I’m in a pretty dark place today. The past few days have really done a number on me.
I know I’m not alone. I know that. And neither are you.
#nationaldepressionscreeningday #mentalillnessawarenessweek #youarenotalone
I’m in a pretty dark place today. The past few days have really done a number on me.
I know I’m not alone. I know that. And neither are you.
#nationaldepressionscreeningday #mentalillnessawarenessweek #youarenotalone
Before I sat down to write this today I was planning on doing another Vlog. (Note: I actually wrote this and intended to post it yesterday before I found out that Facebook and Instagram had both crashed!). I thought I needed to maybe hear my own voice again today but I’m just too vulnerable right now and so I wrote my words out instead.
My Psychiatrist increased my new medication again late last week with the intent to get it to a therapeutic dose soon. It’s an anti-anxiety medication which I mentioned I would be starting a few weeks ago. As of yet I can’t say that it’s really been helping me. So for now I will just add it to the long list of failures.
Yesterday was a pretty bad day all around for me. My anxiety was very high which then turned to panic, crying, rumination and an increased amount of thoughts of death and dying.
As I also mentioned recently my Psychiatrist had put a plan together for me when we spoke a few weeks ago. It included this new anti-anxiety medication and it also included treatment for Ketamine…AGAIN which has been scheduled to start early next week.
So for those of you who don’t know what Ketamine is I will give you a quick explanation here. For starters, it’s actually a very potent and sometimes deadly street drug known as “Special K”. It is also apparently used as a horse tranquilizer but most commonly it is found in anesthetic.
I’m not gonna bore you or put you through a science class today but people living with Depression are known to have “abnormal brain plasticity”. Continued studies and research have shown that using Ketamine can help to remove the “negative receptors” in our brain and then it like “plants a seed” in your brain which allows for new “neuropathways” and positive neuroactivity to grow and flourish.
Studies have shown that by using Ketamine to treat Depression there has been a 60% success rate so far and unlike anti-depressants it is supposed to work faster and more effectively.
Now let me go back for a second here and explain (for those who may not already know) what I meant before when I said I am scheduled to begin Ketamine treatment…AGAIN.
Several years ago during an inpatient stay at Sunnybrook Hospital I was asked to take part in a Clinical Trial for Ketamine. I had never heard of it before but I was the perfect candidate though because it is used mostly on patients who suffer with Treatment Resistant Depression like I do. I happily and very naively agreed to try it. I figured I had nothing else to do seeing as I was in the hospital anyways.
I filled out a ton of paperwork, spoke in depth and several times with the Psychiatrist in charge of the study. I filled out many questionnaires with his Associates. After I was given approval to begin the study I was scheduled to start the 1st of 6 treatments the very next day.
They told me during the initial consult that the Ketamine would be administered through an IV and that I would have to lay there in the OR attached to an IV drip for 45 minutes and then kept for observation for another 30 minutes following. Before we began the process I asked the Anesthesiologist if I would feel anything. He said you may feel a bit woozy.
Well woozy was an understatement because for the next 45 minutes I lay on the cold table hallucinating, feeling disassociation and seeing psychedelic images flash before my eyes. It felt like a complete out of body experience with flashbacks as far back as my childhood.
I hated every bloody second of it and couldn’t wait for it to be over. The next day I met with the Psychiatrist to discuss how it went and we both agreed it was probably best that I don’t continue with the study. Another epic fail.
Now let’s fast forward to March of 2020. My current Psychiatrist happens to be the Medical Director of 2 Ketamine clinics in the GTA and has studied it’s effectiveness on Treatment Resistant Depression for several years now.
Back in February or March of 2020 (everything is kinda a blur now) we began another discussion surrounding Ketamine and he asked me if I would be willing to try it again as with more scientific research and studies conducted it was now available in a nose spray form. And less invasive.
He told me he would administer the 1st dose in his downtown office at the hospital he works out of to ensure I tolerate it and that the following 5 doses could be picked up at a local compounding pharmacy and be administered under the supervision of my husband in the comfort of my own home.
I agreed to try it AGAIN cause well, I try almost everything at least once when it’s come to my treatment or in this case twice.
