Category:

Depression

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I was hanging out at my desk this morning, waiting on a Zoom meeting to start. I pulled out one of my drawers, just looking around when I saw my Wellness & Relapse Prevention Plan from the Menninger Clinic on top of some papers. I wrote this plan before I left the psychiatric hospital, as everybody does. It’s mandatory before leaving. I was at Menninger for six long weeks, and I was ready. I couldn’t remember what was inside, so I took a gander.

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It started off by saying that triggers and warning signs of relapse will occur, but by preparing the best we can could help prevent another relapse or depressive episode. It urged you to be honest in your answers, share it with you loved ones and refer to it often. It was in question and answer form.

It covered areas of wellness such as Emotional Wellness, Relationships, Physical Health, Work/School, Spirituality, Financial, Leisure, Self-Awareness/Insight and Addiction Management. It asked what did I look like or act like when I looked healthy in all the areas I just mentioned. Under Physical Health I put that I would exercise, eat healthy, stop drinking Diet Coke, not use food as a coping mechanism, I’d have good hygiene habits, and that I’d appreciate my body for what it is. Sounds good, right?

Then I skipped to my Core Problems, my deepest, darkest secrets. I listed all my diagnoses: Persistent Depressive Disorder, Major Depressive Disorder, Generalized Anxiety Disorder, Avoidant Personality Disorder and Binge Eating Disorder. I listed the negative thoughts that too often cross my mind: I’m a bad mom and wife; I’m a burden to my family; I’ll never be good enough; and I’m worthless.

Next I wrote about short and long-term goals I had socially, emotionally, spiritually and physically. For example, for the social goal, I wanted to volunteer for my kids’ school book fair in the following September (I left the hospital in August). Long term I wanted to have a girls’ night at Alamo Drafthouse every month.

I did the book fair (and met a really good friend!) — I was actually in charge of it that year — and the girls’ nights were at least every other month if not every month.

But other things like, “take a daily walk around the neighborhood, go on a healthier diet, go to the gym three times a week, make an effort to go to the synagogue more often,” things like that didn’t become a habit. Not because they aren’t important, but because life happened when I stepped off those hospital groups. I had a four- and two-year-old to take care of. I had to figure out how to be a healthy me — a wife me, a mom me, a friend me, a daughter me and a me me — in just a few hours a day I had to myself. I had just begun blogging, and I knew that I wanted to write, but I was still lost and overwhelmed with all the working parts I was supposed to incorporate into my “new” life.

But, as I look as this wellness plan, I see that a lot of the goals on here I’ve hit. I may have done it in a number of years or taken a different approach, but I still made it. I still go to therapy every week (every other week now because my therapist says I don’t have to come weekly anymore). I am healthier. I work out each week. I eat a healthier diet. I volunteer. I have my own column in the Caller-Times. And that did not come easily. I monitor my self-talk. I check in with friends.

And get this: I can ask for help. I can say, “can you take this off my plate, please?” and not feel the slightest guilt about it.

I didn’t know what to expect when I was filling out that Wellness Plan. I didn’t know what challenges would occur or how hard it would be. I just knew it would be hard. Real hard.

But was nothing compared to hitting rock bottom and being sent to a hospital, away from your friends, husband and children (and other family).

I would’ve never dreamed I’d be this happy. I still have bad days; we all do. That just makes the good ones all the more sweet.

Here is a summary of my strengths from my Wellness Plan:

“I’m grateful for my kids. I’m a good writer. I’m grateful for my husband. I’m compassionate and empathetic. I’m a good friend. My cherished moments include both of my children and my wedding. I have more work to do here.”

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Limitations

by Heather Loeb

Before I realized I was out of survival mode and truly in recovery, I would always say to myself, “I have limitations.” And it was true, and maybe still is, but in the past few days I’ve noticed that I have moved past certain “limitations.” Some of physical barriers.

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For instance, I had a private karate lesson with my karate instructor on Friday. We have a test for a stripe next week, and I wasn’t feeling confident. It’s hard for me to keep up in class because there are so many people in there — beginners and advanced — and I just wanted to make sure I had everything down. I practiced my kicks and the mitt drills. I felt strong, and I’m truly looking forward to the test.

