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Trigger Warning Ketamine sessions might me worth it? Last years have been rough on me

xannyhead

Bluelighter
Joined
Jul 31, 2017
Messages
133
I’ve had a complicated relationship with drugs for a few years. Cannabis became a daily habit for a long period, but benzodiazepines were ultimately the bigger problem for me. There were also periods where I mixed other drugs into the picture, including cocaine, and at my worst my use was seriously affecting my anxiety, cognition, studies, work, and ability to function normally. What started as something I could rationalize eventually became something I clearly wasn’t controlling very well. My DOC were weed (a lot; spending almost $4k a month on it), benzos (clonazepam, alprazolam, lorazepam and diazepam, in that order - sometimes, mixing kpins with xanax and baclofen/prometh/hydroxizine) and, whenever I could put my hands on it, oxycodone (was never really hooked on it, but it sure is the best feeling I've experienced).

Eventually I went to rehab, mainly because of the benzos but also because of my overall relationship with drugs. I spent 28 days at a very expensive rehab in LA (almost $100k; im not rich like that so that made me feel sort of guilty that I had put myself in a position that made my family spend that tipe of money on me due to self inflicted problems). I managed a meaningful period completely sober afterward, but since leaving treatment I’ve had several lapses—first with cannabis and later with benzos as well (more specifically, got high on THC 5 times and took 2mg of klonopin once). That has probably been the hardest part psychologically: spending so much time, money and effort on treatment and then realizing that rehab didn’t magically remove the part of me that still wants to use when I’m stressed, anxious or simply craving the feeling.

I also got out of rehab with a new "diagnostic hypothesis" for CPTSD. Also, diagnosed with GAD and ADHD. I've done coke probably half a dozen times only, and after one coke binge my former doctor suspended my vyvanse script. Ever since then, I havent got shit done, it feels impossible to graduate from college (I'm 24 already). I'm not sure where the CPTSD could have come from, genuinely. I've had a wonderful childhood, but relatively rought teenage years (anti-social, not very popular at school) and drug abuse that started in my 20s.

I’m still trying to figure out what recovery actually looks like for me long term. I don’t want to reduce my entire identity to being an “addict,” or a psichyatric patient, but I also don’t want to keep minimizing a pattern that has already caused real consequences in my life. I’m posting here partly because I’m interested in hearing from people who have gone through treatment, relapsed afterward, and eventually found a way of making recovery sustainable rather than just cycling between abstinence and relapse.

Thank you for reading
 
I’ve had a complicated relationship with drugs for a few years. Cannabis became a daily habit for a long period, but benzodiazepines were ultimately the bigger problem for me. There were also periods where I mixed other drugs into the picture, including cocaine, and at my worst my use was seriously affecting my anxiety, cognition, studies, work, and ability to function normally. What started as something I could rationalize eventually became something I clearly wasn’t controlling very well. My DOC were weed (a lot; spending almost $4k a month on it), benzos (clonazepam, alprazolam, lorazepam and diazepam, in that order - sometimes, mixing kpins with xanax and baclofen/prometh/hydroxizine) and, whenever I could put my hands on it, oxycodone (was never really hooked on it, but it sure is the best feeling I've experienced).

Eventually I went to rehab, mainly because of the benzos but also because of my overall relationship with drugs. I spent 28 days at a very expensive rehab in LA (almost $100k; im not rich like that so that made me feel sort of guilty that I had put myself in a position that made my family spend that tipe of money on me due to self inflicted problems). I managed a meaningful period completely sober afterward, but since leaving treatment I’ve had several lapses—first with cannabis and later with benzos as well (more specifically, got high on THC 5 times and took 2mg of klonopin once). That has probably been the hardest part psychologically: spending so much time, money and effort on treatment and then realizing that rehab didn’t magically remove the part of me that still wants to use when I’m stressed, anxious or simply craving the feeling.

I also got out of rehab with a new "diagnostic hypothesis" for CPTSD. Also, diagnosed with GAD and ADHD. I've done coke probably half a dozen times only, and after one coke binge my former doctor suspended my vyvanse script. Ever since then, I havent got shit done, it feels impossible to graduate from college (I'm 24 already). I'm not sure where the CPTSD could have come from, genuinely. I've had a wonderful childhood, but relatively rought teenage years (anti-social, not very popular at school) and drug abuse that started in my 20s.