We were scheduled to begin the 1st treatment on March 15th 2020 at 6:00 p.m. It never happened. And if you have been following my journey very recently I kinda just let things slide from there once the pandemic hit.
As most of you know though I reconnected with my Psychiatrist a few weeks ago at which time he told me that patients were no longer allowed to administer the nose spray at home. The whole idea had been kiboshed over the past year as research had shown that it was a liability and quite dangerous to do so. But I guess it’s OK because since March of 2020 Ketamine is now available in an even less invasive form, a pill which is dissolvable under the tongue but still can only be administered under the watchful eye of a doctor/nurse.
So I guess as they say, three times a charm as I have agreed to try it…AGAIN. The six sessions are to be completed at a clinic in Toronto (there is also a clinic in Mississauga too). Each session will take between 2 to 3 hours from start to finish to complete and I am not allowed to drive home afterwards. They actually recommend you don’t drive for 24 hours following. The sessions will take place twice a week for two weeks and once a week after that.
Although I’ve agreed to try it again given I feel like I’m running out of both viable options and steam, but I have been told by my doctor that I am very likely to still feel those same hallucinations and disassociative feelings that I don’t like. I’ve done many other treatments and have tried many hallucinogens over the last several years. I don’t like feeling as though I’m tripping out on LSD.
I’ve been consumed with very negative thoughts for several days now (surprise, surprise) since booking my treatment. I’m experiencing extreme anxiety and feelings of overwhelming guilt and lets not forget those feelings of being a burden that weigh me down too. I’m questioning my decision to do this again for many, like OH MY GOSH, too many reasons.
For one, it’s still very new and likely not to be a forever cure from what the current research shows. I will very likely need to continue on some type of maintenance program after the six sessions are done. But like how long term? And does anyone even know what the long term effects of it could be, especially cognitively. As it is, I did ECT (Electroconvulsive Treatment) several years back. Probably the most invasive and scariest treatment I’ve done. The eight treatments I did fucked me up royally. It fried my short term memory, my ability to recall many things and I find myself often forgetting what I was talking about mid…sentence.
But at the same time Psychedelics seem to be the wave of the future for treating mental illnesses and especially for people like myself who are treatment resistant. I’ve even tried “shrooms” in a pill form, but couldn’t tolerate the hallucinations it caused, although my Psychiatrist is also currently working on many new studies and its amazing effects on Treatment Resistant Depression as we speak.
I’ve tried so many different treatments over the past seven years and how I see it, I have failed them all, many of which have cost a shitload of money because they were not covered by either Ohip or insurance, Ketamine now included. I wish I could understand why if there is such a need for these treatments and Ketamine for one has one of the highest success rates among all treatments including anti-depressants then why has it not yet become part of the mainstream health care system so that more people can have access to it? I know, dumb question.
It’s an expensive treatment, especially if it becomes ongoing. It’s an expense we really can’t afford at the moment and just adds to the extraordinary guilt I already live with on a daily basis. The “what if” I’m not part of that 60% success rate, the “what if” yet another attempt fails and we throw away even more money that we don’t have. How can I live with that on my conscience?
The answer is, I can’t.
I’ve carried on and on AND on the last few days with all the other reasons as to why I also shouldn’t do it as well and feel like a burden yet again to my family by having to take me and sit with me for 2 to 3 hours (plus the 30 plus minute drive there and back) while I have my treatments.
These are very real struggles for me which of course my Psychiatrist tried to remind me the other day as I rambled on about all my reservations that I’m having that it’s my Depression talking and that my Anxiety is happily cheering him on. I can’t let them win.
But it’s so fucking hard though and the noises in my head are loud as hell. It’s literally killing me.
They keep telling me I don’t deserve to live a life free of chronic Depression, debilitating Anxiety and daily thoughts of Suicide. They keep telling me I’m just gonna fail at this attempt too. They keep telling me to give it up already and that I’ve already used up my many chances at recovery over and over AGAIN. Like why would this time be any different?
Thanks for listening to me today. I so appreciate the extra set of ears. Somedays the best medicine is just knowing that someone is there listening to my very real and terrifying emotions with only the purest of intent.
