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ECT

Out of the ashes, baby

by Heather Loeb
written by Heather Loeb

I’ve had depression since I was young; I can remember feeling anxiety in middle school and I definitely had depression in high school, I just didn’t know it then. It wasn’t until college (when my Mema died) that I really had a problem. When she died, I couldn’t handle it. I dropped classes because of the stress and overwhelming sadness I felt. I dropped so many classes that I was only going part-time. I can remember leaving campus to drive to my parents’ house multiple times a week.

I started therapy at my college and after a couple years, I realized I needed medication to help with the depression. I was so embarrassed. I didn’t even tell my parents. Now, my parents have always supported me and never really talked about depression with me but I had it in my head that this was a major flaw – my family seemed stronger somehow, that I should just pull myself up from my bootstraps and get a grip. But I couldn’t.

After I graduated college and started my first job hundreds of miles away from my family and friends, my depression got worse. It made me miss work….a lot of it. My other coworkers were resentful and I felt like my bosses hated me. I didn’t fare well in Corpus Christi and after a bad breakup I moved back home. I felt unsuccessful and like a loser. My depression got even worse.

Fast forward to me going back to Corpus Christi: I got married, bought a house and got pregnant. After my first pregnancy I felt ok but after having my second child I was not ok. Postpartum depression reared it’s ugly head. I had to stop breastfeeding at 4 months so I could get back on my antidepressants but even the meds couldn’t save me from being suicidal. It was awful. I spent my energy on making sure my kids were ok and I simply didn’t have enough strength to fight the ugliness that had infiltrated my body. One day I had to go to the ER for suicidal thoughts. Luckily my parents were with my kids. I was sent to an acute behavioral center and saw an awful doctor who wouldn’t listen to anything I was saying. I was released after a couple days and I found a new psychiatrist who started me on different meds. I’d like to say that fixed me but it didn’t. I was diagnosed as having treatment resistant depression, meaning my meds were not effective in fighting the depression off.

Things were pretty bleak and my depression was not controlled at all. The only thing keeping me going were my kids – they of course had constant needs that I had to focus on. It was when they were sleeping that my anxiety increased. I couldn’t control ugly thoughts like I was a bad mom, a bad wife and a total loser.

I was running on empty with no hope in sight. After talking with my therapist and husband, we decided that I would go to a psychiatric facility for help. It was the hardest decision I ever had to make. It would mean at least 6 weeks away from my babies and husband and I felt incredibly guilty. But I had to go.

At the Menninger Clinic I was diagnosed with major depressive disorder, generalized anxiety and avoidant personality disorder. I started electroconvulsant therapy (ECT) and different meds. I was able to come home after 6 weeks but I have to do ECT treatments every now and then.

I still get depressed. I’m actually in a little funk right now but I know I’ll get through it. I will always rise. I used to think that people with depression were weak but now I know that’s nothing but bullshit. We are strong. We fight to live every day. It’s hard and some of us don’t make it because they don’t have the means or a support system. They suffer in silence and that’s why I cannot. Please do your part in eliminating the stigma around depression and help normalize it. Check on your loved ones, let them know you care and shine a little light in their darkness.

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ECT has crippled my memory
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Memories

by Heather Loeb
written by Heather Loeb

ECT has crippled my memory

ECT has crippled my memory

Again, I have been remiss in updating my blog, so apologies. I have a good excuse though – remember I told y’all about start ECT (electroconvulsant therapy) at the mental hospital? Well, I have continued those treatments and it has caused me to forget, like everything. That may be an exaggeration but I have forgotten people, past events and little details about my life. It’s embarrassing. One morning I was having my nails done and the woman next to me started a conversation. No big deal, right? Except she said, “Heather, how are David and the kids?” I would’ve sworn that I’d never met her in my life but she obviously knew me. I faked it and talked to her BUT THE SAME THING HAPPENED AGAIN….and then once more.

ECT is known to cause memory loss but everything I’ve read about it says it affects your short term memory and any events that happen around the time of treatment. My memory loss goes way back. I should really have a sign on my back that warns people of this but David didn’t go for that idea, lol.

The ECTs are helping in terms of my depression. It’s easier to take care of the kids and I have more energy during the day….not a lot but it’s better than it was.