When I got home, I practiced my kicks on my punching bag, but it’s a little awkward because of it’s shape. I really have to pull my kicks high to strike. I digress. After that I wanted to work on my push-ups. I have very little upper body strength, only able to do push-ups on my knees. And barely able to do that. So I did that. And I did some against the wall. I figure I need to be doing push-ups every single day until I can do them on my toes.

The old, depressed Heather would never have cared about that, never would’ve challenged herself in anyway. So after the wall push-ups, I did some light weight lifting.

I then worked on my abs. Lately my abs have been on fire. I put my hands under my back and bottom and lifted my legs, I did the Superman pose, and finally, I wanted to try a sit up. I stalled awhile before attempting it because it has been years since I’d even tried. It was a daunting task. And I have limitations, right?

I tucked my feet under the couch and breathed in. I exhaled, pulled my ab muscles in, coming all the way up to my knees.

I DID IT!

I tried to do it again, but no dice. That’s okay. You gotta start somewhere. Really, you just gotta start. And that’s what I have done. I’m super excited to see where this takes me.

I love karate, and I feel stronger every class. Actually, I felt beat down after the last class, and I have the bruises to prove it, but I’m better than the class before.

I hate to quote Kanye, but I’m really harder, better, faster, stronger. One sit up, one lap, one round kick at a time.

Limitations can’t hold you back if you don’t let them.

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Migraines Schmigraines

by Heather Loeb

Just last week I was saying I realized I wasn’t in a depressive episode anymore. That I’ll always have major depressive disorder, but for the moment I’m not depressed. It’s been this way for awhile, I just didn’t notice. I’m always wary that an episode can pop up, and I’m always on guard.

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But, instead of depression, my migraines have started to occupy my thoughts. I was actually hospitalized two weeks ago because I had an intractable migraine for an entire week. This week I’ve had one almost every day. I even had to leave early from Isla’s field trip because I had forgot to bring my medications.

I feel like I miss so much after a migraine. Some are easy and go away fast, but lately they’ve been holding on for dear life. It’s hours and days that I can’t get back. I can only sit in a cool, dark room praying that I find relief.

And as much as I hate to think about it this way, it’s just not fair. It’s unfair that I’m plagued by so many illnesses and disorders. Right now, depression seems easy, and that’s saying a whole hell of a lot. Both are debilitating and time is lost. Precious time.

I don’t mean to throw myself a pity party. I’m just frustrated that I can’t participate in the life that I have built post depression episode. I’ve done so much to be present with my family, get involved with NAMI GCC, write for the Caller-Times, and blog. And start karate. I couldn’t have done that before, and I’m proud of the life I’m living. For once in my life I’m so happy and resolute in knowing I’m where I’m supposed to be and doing what I’m supposed to be doing. So the migraines are really getting in the way of that, damnit.

But I did start a new medication today for migraine prevention. It’s not new actually — I’ve been on and off it for about 20 years. It’s called Topamax, and it’s an anticonvulsant drug also used for migraine prevention. It’s got some weird side effects. One being that it makes carbonated beverages taste horrible. You may think “so what?” but that means I will no longer be able to drink my beloved Diet Cokes. I’m very sad about that. Very sad. But not sad enough not to take the pills. I have to get rid of these damn migraines. And I guess it’ll force me to drink more water. Although last time I was on it, I just switched to Diet Pepsi because it didn’t taste awful like it usually does, lol. I know, I’m hopeless.

If you’re into sending good thoughts, vibes or prayers, please send them my way. I don’t want to live inside my bedroom writhing in pain.

That’s all for now. Stay in the light, my friends.

And Happy Passover/Easter.

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I don’t know if it’s the motion of repetitive chewing or the first delectable bites that set my taste buds on fire. Sometimes it starts with, “I deserve a treat,” even when I’ve indulged myself multiple times throughout that day. Sometimes it happens because I’m alone (rare), which in my eyes, is always a time to celebrate. Maybe I just need comfort…but at every meal?

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I don’t understand my binge eating. I mean, I do to an extent. I know it’s a behavior I learned that once served a purpose but doesn’t necessarily work for me now. One book I read said that the binge urges come from your “primitive brain,” meaning the lower brain, my limbic system. That part of the brain is supposed to warn you of danger — the part of the brain that would kick off your flight, fight or freeze responses.