#ketamine #empathy #education #treatmentresiatantdepression #mentalillness #mentalhealth #depression #anxiety #itsoktonotbeok #youareenough #maskoff #psychiatrist #psychiatry #acceptinghelp #threetimesacharm #selfcare #youmatter #youareenough #yourmentalhealthmatters #mentalillnessawarenessweek
Many of you probably saw the pics I posted last night.
Our whole family out for dinner celebrating Rachel’s 19th birthday; the first time in a very long time.
Everyone smiling, laughing, eating, drinking, taking selfies and being present in the moment.
But the pictures didn’t capture everything. They just caught a glimpse of it.
What they didn’t capture was the very real and very painful reality of my illness. The reality and pain that follows me wherever I go no matter what the occasion is, especially lately.
My illness loves to suck the joy out of any occasion to be honest, even the happiest of ones.
By mid afternoon yesterday I could feel my anxiety becoming more and more intense and my sadness building deeper and deeper.
There was no reason for it really. None. Nada. Nil. Zilch. But my illness will tell you otherwise.
By the time we got to the restaurant and settled down at our table I had reached my breaking point. I was so completely overwhelmed with emotion.
Rich could see the build up happening from across the table but it was too late.
Just looking at the menu became incredibly burdensome.
There was nowhere for me to hide.
I did everything in my power to stop it from escalating into a full blown panic attack. I took several deep breaths. I reminded myself that everything was okay, that everyone was okay. I looked around the table and heard the sound of laughter. I noticed the biggest smile on my birthday girl’s face.
But none of that seemed to matter because moments later the panic erupted and before I knew it I was inconsolable. All eyes were suddenly on me.
My kids were left wishing they could somehow crawl under the table. I was left feeling like the worst mother in the world.
There was no reason for any of it really. None. Nada. Nil. Zilch. But for some reason my illness felt otherwise.
And your kids think you embarrass them!
#whatthecameradidntcapture #behindthemask #themanyfacesofdepression #inconsolable #panicattack #anxiety #depression #suicideprevention #suicideawareness #familymatters #nowheretohide #itsoktonotbeok #youarenotalone #yourmentalhealthmatters #youareenough
I spent this afternoon warding off a wicked headache while doing my best to relish in the final moments of my weekend “time-out”.
But when you live with Depression and Anxiety, often the simplest things or the simplest tasks feel way too overwhelming.
Most of the things I plan for in my week honestly never get done, even the ones which bring me joy.
Whether it be preparing a meal for my family, doing a load of laundry, a coffee break with a friend (I don’t actually drink coffee though) or making a quick trip to the grocery store has me crippled with fear.
I become paralyzed.
Frustrated, angry, anxious, sad.
I tell myself I will try again tomorrow.
I move things around on my calendar almost daily, even if it’s to remind myself to call a friend back who probably left me a message 3 days earlier.
I promise myself I will do it tomorrow for sure.
And then tomorrow comes and everything goes out the window once again and instead I end up reminding myself how worthless I am, how useless I am, how burdensome I am and how much better off everyone would be without me.
Today there are no scenic #summerofrich pictures of waterfalls or the beauty of nature to show off, instead today you are seeing a picture of me doing something else.
Something else that brings me as much joy as going for a hike in nature or taking in the beauty of a waterfall.
Something else that brings with it a sense of calm just like when I’m out exploring nature or taking in the beauty of a waterfall.
But I didn’t do it alone, I couldn’t do it alone as much as I’ve tried to for many weeks now. It’s paralyzing. It’s as though my car is paralyzed too.
Over the last few years reading has become an important part of my self-care regime and call me old-school but I much prefer to go to a bookstore than order a book online.
When I enter a bookstore I feel like the world around me is put on pause. I’m suddenly in a world of imagination and make believe. I can get completely lost in the moment as I slowly stroll up and down each aisle, sifting through the pages of someone else’s story.
It’s such a magical way to spend a “time-out”.
#timeout #reading #bookstores #mentalwellnes #mentalhealth #metime inthemoment #yourementalhealthmatters #youareenough #itsoktonotbeok
I am beyond overwhelmed with so much gratitude from all the beautiful and heartfelt messages of love and support I continue to receive on a daily basis from all of you. And the check ins are so incredibly appreciated.
