I had another session of ECT last week. My doctor, Dr Espinoza, asked me again if I wanted to switch to once a week instead of once every other week. When I turned him down on that option, he asked me I had any interest in IV Ketamine. I turned that option down very quickly. I know IV Ketamine is a lot different from using Ketamine to get high, but it brings back memories. I told him why I’m so against IV Ketamine. The last time I used it to get high, I ended up cheating on my boyfriend (he asked me to marry him; I’m sure we would have gone through with it, but I doubt that it would have lasted; that’s just how it goes with relationships based on drugs). Then, less than 24 hours after I got home, the cops were at my door to question me. My boyfriend/fiance was killed in a drug deal gone bad. I don’t want to remind myself of that horrible event and the many others that I went through while on drugs.
I’m not doing too much better, but there has been improvement since my last two ECT treatments. I explained to Dr Espinoza that I got a new dog and I think he will be helping me get through this rough time. I’ve been thinking about it all day and I’ve decided that if I don’t improve enough within the next four weeks, then I will go back to weekly ECT treatments. Hopefully that doesn’t have to happen.
I keep trying, over and over again. If it doesn’t work out the first time, I try again. Sometimes it may take me a while, but it’s important not to give up. This can extend to anything in life. Just keep putting one foot in front of the other.
Right now, I’m just trying to get my medications right. In the past 6 months, I went on Clozapine slowly, I went off of Mirapex and then back on Mirapex, I went off of Deplin, and I also stopped doing ECT treatments. I’ve done almost everything my psychiatrist suggested. The only thing I haven’t tried is IV Ketamine; I’m leaving that as an absolute last resort. My emotional state goes up and down, but it hasn’t been healthy or steady for a very long time, probably about 7 or 8 years.
No matter how bad it gets, I never give up. I may not be happy to do certain treatments, but I try. I give each treatment enough time to work before deciding if it’s right for me or not. This time, I’m going to give the Mirapex another couple of weeks before deciding if I need to try something else, which would be IV Ketamine. The most important thing is that I don’t give up before the miracle happens.
The other day I made the decision to stop my ECT treatments and to increase by Clozapine dosage. I’m currently at 200mg and will be increasing my dose by 25mg each week until I reach 400mg. This was one of the options my psychiatrist gave me. Another option was to go back to doing ECT three times a week, but I’m not willing to do that at this point. The third option my psychiatrist gave me was to do IV Ketamine. He has been offering this as an option for many months now, but it’s not something I want to do.
IV Ketamine scares me for a couple of reasons. I used to get high off of Ketamine when I was using. That was a long time ago, and I know that abusing Ketamine and using IV Ketamine are two completely different things; the side effects of IV Ketamine are nothing like the effects of getting high off of it. My biggest fear of trying IV Ketamine is the possibility of dissociation. When I would use Ketamine to get high, I would take so much that I would slip into what’s called a ‘k-hole’, which is pretty much a dissociative state. I couldn’t move or speak, but I could still feel everything that was going on around me. The possibility of dissociating scares me, it triggers my PTSD. I always need to be able to protect myself, and dissociation would take that away from me. Plus, the treatments are especially expensive.
The use of IV Ketamine is highly effective, and it works very quickly. It is known to show improvements by the end of the infusion. Maybe my reasons for not trying it are ridiculous, but they are my reasons. I’m not saying that I’ll never try IV Ketamine; I would just prefer to leave it as an absolute last resort.