Orexin system for PTSD with psychotic symptoms

The orexin system as a target for PTSD and comorbid psychosis

NIH-funded research South Texas Veterans Health Care System · NIH-11213849

Looking at whether blocking orexin receptors can reduce stress-related brain and behavior changes linked to PTSD with psychotic symptoms.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionSouth Texas Veterans Health Care System NIH-funded
Lab location1 site (San Antonio, United States)
Project IDNIH-11213849 on NIH RePORTER

What this research studies

Researchers are using animal models to explore brain circuits that may cause psychotic symptoms in people with PTSD. They focus on the insular cortex and its influence on dopamine systems, testing whether manipulating the insula-to-orbitofrontal circuit can reverse stress-related changes in brain signals and behavior. The team will also test how blocking orexin receptors (using the FDA-approved drug Suvorexant) affects insular cortex function in stressed and control animals. Results are meant to point toward circuit-specific targets that could inform new treatments for PTSD patients who have psychotic symptoms.

Who could benefit from this research

Good fit: People with PTSD who experience psychotic symptoms such as hallucinations or delusions would be the eventual candidates for treatments informed by this work.

Not a fit: Patients without PTSD or without psychotic symptoms, or those whose symptoms arise from unrelated medical causes, are unlikely to benefit directly from this line of research.

Why it matters

Potential benefit: Could point to safer, non-dopamine treatments for PTSD patients with psychotic symptoms by repurposing orexin receptor blockers to reduce psychosis-related brain changes and behaviors.

How similar studies have performed: The investigators' prior animal work showed Suvorexant reversed stress-induced neurophysiological and behavioral correlates of psychosis in rats, so this approach is promising but still early and mainly preclinical.

Where this research is happening

San Antonio, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.