DR MAX: I've seen the terrible toll of ketamine on teenagers over the years, especially girls. But what really worries me is how young today's addicts are - some barely out of primary school. Here are the signs YOU need to know

It was on one of my first shifts covering child and adolescent mental health in A&E as a junior doctor, more than 15 years ago, when I was asked to see a girl of 14 who had been brought in by ambulance

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