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Hospitalization: One Week

A week ago today I went for my early morning ketamine treatment at the hospital and never left. The plan was set in motion last Wednesday. I needed to be hospitalized and I needed to be safe. I was not thrilled with the idea but was the one who made the call to push things forward.

I met with the doctor who always follows me when I am inpatient and we came to an agreement: I would have 3 ECT treatments before beginning my new medication which I could not begin until today. I had the ECT treatments which brought back a level of anxiety in me I would not wish on anyone. They seemed to help my mood though so I am holding on to that positive. The first ECT was difficult though as ketamine was used as the actual anesthetic which I had never had before. I had difficulty walking after the treatment and even required 2 counselors to help me in the bathroom which was one of the most humiliating moments of my life. I was shaky all day but was told that they would go back to using the anesthetic they used in the past for future treatments.

I went to groups, talked with other patients, counselors and doctors and took care of myself. It was a difficult 7 days. I was away from my daughter, whose only understanding of me being away was that I went somewhere to get new medicine for my depression. I missed her more and more as each day went by. My husband visited as did my parents.

Evenings were the most difficult for me. I felt desperately alone and ached to hold my daughter. I worried about the burden I had become to those I love. I perseverated about these things over and over again.

I knew I needed to be in the hospital and did not waste time going over that. I needed to be in a safe place with little responsibility.

I am home now and very happy to be here. I feel exhausted and a bit overwhelmed. I still need to take things slowly and moment by moment. No extra pressure needed here!

I began my new medication this morning which comes in patch form (MAOI). I pray for positive results. I only agreed to a few ECT treatments to lift me up enough out of my misery in order to hold me until this new medication kicks in. I am terrified of doing more because of my memory issues and because of the great anxiety that is conjured up prior to each treatment. Again, I am focusing on moments at a time right now while I transition back to home life.

I will say it again: depression is a mean and horrible illness and I will continue to fight it with everything I have. I am lucky to have my treatment team in place and my family and friends are right by my side. It will take me some time to thoroughly process the past 7 days and I know I need to give myself that time and opportunity. Honestly, it’s a lot. A lot transpired during the past 7 days and while some was inspiring, some was downright terrifying and brought me to a place of pure despair and loneliness.

If you see me, if you want to contact me, just be positive and be supportive. I honestly cannot handle anything more or less right now. Just be real.

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Ketamine Infusion #6

The past few days have been very difficult. I am almost completely off of my anti-depressant and I feel it (need to go off of it and then wait 2 weeks before starting new anti-depressant). I have been extremely irritable and anxious. I have had brief moments of brightening, especially yesterday when I picked up my daughter from the camp bus stop. As we drove home, I blasted “Dancing Queen” and we sang at the top of our lungs. That was a good moment.

I was definitely not looking forward to today’s infusion. During the infusion, I was more “with it” and felt part of my surroundings. When the nurses and doctors talked to each other, I could hear them and felt I was in the room with them. It was the last 10 minutes or so, though, when the tears flowed and I felt alone and terrified. All of the negative thoughts that I have on a daily basis were magnified X1000. I sobbed thinking the terrible things I think of often they were just swirling in my brain all at once: I am a terrible wife, my husband chose the wrong woman to be with, my beautiful daughter is losing out with a mother like me, I do not deserve to feel better, and so on…

I was relieved when the infusion machine beeped signifying that I was done. As I came back to myself, the nurses kept checking on me, cleaning away my used tissues and reassuring me. I felt better as the minutes passed and was happy to be done.

The plan is to have one infusion next week and one the week after, to make up for the two weeks without an anti-depressant. As of this exact moment, I feel better, more aware, focused and my mood is definitely a bit elevated. Of course, I have little stress to fuel my negative symptoms today as I am home and on my own schedule for the rest of the day.

And so it goes…

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Ketamine Infusion #5

I was not looking forward to today’s infusion, but again, I am holding on to hope so it was worth it. Today’s experience was slightly different. I felt more aware of my surroundings than in my prior infusions but the last 10 minutes or so were similar to before. I cried and felt isolated and paralyzed. I could see the people and surroundings around me but I felt completely separate. That terrified me. Luckily, the nurse was right there for me. Even as the infusion ended and my IV was taken out, I continued to cry, feeling nervous and scared.

As I came back to myself and had something to eat, I felt more stable as my head became clearer. My husband and I then met with the doctor. We discussed my progress and the necessary med changes. He gave us some options and I will be trying a medication class I have not tried before. I left the meeting feeling a spark of hope. I am eager for this change but it involves slowly tapering off of one of my medications and then waiting 2 weeks before starting the new one. The next few weeks may be difficult. It is only now, in this moment, that I see that I will get through this transition…there is no other choice. My therapist and my doctors at Yale are right there with me and even though I still can’t feel it, I see them. Their experience and expertise have guided me thus far and I trust them implicitly. Most importantly, my husband is right there beside me and I know I am very lucky.

I will have one more infusion on Tuesday and then the medication changes will continue. I am nervous about the next few weeks, but since I have already come this far, I can make it through this.

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