Except I’m not being preyed on. But I am in danger. I always am when I binge.

I keep thinking what I need comfort from. My life is good, so good. I still struggle with depression, anxiety, and of course with binge eating. But I have no complaints about the life I’m living. Just the other day I realized how far I’ve come since being hospitalized in 2019. I went to a karate class, for heaven’s sake, when just a few years ago I couldn’t get out of bed or shower.

So what is my problem? Is it habit? I’ve read all kinds of books on bingeing, but I couldn’t tell you one thing I really learned because of my bad memory.

I started karate because I thought it would be fun, that I would learn self-discipline and honor my body by making it stronger. Maybe I should start asking myself before I eat if what I’m eating honors my body? But will that work? I seem to lack rationale before a binge, so will I even care if it doesn’t honor my body in the moment?

I hate the way I feel after a binge. My body is so heavy, my belly so full. I’m sluggish, and then the guilt comes in, followed by shame. I watch the numbers go up on the scale, then quickly turn away from the results it shows. I shove that pain down and go about my day then daydream about what I’m going to eat the next couple of meals. Actually, I’m always thinking about what I’m going to eat. I think nonstop of food, which I know isn’t normal. One of my best friends told me she never thinks of food, it’s just fuel to her body. Why can’t I think like that?

I’m hoping that karate will push me to the edge and make me jump far away from binge eating and overeating. I have to be in shape. I can’t keep gaining the same 30 pounds. I want to be strong, for my body to be strong. I want to be example to my kids.

Throwing away the “bad” food in the house isn’t enough. It has to come from inside. But it has to be now — I’m not doing my body any favors by doing this. I don’t want to die young. I want to lead a healthy life.

I want to lead a healthy life.

Looks like I’ll be digging deep with my therapist next week. There’s some reason I’m doing this. If it’s not my depression, it’s my anxiety. If it’s not my anxiety, it’s my eating disorder. Now that I have depression and anxiety taken care of (for the most part), my eating is out of control. I picture myself on a large ship on the sea (for some reason it looks like the ship in The Little Mermaid) and there are multiple holes in the wood. Big, round holes. When I plug one, the others gush, and I’m constantly patching them all day, every day.

I have work to do. It’s daunting, but I can do hard things.

I can do this.

I can be healthy.

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Just a few years ago I couldn’t get out of bed. I was consumed with depression and anxiety. I lied to my husband about being sick or having a migraine so he would take the kids to preschool for me. I couldn’t take regular showers or brush my teeth. I spent as much as my energy as I could on the kids, leaving me running on fumes.

I abused my anxiety medication, taking six to seven pills instead of the one or two I was prescribed. I binged on unhealthy foods, seeking comfort where I could. But it wasn’t real, just temporary, and after the binge was over I felt nothing but guilt and shame.

I was suicidal, and at one point, had a plan to die by suicide. The pain was relentless. My own brain betrayed me, telling me I should die, that I wasn’t worthy, and I would never feel better. My psychiatrist told me I had treatment-resistant depression and said most medications wouldn’t work. He didn’t offer any plans, solutions or other therapies. I didn’t think I would live to see my children grow up.

It was bad.

I was hospitalized in 2019 for all the aforementioned symptoms. I was there for only six weeks, but it still felt life-changing. I got on different meds, I did intensive counseling, I took classes on how to cope with my many diagnoses. I also started electroconvulsive therapy, which probably saved my life.

After I left the hospital it felt like I was walking on eggshells…or a minefield. I quickly realized that I would never be “cured.” This would be a lifelong journey for me, and that’s okay. I’ve accepted that.

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Fast forward a few years and here I am with my blog, with a column in the local newspaper, and I’m the Communications Manager for NAMI Greater Corpus Christi. I eat, sleep and breathe mental health, but in a good way. I share my story and hopefully help others who can’t be so open about their struggles.

I’ve become stronger. Just the fact that I’m able to look outside myself and try to do something helpful is a sign that I’m on the road to recovery. A long, hard road but one I’ve started on nonetheless.

