Evidence map›Paper›PMID 40896221›Full record

ArticleFrontiers in psychiatry2025

Case Report: Intranasal esketamine combined with a form of generative artificial intelligence in the management of treatment-resistant depression.

Alexandre Fraichot, Sophie Favre, Hélène Richard-Lepouriel

Abstract readCase Reports
In one paragraph

Article in Frontiers in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Alexandre FraichotMood and Anxiety Disorder Unit, Psychiatric Specialties Service, Department of Psychiatry, Geneva University Hospital, Geneva, Switzerland.
Sophie FavreMood and Anxiety Disorder Unit, Psychiatric Specialties Service, Department of Psychiatry, Geneva University Hospital, Geneva, Switzerland.
Hélène Richard-LepourielMood and Anxiety Disorder Unit, Psychiatric Specialties Service, Department of Psychiatry, Geneva University Hospital, Geneva, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Intranasal Esketamine is an effective rapid-acting antidepressant currently used to treat treatment-resistant depression. Artificial intelligence is another emerging tool in medicine, but little is known about the effectiveness of combining these innovations in psychiatry. Methods: This case report presents the outcome of a 37-year-old patient who received intranasal Esketamine treatment (84 mg) and utilized artificial intelligence (ChatGPT-4) to generate images and interpretations of his experiences with dissociation. This process was conducted in the presence of a nurse who assessed and supported the patient. The Montgomery-Åsberg Depression Rating Scale (MADRS) was used to measure the severity of depression at the beginning of each session. Results: The patient achieved remission from depression, with MADRS scores declining by 50% in the third session, and the scores indicated mild depression or euthymia in the eight subsequent sessions. The patient reported that incorporating artificial intelligence-generated images and interpretations helped him create a timeline of his experiences at the end of each session. Discussion: This case report highlights the potential effectiveness of combining intranasal Esketamine treatment with generative artificial intelligence images and interpretations as part of an integration process. It also emphasizes the importance of having a nurse present to support the process. Further research is needed to determine which patients may benefit most from this combined treatment approach.

Indexed as

artificial intelligencecase reportdepressionintranasal esketaminetreatment-resistant depression

Identifiers

PMID40896221
PMCPMC12392161

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.