Another update I didn’t share before is that I had gastric sleeve surgery in November. With my binge eating, I had gained a ton of weight after leaving the mental hospital. I was pushing 200 again and was so miserable, so I went to see a surgeon and after some diet changes and giving up soda (I miss it so badly), they scheduled me. I obviously can’t eat like I was and there’s definitely no binging. I’m down 25 pounsd and I have 20 to go until I meet my goal.

So, overall everything is good. I’m stable. It’s a hard thing for me to say because I never really have been before. I’ll probably have to get ECTs done for the rest of my life but that’s a small price to pay to be able to truly life a good life.

That’s all for now. I’ll see y’all later.

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Ketamine/Spravato

A Horse of a Different Color

by Heather Loeb
written by Heather Loeb

The other day my doctor suggested a couple of Ketamine infusions to do until I can do ECT. I didn’t think much of this because I’ve done several ketamine infusions in the past and they didn’t do much for me, but I learned the clinic that I was going to in Corpus was doing the infusions wrong, or perhaps not in the ideal way. Let’s put it that way.

At the old clinic they were adding benzos (Ativan, Valium) to the ketamine, which actually lowers the efficacy of the ketamine. I didn’t know that until I got to Menninger. Also, the other clinic’s protocol was to give everyone 100mg/hour no matter what. Here, they go by weight. I was skeptical of that at first but now I see why.

When you do 100 mg per hour, rather when I do 100 mg per hour, I feel like I’m in a black hole. There’s a lot of dissociation and I just feel drugged up and then I’m tired for the rest of the day. When I tried ketamine at the clinic, it was almost a religious experience. It was the most calming, most relaxing, therapeutic experience I’ve EVER had. I felt happy – and I haven’t felt happy in a loooong time.

It was amazing. Now, this infusion lasted just 40 minutes but I’ve already noticed a shift in my behavior. I made some jokes with some of the patients and staff here. I cleaned up my room and generally my mood is a bit better. I still have depression, of course, but it did provide a respite from the constant pain I’m in.

This makes me hopeful. I’m scheduled to have another ketamine treatment Monday and then later in the week, I’m due to start ECT. I’m not expecting my life to change but I’ll take any improvement from my current state. Some days it’s just so hard to breathe and it’s so exhausting to be a wife, mother, daughter, friend, etc. It’s just painful. Everything is painful, so relief is all I want. I want to be there for everyone. I want to smile and laugh – just live in something other than this awful darkness. I know I have to work on my therapy, too, and believe me I am. Everyday here is emotionally draining and I don’t think I’ve gone a day without crying, but that’s okay. I’m just trying to get to the other side.

I hope I see ya’ll there soon.

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A Quick Hello from the Inside

by Heather Loeb
written by Heather Loeb

Look who has internet access! There’s so much to talk about, I don’t know where to start.

So, it’s been a week since I’ve been at the Menninger Clinic – it’s a psychiatric hospital in Houston. They’ve done a lot of psychological and cognitive testing and it turns out I’m severely depressed and I have anxiety. Duh.

Testing has also shown that I have a horrible memory, I have a hard time dealing with my emotions, I have no coping skills and my quality of life is at 25 percent. I knew the other things but when you see the results of a psychological test tell you that your quality of life sucks, and sucks bad, it makes you even more depressed. If that’s possible. And I’m here to tell you that it is.

I have a “team” that guides me through my journey here that includes a psychiatrist, psychologist, nurse, therapist and social worker. We all agreed that ECT was the way to go but what I didn’t expect was that I would have to be weaned off all of my meds. ALL OF THEM.

That’s:

Lamical
Topamax
Wellbutrin
Zoloft
Rexulti
Trentellix
Vyvanse
Klonopin
Ambien

That’s a lot. I’m surprised I haven’t exploded yet. Or maybe I should’ve exploded when I was put on all that crap. I’ve had little withdrawal except for the fact that I cry at the drop of a dime. I’m not all too sure that’s not normal at this point.