What really strikes me as amazing is that I tried out a karate class. Last summer my kids started karate at Life Martial Arts, and I immediately fell in love with it. I toyed around with the idea of taking a class myself, but was too scared. Two days ago I did my first class and fell in love. Tonight’s class was harder but rewarding. I didn’t want to start karate as a way to lose weight or exercise, but I want my body to be stronger. I want to accept it as is right this minute, and I want to honor it. I also want self-discipline. Discipline is a huge part of karate (as I’ve learned through my kids’ classes), and something that has always eluded me.

When I came home from class tonight I was beaming. I know I’ve only had two classes, but that’s not the point. This means that I am physically and mentally healthy enough to do something that was completely healthy and fulfilling. I’m doing something for my self (#selfcare). I can still do hard things even though I’m 38 (still youngish).

I can do hard things.

I can put in the work to be healthy.

I can be in recovery from depression (and all the other disorders).

I can be happy.

There will be bad days, even in recovery, but look what I’ve already been through. I’ve come so far, and I’m so close to accepting myself and treating myself well.

But there will be good days, too. Like today.

Today my legs are jello after karate class, and my abs on fire. But I wouldn’t change it for the world.

It’s nothing in comparison to the joy in my heart.

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Vacation Heather

by Heather Loeb

Last week my husband and I took a trip to Turks and Caicos to celebrate our 10-year anniversary. It was totally amazing; I can’t wait to go back. It was definitely hard to readjust to our routine and structure today, but we did it.

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But I can’t stop thinking about the vacation. I’m not trying to relive it; I’m just going over how different I was there. I packed a different dress to wear ever day, heels and sandals. I did my hair and my makeup, something I rarely do in every day life. I was put together, chic, and most importantly, I was confident. So confident. I wore a different swimsuit every day, too. Including a two-piece. I didn’t use a coverup either, something I always do around pools/beaches.

I just felt so fantastic. I even drank a few daiquiris, something that rarely happens also. I remember telling David that Vacation Heather was fun, confident and relaxed. He replied that he loved Vacation Heather.

So I’ve been wondering — why can’t I be that version of myself here at home? Surely there’s a way to merge the two. I realize that it can’t be exactly the same. After all, I’m taking care of two children and volunteering for NAMI Greater Corpus Christi. I don’t get paid, but it IS work. Then there’s bills, taking the kids to karate and waking up at 5 a.m. just to list a few.

My husband also mentioned that when he comes home, I’m already in my sweats and he doesn’t get to see me in “real clothes.” I have to admit, that’s my favorite time of day: coming home after picking up the kids/going to karate and putting on my comfortable PJs or lounge wear. I have to balance this love with David’s need to see me in real clothes. I don’t want that to sound like he’s bossing me around or anything. I think it’s good that he sees me in nice clothes; I certainly like him when he dresses nicely.

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So today I wore a yellow blouse, jeans and nice sandals. I put a beautiful headband on, and I feel good…confident. But adding Vacation Heather is more than wearing makeup and dresses everyday — I need to alter my attitude. I need to relax, especially when it comes to the kids. I want to yell less and be more laid back. My depression and anxiety don’t make that easy, but there’s room to loosen the reins on everything, I think.

I will make an effort to look nice. I’ll put on a dress because it makes me feel light and sexy. I have to remember that I’m a human being, not just a mom in the trenches of parenthood. I’m more than sweatpants and PJs. I deserve to feel good about myself and to show off my personality. I’m more than my depression and anxiety. Sometimes I feel like I eat, breathe and sleep mental health and I get caught up in my conditions, treating them like a ball and chain I’m lugging around, but that has to stop.

From now on, I’m going to be me — the real me who celebrates herself, no matter if she’s on a tropical island or in Corpus Christi.

And I can’t wait to see it.

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This morning was slow. I took the kids to school, worked on a couple things for NAMI and made #MentalHealthMonday videos. Now that I’m typing that, it doesn’t seem like such a slow morning.

After I did all that I turned on the TV and thought I’d enjoy some chill time before my noon meeting. Except I couldn’t enjoy it. I keep thinking that I was squandering my time, and there were things for me to do that I didn’t realize. A blanket of anxiety came over me, and I started to get that uncomfortable feeling in my chest that tags along with anxiety. I kept checking my phone, then Facebook, then back to my email.