I am especially grateful right now knowing that my platform is reaching so many people from all across the Globe and that by me sharing my personal journey with all of you is giving permission to someone else like myself to have a safe place to turn to when they are looking for support for themselves or may be in dire need of a shoulder to lean on, a listening ear; without judgment and some reassurance that they are never alone.
But at the same time I am also so incredibly sad knowing just how many people, whether it be a stranger or someone I know that are out there suffering in silence.
But I love helping others and helping others really helps me too.
Even when I’m at my lowest.
This week has been excruciatingly painful for me as you probably know by now (if you missed my Vlog yesterday please feel free to check it out).
I can honestly say that I have no more tears left in me.
I am beyond overwhelmed, I feel empty inside and emotionally defeated.
So I have made myself a promise that I am going to do my best to treat this weekend as a “time out” for myself and I guess the “timing” couldn’t be better because for the first time in over 18 very looooong months the kids will all be gone for the weekend.
Taking care of me will be my top priority this weekend which will include our first #summerofrich “Fall Edition” of the season but first up on the agenda tonight is also another “first” in over 18 looooong months; Date night with Rich at my favourite restaurant using the gift card I received for my birthday (which was 3 months ago already) from a couple of my many beautiful friends. I guess I’ve been holding on to it for that perfect moment.
#timeout #selfcare #youarenotalone #yourmentalhealthmatters #depression #anxiety #suicidalthoughts #suicideawareness #suicideprevention #iseeyou #ihearyou #ifeelyou #advocate #blogger #checkonyourlovedones
*May be triggering*
Today I couldn’t get the words down on paper and so I thought maybe hearing my own voice could help remind me “not today” and help someone else feel hope that tomorrow could actually be a better day afterall.
If you or someone you know is in crisis right now please reach out for help immediately.
#hearingmyownvoice #youareenough #youarenotalone #suicideawareness #suicideprevention #thesilentkiller
Doing what I can today to focus on the beauty that surrounds me;
One moment at a time,
One step at a time,
One breath at a time.
#lastofficialweekendofsummerofrich2021 #fallisalmosthere #changeofseasons #beautywithin #atacrossroad #ontarioisourstodiscover #niagaraescarpment #chasingwaterfalls #beamermemorialconservation #mentalhealth #mentalwellness #justbreath #suicideawareness #itsoktonotbeok #imnotokay #youarenotalone #youareenough
Funny, smart, giving, genuine, sensitive and beautiful inside and out.
Happy birthday Princess Hannah Banana.
Your dad and I are both so honoured and proud to watch as you grow each and every day into a strong, independent, hard working, kind young woman with a heart of gold.
Keep reaching for the stars and never stop being you.
#happybirthday #twentytwo #ourprincess #ohtheplacesyoullgo #neverstopbeingyou #loveyoutothemoonandback #foreverandaday #middlechild #hannahmontana #hurricanehannah #keepreachingforthestars #thebestsurpriseever
Fact: Most people who take their own life don’t really want to die, they just want to stop hurting.
So then what is the alternative when your pain is just too unbearable to handle and you feel so hopeless? Or helpless? Or empty inside? Or you can no longer live in the skin you’re in?
These are all questions I’ve asked myself over and over again for many years now. I’ve attempted suicide before and every time there has always been a voice inside my head begging me to stop or telling me that perhaps today may not be the perfect day to carry out my plan afterall and then they silently pray that I haven’t gone too far this time.
The last few weeks have been some of the most trying and horrifyingly scary days for me and for many of my loved ones as well.
I have been consumed with active thoughts of suicide, day and night and way more than usual. That voice inside my head has been watching me closely, as have the demons as well. The voice has been listening to me come up with a perfect plan and doing everything in its power to distract me from the demons in my head who keep egging me on while dangling a bottle of pills in front of its face.
Yesterday felt too much, once again. I knew I felt unsafe and Rich could sense it. He asked Hannah to drive me to the hospital as she was the only one home with me at the time. I did what I’ve had to do many times before when the pain is just too unbearable. When I feel most hopeless and helpless and empty. I seek safety.