It’ll probably be two more weeks before I’m off most of the meds, then I can start the ECT, which I’m excited about. Some of the girls here have done it and said they’ve felt some improvement. My doctor said he hopes he can get me back to where I was before I had my little breakdown in 2017. That would be lovely. But I’m not putting all my eggs in one basket. The program I’m in asks me to go to classes, such as cognitive behavioral therapy, dialectical behavioral therapy, self compassion, grief journeys, chemical dependence education and more. They don’t depend on biological therapies only, they make you work. And teaching you how to mentalize and employ solid coping skills is a big part of the program.

My brain is super foggy right now, so I’m going to sign off.

I hope ya’ll are staying well. I’ll try to keep up the my blog as best I can.

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See you later, alligator

by Heather Loeb
written by Heather Loeb

So, I’m taking off the next 6 to 8 weeks. I talked it over with my therapist and husband and we all decided I needed to be inpatient at a mental health facility this past week and, lucky for me, the clinic had an opening in the program starting this Monday that I wanted to be in and that was the best fit for me. One that focuses on my treatment-resistant Major Depressive Disorder, generalized anxiety disorder, social anxiety and PMDD, and emotional eating. Even substance abuse, because I’ve abused my anxiety medicine in the past.

The clinic is Menningers in Houston, which is well known in the psychiatric arena. I’ve heard such good things about it and I’m hopeful. I should be – the program cost a damn arm and a leg but now’s the time to get better. Nothing else has worked.

The one thing I’m worried about is ECT is not part of my program and I really want to do it. The program leader said I can meet with the doctor to see if I’m a candidate but I don’t know who else would be a better candidate. I’ve tried multiple medications (Prozac, Wellbutrin, Zoloft, Lamictal, Rexulti, Saphris, Doxepin Lexapro, Cymbalta, Abilify – just to name a few), TMS, ketamine infusions and now Spravato. I’ve been depressed (way) over 5 years, so really how can they turn me down? But they could, so good thoughts please. It’s really my one shot. I wont be able to afford a place like this again and I’m not willing to be away from my children for this long again.

That’s the only thing making me nervous. My babies. I know my husband and mother-in-law (and my mom and dad are helping too) can handle everything, I’ll just miss them so much. I’ll miss my son’s birthday and I’ll miss the first day of school. It’s just hard. But when I come out I’ll hopefully be way better and won’t have to miss anything else, because let’s face it, I’m barely living now.

I won’t have access to internet, other than email., so this is so long for the next 6 to 8 weeks. I will miss blogging but I guess I’ll have some stories when I get back.

Stay well, my friends. See you on the other side.

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Treatment Resistant Depression

by Heather Loeb
written by Heather Loeb

As I’ve mentioned in 389,432 of my other blogs, I have treatment resistant depression (TRD). It may sound like its not curable, but by definition it means one is non responsive to at least two antidepressants for a period of time. It also is characterized by extreme sadness, sleep disturbances, low energy, suicidal ideation and suicidal attempts.

TRD is experienced by 45 percent of patients with a major depressive disorder. That’s just crazy to me. It contributes to nearly one-third of patients attempting suicide in their lifetime, a rate more than double that of their treatment responsive peers, according to this article by Psychiatry Advisors.

While psychiatrists cannot pinpoint why some are treatment resistant, researchers have seen correlations in certain populations who are more vulnerable than others. For instance, women and senior citizens. Individuals who have had severe or recurring bouts of depression also appear to be more susceptible, according to Johnson and Johnson’s website on health.

What I found most interesting is other medical illnesses can play a part in TRD. The article states that thyroid disease and chronic pain (I have both thyroid disease and chronic migraines) makes you a greater risk for treatment resistant depression. Mind blown.

Other factors include substance abuse and eating and sleep disorders. I also suffer from compulsive eating and insomnia. I should donate my body to science when I die.

So, what happens with you’re treatment resistance and your meds don’t work? We do have options. We can go on the highest dosages of our meds – IF YOU’RE DOCTOR THINKS THAT IS RIGHT FOR YOU – or there are non-drug therapies which I’ve mentioned in the past, such as transcranial magnetic stimulation, ketamine infusions and ECT, which helps reverse symptoms of TRD.

I think the only non-drug therapy I haven’t mentioned in detail is ECT (electro-convulsant therapy), which is effective to 70-80 percent of patients. This is not to be confused of electroshock therapy, poorly portrayed in movies and TV. ECT uses general anesthesia intentionally triggering a quick seizure. It’s meant to reverse symptoms of mental health problems and as of now is the best treatment for depression.