I tried exploring the emotions that popped up. Why do I feel anxious? What would help me right now? That’s about as far as I got because then the word “squander” came to mine. Ouch. I hate that word. I’ve been accused of squandering in the past: money, time, energy, etc., so I was sensitive to it.

But was I really squandering time if I have all my “work” completed. Now, I shouldn’t have put work in quotations, but I’ll deal with that later. What’s wrong with watching a little TV and enjoying the silence that blooms once the kids are at school. Later today I’ll have a noon meeting, I’ll pick up my son at 1:45 p.m., then my daughter at 3 p.m. Then it’s karate class at 4 p.m. Mondays are always big days, so why not take a break now while I can get it?

Why must we keep ourselves busy? Most of the time I don’t like to be busy, although I admit it (sometimes) can help when I’m anxious and depressed.

I guess a lot of us measure our worth, our days, by productivity. It’s hundreds of years in the making, but the belief that you are success based on productivity is crap, especially if you have a mental health condition.

Depression and anxiety often dictate my schedule and how my dad will go. Sometimes I want to stay in bed or don’t have the energy to be around people, no matter who they are. And that’s okay. Successful days to me look like taking a shower, brushing my teeth and not yelling at the kids. Sometimes that’s a lot. Hell, sometimes I can’t even do that. For anyone with a serious mental illness, things that are seen as simple tasks can look daunting, like climbing a mountain. We don’t control it— we can manage it, but there’s no cure, and we’re definitely not doing it on purpose.

When I was a lot sicker, just a few years ago, taking a shower and brushing my teeth seemed like monumental acts of greatness that I just couldn’t manage. I’m doing better now, but I still struggle with it sometimes.

Can’t we measure our days by something else? Presence, self-care, being kind to ourselves and taking breaks? I realize there are a lot of people who don’t agree with that, but that’s old school thinking. Our generation is more gentle, I think. The stigma of mental illness, while presence, isn’t as strong as it was with our parents and their parents.

We can define our days how we want.

If all you did today was roll out of bed, that’s something. You are more than your productivity.” You are worthy and more.

And so am I.

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What’s in a Binge?

by Heather Loeb

I can’t stop binge eating. It’s so out of control. It’s been weeks, hell maybe months, which is longer than usual. I thought I was upset over some family stuff, but I feel like I dealt with that and moved on. Apparently not. Something is hounding me, and it’s scary. I hate feeling this way. I wake up planning breakfast. After breakfast, I’m already planning lunch and so on. I build my day around overeating and bingeing so that nobody sees me. Rather, judges me.

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I also noticed that last week I was keeping myself extremely busy with NAMI work. I kept getting pats on the back from it, so I did more and more each day, not realizing I was keeping myself busy on purpose — avoiding my problems more like it.

I’ve gained 10 pounds…well, that’s how much I gained the last time I got on the scale. I’m avoiding that, too , right now.

It’s like an open sore that I don’t tend to, and now it’s infected, and I’m sick. I feel so sick.

I think my eating disorder is just as bad as my depression. I know it is. As soon as I gain weight, I get depressed and eat more, and the cycle continues.

Usually it’s about what’s eating me rather than what I’m eating. I need to figure out what’s bothering me before more damage is done. It’s weird because I feel like I’m in such a good place in my life. I love my life, and I feel like I’m doing what I’m supposed to do (column, blog and NAMI). I just love it; it sets my soul on fire. I just had a birthday, but I think I’m truly getting better and better with age. Life is truly good despite my mental health conditions.

But there’s obviously something troubling me. The only thing I can think of is that deep down I don’t think I’m worthy of all the positive things in my life. It all goes back to my core beliefs that I’m not good enough, I guess. But I’m worked hard — I can acknowledge that — and I love where I am.

It’s so confusing. I need to do more digging.

What the hell is eating Heather Loeb?

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My Son’s Diagnosis

by Heather Loeb

In the past week my son has hit me twice and bitten me, bringing on a dark purple bruise on my arm. All were done during a meltdown. He screams and cries, indignant and out of control. The slightest thing can set him off.

Combined with his hyperactivity and lack of focus, I knew he had ADHD long before a psychologist recently diagnosed him last week.