The emergency room doctor I spoke with was kind and supportive. She put me on a Form 1 which panicked me and meant that I could not leave the hospital for my own safety which also meant having security guards standing outside the room I was in for my own safety.
After spending some time with the doctor she put in a request for the Psychiatric team to come talk with me further and figure out a plan.
The Psychiatrist was a gentle and very understanding soul. We talked in length about what’s been going on, some of my history and of course whether or not I should be admitted to the Psych floor for further observation.
Here’s where things get more complicated for me and besides the panic of having my phone taken away from me while in-patient this is where I begin to tell myself again, it’s hopeless because I’m helpless.
I have not been on meds for my depression for several years now. They have not worked for me, all twenty plus of them. Infact most of the meds caused further damage both mentally and physically.
From my experiences with in-patient Psychiatric care it mostly comes down to medication and finding a balance that could potentially help me find my balance. I won’t do it again. I tried for many years and it just led to a further diagnosis of Treatment Resistant Depression.
Since my last visit to emerg a few weeks ago (where I thought I’d give the new hospital close to my home a try, but never again!) I have been waiting for an appointment to see my Psychiatrist I’d been with since before the Pandemic began. In fact it was March 15th 2020 that I had a scheduled appointment to see him and for him to begin a new treatment with me. It was cancelled and I just stopped going. I got anxious about going especially to the one hospital in Toronto that was consistently on the news for the amount of Covid outbreaks they were having.
It’s now been over a year since seeing him, so I needed my GP to fax another referral to him. I haven’t heard anything as of yet and as I began to spiral even further over the past few weeks since my last visit to emerg I stopped caring because the hopeless feelings, the helplessness, the emptiness made me believe there was just no point anymore in trying because aside from all the medications, I’ve also tried probably 50 other types of treatments as well. You name it, I’ve done it. So why would this treatment be any different?
Well the Psychiatrist I spoke with last night came up with a plan with his team for me regardless of me telling him I’m helpless because he was certain that I’m not. He also told me that whenever I feel like I did yesterday or days previous that I am always welcome to come in just to sit in a quiet room and speak with their team and just get through the moment.
He made me promise to continue to reach out to my safety net as well when I am at my breaking point. He also said something to me that I haven’t been able to get out of my head right before he agreed to cancel my Form 1 and release me from the wolves standing on guard outside my door.
I had told him during our initial conversation how I have found purpose in writing and blogging and educating people on mental illness and advocating for others who are just like me to do whatever is needed to seek care. He told me it’s a wonderful thing that I am doing for others, and very selfless and important and much needed work but he then said “But now it’s time that you start advocating for yourself as well”.
This he said, includes (with the help of Rich and my GP) that I get in touch with my Psychiatrist immediately to reinvoke our plan from last year and that I make sure to follow up with my GP on the plan he will be forwarding to her today as well for her to distribute a new anti-anxiety medication to me and to refill the sleeping pills he gave me which Rich will once again be burdened with to keep in a safe place and distribute them to me.
Thank you all for your continued love and support. My apologies for not getting back to each one of you individually who took the time once again to comment on my posts or send me words of encouragement to me privately. I am overwhelmed right now and allowing myself to heal today in private.
As ere of Yom Kippur (the holiest day of the year in the Jewish calendar) begins this evening I am praying to find forgiveness within myself and will take this time to reflect on today in order to find the beauty in tomorrow.
#thankyou #suicideawareness #suicideprevention #advocacy #mentalhealth #depresionkills #anxietyisreal #suicidalthoughts #youarenotalone #youareenough #itsokaytonotbeokay #today #thebeautyoftomorrow #overwhelmed #reflection #yomkippur #forgiveness
Somedays hurt more than others, but I’m trying, I’m really trying to endure the pain.
Somedays are harder than others, but I’m trying, I’m really trying to get through today.
Somedays the demons in my head are relentless, but I’m trying, I’m really trying to silence them.
Somedays I’m just too exhausted to keep fighting, but I’m trying, I’m really trying to see the beauty in tomorrow.
I’m trying, I’m really trying.
Because I know I am loved.
#youarenotalone #dontsufferinsilence #itsoktonotbeok #mentalhealthcheckin #mentalhealth #depression #anxiety #suicideprevention #checkonyourlovedones