Clozapine for Post-traumatic Stress Disorder: Redefining Treatment Resistance in Soldiers without Psychosis

Post-traumatic stress disorder (PTSD) often follows a chronic trajectory, with many patients failing to respond to first-line psychotherapy and SSRIs/SNRIs. This case series explores clozapine for treatment-resistant PTSD (TR-PTSD) without psychosis. Seven soldiers showed improved function and reduced aggression at doses of 125–300 mg, suggesting that clozapine warrants further investigation.

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Publication Details

Journal
Indian Journal of Psychological Medicine
Published
2026-07-26
DOI
https://doi.org/10.1177/02537176261469995
Primary Topic
Posttraumatic Stress Disorder Research
Type
article
Field-Weighted Citation Impact
0.00
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article

Clozapine for Post-traumatic Stress Disorder: Redefining Treatment Resistance in Soldiers without Psychosis

Miyuru Chandradasa, R. M. M. Monaragala, K.A.L.A. Kuruppuarachchi
Indian Journal of Psychological Medicine
Posttraumatic Stress Disorder Research
article

Clozapine for Post-traumatic Stress Disorder: Redefining Treatment Resistance in Soldiers without Psychosis

Miyuru Chandradasa, R. M. M. Monaragala, K.A.L.A. Kuruppuarachchi
article en

Abstract

Post-traumatic stress disorder (PTSD) often follows a chronic trajectory, with many patients failing to respond to first-line psychotherapy and SSRIs/SNRIs. This case series explores clozapine for treatment-resistant PTSD (TR-PTSD) without psychosis. Seven soldiers showed improved function and reduced aggression at doses of 125–300 mg, suggesting that clozapine warrants further investigation.

Indian Journal of Psychological Medicine
University of Kelaniya (LK), General Sir John Kotelawala Defence University (LK), United States Army (US)
Good health and well-being
Openalex Percentile: Top 6%
Posttraumatic Stress Disorder Research
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