trauma-related disorders. They note that most contemporary studies of psychedelic compounds are conducted within structured psychedelic-assisted psychotherapy programmes, and therefore the effects of unsupervised psychedelic experiences in people with mental disorder or trauma histories remain poorly characterised. This paper presents a single clinical case intended to illustrate an adverse clinical trajectory temporally associated with an unsupervised psychedelic experience. The investigators describe a young man who, after taking LSD and DMT concurrently, recovered a previously repressed memory of childhood sexual abuse and subsequently developed posttraumatic stress disorder (PTSD) symptoms and escalating opioid use. The report is offered as a cautionary clinical vignette highlighting gaps in understanding of unsupervised psychedelic use among trauma-exposed individuals and people with substance use disorders.

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Study Details

References (7)

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