Ask a Provider

I’m the Office Manager of Treasure Coast Ketamine in Vero Beach, FL. I’m here to answer any ketamine questions from a clinic’s perspective. Ask away…

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Welcome! Actually, “Ask a Provider” seems like a great idea for a new category…

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This is a great thread.

Here’s a question: for those of us with a diagnosis of MDD, do you see an average time between infusions for the patients? Caveat, of course, that every one of us is different.

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That’s a great question. After the initial protocol the average patient returns for the first booster at around 4-6 weeks. We do have a few that come in as soon as 2 weeks, and some that go a few months. It really does depend on the the level of depression, other therapies, and environmental factors. The frequency of boosters is also very individual. The ultimate goal should be to not need boosters. That’s why continued counseling and lifestyle practices are an important part of the treatment plan.

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My PCP was very supportive of my infusions. It really help in making the leap into therapy easier.

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How do you get out of just the psychedelic crap. I can Never focus on why I’m depressed or what I should Be trying to fix while under. Any suggestions for this?

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Not quite sure what you’re asking, Shellery. When you refer to “psychedelic crap”, I’m wondering if the psychedelic aspects you’re referring to are in fact an avenue to the healing that some are seeking so desperately, since psychedelics for depression have been found to be efficacious with mushrooms, ayahuasca, and LSD as well. The research is out there.

When I go Under all I usually only see a lot of colors and patterns. But I never Seem to focus on the stuff that I’m having issues with. So I wondered How other people can focus on what’s going on in their life. Because I have seen a lot of comments about working through their problems while under. If they had advice. Thanks.

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It’s sometimes tough to keep focused on something you want to deal with when you’re under a barrage of visual and psychic stimuli. I guess that I might suggest that a certain amount of familiarity with the psychedelic experience is necessary before you can really begin work to use it to your advantage. But what do I know? You’ll have to draw your own conclusions based on your own experiences, like we all do. Good luck on it…

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Colors and patterns sounds pretty normal to me - in terms of what I experience. As far as working on things during the infusion… the experience is too strange and intense for me to do anything but try to repeat words or phrases to myself. I usually repeat things that I want myself to do or feel -“I am safe” “let go” “release” “I am healing “, etc. Hope that helps!

Good Question! There’s no need to focus much energy on fixing anything while you are under. The medicine will do its job. However, we find having a 30 minute session with a psychedelic integration specialist before and after each session does amplify the effectiveness of the medicine.

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I’ve learned to focus on what my minds eye is seeing and focus on all of my senses. I use slow steady binaural music and focus on how my body feels. I have done 13 total infusions over several months and each one I find I can focus more and actually have more control over my thoughts while experiencing a deeper psychological experience. My last infusion I experienced a weird but wonderful experience of the words “Nothing Matters “ and they had a pleasant taste and smell associated with them while looking like they were iron material riveted together like an old iron bridge. That was definitely a first and it stuck with me while most thoughts don’t. Just to be honest I’ve went from holding a gun to my head to making plans for the future. Sorry for being that heavy,but it’s saved my life.

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Ant,
It has saved my life also. Just wondered if I could Get better and better if I knew How to change it up. So glad you are still with us.

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I have found that if I talk about something that is profoundly disturbing or good the day before or right before the infusion I tend to see it or have a short thought about it, but it seems it only lasts for a few seconds. I’m learning from information and books that I have watched and read that this can be your subconscious mind actually making memories within a thought and you can control the way you think about those memories if you want to. It is up to you to set boundaries and controls of your memories and thoughts by daily practice which becomes everyday life. During infusions I learned to have short thoughts and questioning of what I’m seeing and feeling. Usually it is hard to think about full thoughts and process them. I find it to be impossible actually. It’s what you do with your feelings after you get infusions. I will have a slump 1-3 days afterwards but that’s when you have to control more thoughts of positive over negative or what is or have been good in your life over the bad. This can be tricky because the little bits of good is actually as important as any bad.

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I have a question related to this one. I had the initial series, then came back monthly and was doing well. I went out East to be with my mom for a few months. She has Alzheimer’s. While there I had a big drop and some suicidal ideation. My clinic sent troches to me and I started back up with infusions. Do you think I should redo the initial series or something like it? I’m in a very dark depressive place. Thanks in advance

Gingersmom, You may need more than one booster to get back on track, but you probably won’t need a full 6 if you’ve only been a few months without a booster. We have had a few patients experience similar situations. Usually, we are able to get them back on track with 1 or 2 boosters spaced close together, and troques. The most important thing is to have good communication with your provider.

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Thanks for your answer. I’ve used troches and had infusion last week and tomorrow. I’m trying to stick with my routine and keep working the process. :crossed_fingers:

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I have my first infusion in about 2.5 weeks. I struggled with major depression and I’m dealing with suicidal thoughts and ideation. I am taking the steps suggested by the dr but I am struggling just to do what I absolutely have to do. Is there anything that can help in the time prior to my first infusion? I’m getting exhausted, everything is so difficult. I have been fighting this since I was very young and I’m getting so tired of of working so hard to appear ok.

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For me, deep breaths and force myself tomorrow relax and be as open as I can. After which for me memories and emotions flood in. Well wishes on your journey

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Kevin, I’m sorry you have to wait so long. Is there any way, your provider can take you sooner? Please, continue talking with your counselor about your struggle. Keep reminding yourself that you will be feeling better soon. Walking is proven to be beneficial to mental health, as is exercise and meditation. If there is a place near you that does IV Nutrition, a B vitamin injection may also be helpful. Many people with treatment resistant depression are also deficient in B6 and B12. Please, please, please don’t take action on your thoughts. Call 800-273-8255 if your suicidal thoughts persist, and/or your local 911.

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