So, as of now I’ve definitely more than two antidepressants/antipychotics: Doxepin, Zoloft, Prozac, Lexapro, Wellbutrin, Abilify, Rexulti, Saphris and Seroquel. For me, that’s a lot. I’m also tried Lamictal as a mood stabilizer.

I’ve also tried TMS (transcranial magnetic stimulation), ketamine infusions and I’m about to try the Spravato nasal spray which is based on ketamine.

Here’s to my people who are treatment resistant. You’re not alone and hopefully there will be better alternatives in the future.

One thing I forgot, there’s also a genetic test you can take that can tell you which antidepressants will work better for you. It’s called the cytochrome P450 (CYP450) test. Ask your doctor if this is an option for you.

Stay well. Stay in the light.

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Hey – I’m cured! Thanks for helping

by Heather Loeb
written by Heather Loeb

I love when people try to help with my depression. Actually, I’m not sure I really do. What I like is when someone is truly educated about depression, especially MDD and anxiety, and makes a helpful suggestion, i.e. a certain vitamin or therapies I’ve yet to research such as TMS (transcranial magnetic stimulation) or ECT (electroconvulsive therapy).

What bugs me is when someone has vague knowledge of depression and assumes there’s a cure – there is no cure for MDD, only medication and therapies that can relieve symptoms. What really bugs me is hearing I’m doing something wrong or there is a cure and that I don’t want to find it. Believe me, I work hard at fighting depression and finding things to make me feel better. It’s no fun feeling this way.

And while I realize some people are truly trying to help, there are those ignorant people who fray my nerves whom I’d like to educate.

A while back I met a woman who had overheard me discuss my depression with another woman in my workout group. The woman came over, introduced herself and started discussing how society is overmedicated and suggested that depression was something we did to ourselves. We could heal ourselves. I felt so stupid and sick to my stomach. At this time, I had barely begun to discuss my mental health openly and I didn’t stand up for myself. She also began telling the other woman in our conversation, who had a thyroid problem, that she could heal her own thyroid through holistic methods. Now, I also have hypothyroidism and I want to say for everyone’s sake – NEVER DO ANYTHING WITHOUT CONSULTING YOUR DOCTOR. Going off your medication and trying holistic methods could do permanent damage. I’m not a doctor or a health professional, but please, always talk to your doctor.

Anywho, I was so upset I asked to change workout groups. Then I realized, screw that. This woman needs to see what a depressed person looks like – someone who can work out, someone who can be happy but have terrible days. And she needed to hear me talk about my depression over and over again. She needed to listen and needed to be educated. And hopefully, she has been. But the point of this story was that while thinking positively is helpful, you can’t think yourself happy when you’re depressed. Alternative therapies certainly can help but if you could cure yourself with happy thoughts then nobody would be in my predicament. Suicide wouldn’t be the 10th leading cause of death in the U.S.

I also want to address people who pinpoint one thing you’re doing and assuming that’s what’s causing your depression. If you are suffering and reading this, please let this be your takeaway: You are not causing your depression. You are not doing anything to cause it. You are mentally ill because of your brain chemistry and that’s not your fault either.

Here are some things that “cause” my depression, mind you some of them can make it worse depending on the person. These things have also been the “cause” of my migraines, too. What do you know!

Diet Coke, carbs, not enough sunshine, not enough exercise, not eating healthily, not eating enough, eating dairy, too much sleep, not enough sleep, negative thinking, carbs again and drinking out of plastic.

I also need to try crystals(?), essential oils, meditation (which actually does help me with anxiety), thinking myself cured and something about putting a banana peel on my forehead.

I’m always polite with the suggestions and maybe I should just tell people there is no cure. It’s a disease, I keep repeating myself but it’s unlike any other disease. If I had Type 1 diabetes, I don’t think anyone would list any of the options above. Surely, people know that you’re not responsible for causing diabetes, that you need medication to live and it’s nothing you can cure yourself of. Surely.

To sum this up, no matter what you can’t give yourself depression. Nothing you’re doing can cause depression. It’s not your fault, I promise on Diet Coke and carbs.

 

 

 

 

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