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The doctor said Eli’s ADHD isn’t severe, just a “mild case.” It doesn’t feel mild, to me or Eli’s teacher, who has been so supportive through this journey. She told my husband and I that we should consider getting him tested late last year. I had already seen him in somewhat of a classroom setting and he couldn’t sit still. He didn’t look anyone in the eye because he was so distracted by the toys, books and desks.

I haven’t observed him in his classroom, so I don’t experience the worst of his hyperactivity. But I have witnessed his impulse control many, many times. I’ve been hit, slapped, screamed at and more. He blows in my face because he knows it will annoy me, but he apologizes for all of this behavior soon after he calms down.

I realize he can’t control it. He doesn’t mean to do it; he just needs to figure out how to control his emotions, which is hard for a 5-year-old, nevertheless one with ADHD.

It would be easy to take all of this personally. When his teacher first brought ADHD up, I felt terribly guilty. I was so sure Eli was experiencing this because of my diagnoses — two types of depression, anxiety and a personality disorder. I went home and googled it, sure enough ADHD kids often have mothers with mood disorders. Obviously I don’t want him to struggle with this. I’ve struggled almost my whole life, and it’s no picnic.

I know it’s not my fault, but it’s hard to shake the guilt and shame that all moms experience.

The only thing to do is learn everything I can, modify our parenting, consult experts and just accept it.

I have to accept it. I have to accept that both my children may have inherited the illnesses I have. It’s not my fault, it’s not my fault, it’s not my fault. It’s not anybody’s fault.

I’ll do everything in my power to learn more and help him.

But I need to remember: In order to help him I have to work on myself, make sure I’m not pouring from an empty cup. I have to provide structure and routine. I have to set boundaries and actually stick to them.

I’m in recovery when it comes to my mental illnesses. Recovery doesn’t mean I have to be perfect, just that I’m always trying to grow.

I imagine Eli and I will grow together, be stronger because of the paths we’ll walk.

I know in my heart that he’s still the same sweet, loving little boy he was before the diagnosis. He just has his moments.

Lord knows I have mine.

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Last week I did a ketamine treatment, the first in years. Before I was hospitalized at The Menninger Clinic in 2019 for depression and anxiety, I’d done about two or three but never felt better after doing them.

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I tried again last week because it’s easier for me to do ketamine treatments than ECT treatments, which I’ve been doing since 2019. Those are a pain; I have to drive 2.5 hours to San Antonio, undergo the procedure (which includes anesthesia) and then have my husband drive back home while I battled an inevitable migraine. I’m usually out of it for the rest of the day and some of the next.

I haven’t had an ECT in months, the most I’ve ever gone since being hospitalized, but I started recognizing some of the signs that I might need one. Enter ketamine treatment.

I was very nervous when I got there and as they begin to set up the infusion and IV. I was scared that I would feel out of control and that I’d be overwhelmed. I was sweating. The nurse could tell I was nervous so she stayed with me for a few minutes. That’s all it took, really. I started to feel the warm flush feeling of the medicine entering my body and I started to panic. It was just so overwhelming, so I asked the nurse to slow it down, which she did. After that, it was a gradual high and I didn’t feel out of my mind. I started laughing, saying “wow, I’m so fucked up.” She left the room so I could vibe.

Because the infusion was going slower, I was able to realize that I was “high” and able to enjoy it. I did inventory on my emotions and felt hope that this would help improve my mood. I wasn’t sleepy or tired, but I could tell my eyelids were at half mast (plus I took a picture).

I felt a feeling of euphoria and thanked God for all I was thankful for. I relaxed and explored any emotion that came up, which is cool because normally I swallow my emotions, never giving them any time or space.

Finally, as I did become sleepy, time was up. They took the IV out. They let me “come to” after about 10 minutes. I was a little tired for the rest of the day but wasn’t totally useless, which is good. That’s how the ECTs leave me.

I felt like the treatment worked right away but thought that maybe it was just a lingering feeling of euphoria. It has been several days now and I still have that feeling — that I feel good. That I’m thankful. And like it’s going to be okay. I’m so pleased with how it went and I’ll be doing five more treatments to do.

I’m just so thankful that I didn’t have to get an ECT. I hate anesthesia and memory loss. It’s just too much to deal with, so I’m really hoping I can keep up with ketamine treatments instead.

Here’s hoping.

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