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Ketamine Infusion #2

As my friend drove, I tried to be with her in the car in conversation. It was difficult. I felt very anxious about my treatment. I walked into the treatment room upon arrival as they were ready for me. I sat on the bed and shivered as I took off my shoes. The room was freezing! I jokingly complained and the nurse agreed with me. I was asked some questions by the doctor and then completed a self-report about my mood. The IV was inserted and the infusion began. The lights were dimmed and after a few minutes I started to feel that sense of slowness.

It was quiet and aside from the nurses checking on me, I was left alone. While I was fine with that, after a little while, I began to cry. I had so many thoughts in my head which were heightened. The nurse brought me tissues and kept checking on me. There was a point when I had an itch on my head and the process of taking my arm from under the blanket and moving it up in order to scratch felt so slow and odd. I almost asked the nurse if I was okay as if I could not gauge myself. It was a little scary.

The infusion finished and within a few minutes I started to feel a bit clearer. I spoke with the doctor who assured me that crying during the treatment is no indication of whether the infusions will help or not. He said there are some patients who sob during the infusions but a few hours later feel good. That allayed my fears.

It’s been several hours since I completed the infusion and I feel tired and sad. I am hopeful and ready to feel sparks of feeling better.

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Ketamine Infusion #1

We drove in almost silence. His hand in mine while he drove. I felt numb and nothingness. We arrived and I felt such sadness. Walking into the hospital, where I have been inpatient and received ECT, I felt traumatized and scared. We took the elevator to the basement to check in and as we walked out of the elevator, the smell overcame me. It sparked my memories of walking down the same hall for ECT. I checked in and then underwent cognitive testing for 30 minutes. I had to remember a bunch of words, over and over again and then remember cards simulating different games. I did not do terribly but I did not do too well.

After they walked me to the room where I would receive the infusion, which happens to be the same room where ECT is done. I had to say goodbye to Ken and his hug and kiss was what I needed. The doctor walked me in but the bed was actually not ready. He led me to the waiting area and I began to sob. Ken had already gone out to get some breakfast and I sat alone. Luckily it was only a few minutes and the doctor retrieved me and I walked in to the room where I received ECT treatments, the room that had the same smell. The two nurses who greeted me were known to me as they also work with ECT patients. That helped. As they hooked me up to monitor my heart rate and blood pressure, I continued to sob. I was so sad and so scared. It felt as if this were my very last hope at feeling well. Doctors came in and out and when the medical director came by, who has always followed me when I have been inpatient, I felt a bit of relief. I told him I was scared. He said the only side effect would be that I would feel better. I laughed. It was typical of something he would say. I was so glad and thankful he came to talk to me.

They started the IV infusion and I clenched the dirty tissues in my hands. After a few minutes, everything felt slow and unreal. The nurses and I talked and it felt as if I could not stop talking. I hadn’t been that talkative in months! The doctor came by and said I seemed to be very talkative and he said some people experience that during the infusion. People (nurses, doctors, medical student) came by and talked to me, treated me as a human, supported and comforted me. I could not move my head too much as it felt as if my head was stuck. It was not upsetting just strange. There were some quiet times and I was aware of my surroundings but also felt like an observer of my own experience. Time felt slow but before I knew it, the IV finished and I was done. Within minutes I started to regain myself. I was able to turn my head normally. My blood pressure went down. Then I was released. I will return on Tuesday. I may feel a positive reaction after this one treatment or it may take more. I am trying not to put too much pressure on myself.

As Ken and I walked out of the hospital, the medical director was also walking out. He was glad my treatment went well and it seemed fitting to see him as we left. He is not just a very intelligent psychiatrist, he is such a genuine human being.

It’s only been a few hours since my treatment ended. I have eaten and taken a walk on this beautiful day. I am feeling a bit sad right now but I am here and I will continue to do everything in my power to get better.

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Deeper Facts of My Depression

Most people have some level of understanding of depressive symptoms: sadness, hopelessness, sleep issues, appetite issues, etc. There is so much more though that people may not realize.

Firstly, the person with depression may not be thinking clearly, for example, a friend told me how hopeful she is that I will feel better soon and my interpretation of that was that she did not actually care about me. One plus one does not always equal two in the mind of someone who is depressed. My cognition is greatly impaired and while I can be aware at times of this impairment, the thoughts and feelings feel very real to me. It leaves me in a constant struggle internally which is heartbreaking and energy consuming. This is on top of those “known” symptoms of hopelessness, helplessness, extreme fatigue, low appetite and feelings and thoughts of worthlessness.

Also, my experience is that there is no rhyme or reason in terms of the severity and timing of symptoms. Yesterday morning I felt okay whereas this morning I woke feeling a lot of anxiety. Each day is different right now which is also exhausting. I have no idea what to expect.

I also need what I call “babysitting.” My husband does not want me to be alone for a long period of time. While I can understand this from his perspective, from mine it simply means I am needy and weak and have to impose on others when my husband is not around. I feel like a child and embarrassed. I do not like to put people out and I do not like changing people’s schedules in order to benefit myself. I realize this may not sound like someone who is grateful to have such wonderful people supporting her but this is how my cognition is currently running.

I also feel as if every slight and every unfortunate life incident is my fault, whether it be dropping and breaking a glass or tripping and falling. My inner monologue: Of course, these are all my fault and if I weren’t so stupid these things would not have happened.

What my friends may not realize is that the quick text checking in or the quick call is so helpful. Even if I am not talkative in that moment, I know they are there and will be there to help in any way they can. This may not be well conveyed by me but I mean it. There are not any grand gestures they need to do. Just knowing they are there is extremely supportive and helpful for me.

This is my life right now, every hour, sometimes I feel it every second. It is relentless and to say it is exhausting is not giving it the power it has. My negative thoughts can be terrifying at times and only adds another layer to this experience that I am fighting with all that I can.

This is hard. This is scary. This is real. This is more of what my depression does to me and my life.

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