Attitudes and Perceptions of Portuguese Psychiatrists and Psychologists on the Clinical Use of Ketamine

Introduction: Ketamine has garnered attention for its rapid efficacy in alleviating depressive symptoms in treatment-resistant depression, offering a novel mechanism as a non-monoaminergic agent. Despite its potential, limited research has explored mental health professionals’ perspectives on its u...

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Main Authors: Pedro Mota, Jorge Encantado, Laura C. Carvalho, Catarina Cunha, Albert Garcia-Romeu, Matthew W. Johnson, Pedro J. Teixeira
Format: Article
Language:English
Published: Ordem dos Médicos 2025-05-01
Series:Acta Médica Portuguesa
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Online Access:https://actamedicaportuguesa.com/revista/index.php/amp/article/view/22815
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author Pedro Mota
Jorge Encantado
Laura C. Carvalho
Catarina Cunha
Albert Garcia-Romeu
Matthew W. Johnson
Pedro J. Teixeira
author_facet Pedro Mota
Jorge Encantado
Laura C. Carvalho
Catarina Cunha
Albert Garcia-Romeu
Matthew W. Johnson
Pedro J. Teixeira
author_sort Pedro Mota
collection DOAJ
description Introduction: Ketamine has garnered attention for its rapid efficacy in alleviating depressive symptoms in treatment-resistant depression, offering a novel mechanism as a non-monoaminergic agent. Despite its potential, limited research has explored mental health professionals’ perspectives on its use. This study assesses the attitudes, knowledge, and concerns of Portuguese psychiatrists and psychologists regarding the clinical application of ketamine in treatment-resistant depression. Methods: A cross-sectional survey study was conducted from June 2022 to January 2024 among Portuguese psychiatrists and psychologists. The anonymous online questionnaire assessed perceptions of ketamine’s therapeutic utility, risks, and knowledge sources. Statistical analyses examined subgroup differences by age, sex, profession, and prior psychedelic use. Results: Among 156 participants (mean age = 37.2; 68.6% female), 53.8% were psychologists, and 46.2% were psychiatrists or trainees in Psychiatry. Only 35.9% reported substantial knowledge of ketamine’s therapeutic potential, while 59% were open to integrating it clinically. The majority expressed interest in training, though 73% raised concerns about inadequate professional training. Significant differences emerged, with psychiatrists reporting higher knowledge levels and openness to ketamine compared to psychologists, while younger professionals showed greater interest in training and usage. Conclusion: There was a favorable attitude toward ketamine use among Portuguese psychiatrists and psychologists, yet substantial educational gaps remain. Customized training addressing age, sex, and professional background is essential for safe and effective clinical integration of ketamine in treatment-resistant depression. Further studies should focus on longitudinal outcomes of ketamine treatment under standardized protocols to ensure efficacy and safety in clinical practice.
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spelling doaj-art-e09d5907530d4ffa8a531ac2ba106dfe2025-08-20T02:28:09ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582025-05-0138510.20344/amp.22815Attitudes and Perceptions of Portuguese Psychiatrists and Psychologists on the Clinical Use of KetaminePedro Mota0Jorge Encantado1Laura C. Carvalho2Catarina Cunha3Albert Garcia-Romeu4Matthew W. Johnson5Pedro J. Teixeira6Casa de Saúde de Santa Catarina. Porto. Portugal; Life and Health Sciences Research Institute (ICVS). Universidade do Minho. Braga. Portugal.Centro Interdisciplinar de Estudo da Performance Humana. Faculdade de Motricidade Humana. Universidade de Lisboa. Lisbon. Portugal.Centro Interdisciplinar de Estudo da Performance Humana. Faculdade de Motricidade Humana. Universidade de Lisboa. Lisbon. Portugal.Hospital de Magalhães Lemos. Unidade Local de Saúde de Santo António. Porto. Portugal.Center for Psychedelic and Consciousness Research. Johns Hopkins Medicine. Baltimore. Maryland. United States of America.Center for Excellence in Psilocybin Research and Treatment. Baltimore. Maryland. United States of America.Centro Interdisciplinar de Estudo da Performance Humana. Faculdade de Motricidade Humana. Universidade de Lisboa. Lisbon. Portugal. Introduction: Ketamine has garnered attention for its rapid efficacy in alleviating depressive symptoms in treatment-resistant depression, offering a novel mechanism as a non-monoaminergic agent. Despite its potential, limited research has explored mental health professionals’ perspectives on its use. This study assesses the attitudes, knowledge, and concerns of Portuguese psychiatrists and psychologists regarding the clinical application of ketamine in treatment-resistant depression. Methods: A cross-sectional survey study was conducted from June 2022 to January 2024 among Portuguese psychiatrists and psychologists. The anonymous online questionnaire assessed perceptions of ketamine’s therapeutic utility, risks, and knowledge sources. Statistical analyses examined subgroup differences by age, sex, profession, and prior psychedelic use. Results: Among 156 participants (mean age = 37.2; 68.6% female), 53.8% were psychologists, and 46.2% were psychiatrists or trainees in Psychiatry. Only 35.9% reported substantial knowledge of ketamine’s therapeutic potential, while 59% were open to integrating it clinically. The majority expressed interest in training, though 73% raised concerns about inadequate professional training. Significant differences emerged, with psychiatrists reporting higher knowledge levels and openness to ketamine compared to psychologists, while younger professionals showed greater interest in training and usage. Conclusion: There was a favorable attitude toward ketamine use among Portuguese psychiatrists and psychologists, yet substantial educational gaps remain. Customized training addressing age, sex, and professional background is essential for safe and effective clinical integration of ketamine in treatment-resistant depression. Further studies should focus on longitudinal outcomes of ketamine treatment under standardized protocols to ensure efficacy and safety in clinical practice. https://actamedicaportuguesa.com/revista/index.php/amp/article/view/22815Attitude of Health PersonnelDepressive Disorder, Treatment-Resistant/drug therapyKetamine/therapeutic useSurveys and Questionnaires
spellingShingle Pedro Mota
Jorge Encantado
Laura C. Carvalho
Catarina Cunha
Albert Garcia-Romeu
Matthew W. Johnson
Pedro J. Teixeira
Attitudes and Perceptions of Portuguese Psychiatrists and Psychologists on the Clinical Use of Ketamine
Acta Médica Portuguesa
Attitude of Health Personnel
Depressive Disorder, Treatment-Resistant/drug therapy
Ketamine/therapeutic use
Surveys and Questionnaires
title Attitudes and Perceptions of Portuguese Psychiatrists and Psychologists on the Clinical Use of Ketamine
title_full Attitudes and Perceptions of Portuguese Psychiatrists and Psychologists on the Clinical Use of Ketamine
title_fullStr Attitudes and Perceptions of Portuguese Psychiatrists and Psychologists on the Clinical Use of Ketamine
title_full_unstemmed Attitudes and Perceptions of Portuguese Psychiatrists and Psychologists on the Clinical Use of Ketamine
title_short Attitudes and Perceptions of Portuguese Psychiatrists and Psychologists on the Clinical Use of Ketamine
title_sort attitudes and perceptions of portuguese psychiatrists and psychologists on the clinical use of ketamine
topic Attitude of Health Personnel
Depressive Disorder, Treatment-Resistant/drug therapy
Ketamine/therapeutic use
Surveys and Questionnaires
url https://actamedicaportuguesa.com/revista/index.php/amp/article/view/22815
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