I’m still trying to figure out what recovery actually looks like for me long term. I don’t want to reduce my entire identity to being an “addict,” or a psichyatric patient, but I also don’t want to keep minimizing a pattern that has already caused real consequences in my life. I’m posting here partly because I’m interested in hearing from people who have gone through treatment, relapsed afterward, and eventually found a way of making recovery sustainable rather than just cycling between abstinence and relapse.

Thank you for reading
Ended up forgetting to even mention anything about the title, but I was wondering if ketamine/esketamine treatment would be beneficial for me, since I've resisted to multiple treatments (zoloft, prozac, mirtazapine and lexapro). I'm currently on 10mg of lexapro, 150mg of pregabalin and 300mg of bupropione. Its been almost 3 months since I began this treatment and I don't think I'm where I would've expected to be mentally.
 
Ended up forgetting to even mention anything about the title, but I was wondering if ketamine/esketamine treatment would be beneficial for me, since I've resisted to multiple treatments (zoloft, prozac, mirtazapine and lexapro). I'm currently on 10mg of lexapro, 150mg of pregabalin and 300mg of bupropione. Its been almost 3 months since I began this treatment and I don't think I'm where I would've expected to be mentally.
Hey bud, I can offer some thoughts and questions:

The benefit to ketamine treatment is that while we all know it can be a recreational drug, using it within a therapeutic context is different. You're not using it to 'get high', you're using it in an intentional setting with a clinical professional and working towards treatment goals. The simple cognitive shift of viewing it as treatment instead of fun, and the accountability that comes from it being administered by clinical professionals, can help you to get more benefit from it.

I'd also ask - are you in psychotherapy and if so, have you been able to discuss your substance use in an honest way. Having a trusted clinician that knows you and who you feel comfortable being open with is really helpful. Just being able to open up without fear of judgement or criticism while also being held accountable and challenged on irrational or unhelpful thoughts/behaviors is key.

You're early on in your journey into recovery - 3 months can feel like forever even though it's not. The main thing with recovery is this: it's a perspective shift - it's about working towards improving yourself and making choices, internalizing perspectives, and working on self-awareness, in an effort to accept and get better. Psychopathology isn't something that has to stay with you forever - often we are impacted by negative experiences and cope with them in ways that aren't ideal. These coping strategies lead to irrational patterns that become part of our persona overtime. The goal is to learn how to cope in ways that help us to be more whole, rather than hiding/avoiding/running from the things that have impacted us negatively.
 
Hey bud, I can offer some thoughts and questions:

The benefit to ketamine treatment is that while we all know it can be a recreational drug, using it within a therapeutic context is different. You're not using it to 'get high', you're using it in an intentional setting with a clinical professional and working towards treatment goals. The simple cognitive shift of viewing it as treatment instead of fun, and the accountability that comes from it being administered by clinical professionals, can help you to get more benefit from it.

I'd also ask - are you in psychotherapy and if so, have you been able to discuss your substance use in an honest way. Having a trusted clinician that knows you and who you feel comfortable being open with is really helpful. Just being able to open up without fear of judgement or criticism while also being held accountable and challenged on irrational or unhelpful thoughts/behaviors is key.

You're early on in your journey into recovery - 3 months can feel like forever even though it's not. The main thing with recovery is this: it's a perspective shift - it's about working towards improving yourself and making choices, internalizing perspectives, and working on self-awareness, in an effort to accept and get better. Psychopathology isn't something that has to stay with you forever - often we are impacted by negative experiences and cope with them in ways that aren't ideal. These coping strategies lead to irrational patterns that become part of our persona overtime. The goal is to learn how to cope in ways that help us to be more whole, rather than hiding/avoiding/running from the things that have impacted us negatively.
Thank you for the answer.

Yes, I am in psychotherapy and have largely discussed the issue. My therapist knows I went to rehab and we had remote sessions while I was there, since I don't even live in LA. What bothers me is the feeling I should be in a much better state of mind considering the meds I'm on. Also, the fact that my ADHD is not being treated only worsens the problems. I was doing very well on vyvanse 30mg, but now I'm on bupropione for fucks sake. I don't really see any benefits and am thinking about giving atomoxetine a chance, since my doctor highly approves it. I only refused it because it takes way too long to work and I needed some focus before a test. But now I'm really seeing that untreated ADHD is making my depression and anxiety worse.

I'm also thinking about asking my doctor to increase my lexapro from 10 to 20mg, because the improvement was really mild. The only med that seems to be doing its job is the trazodone I take to sleep (100mg). The diazepam for SOS situations was supposed to be suspended and I was supposed to be taking fucking pregabalin as SOS which is beyong ridiculous for someone with GAD - I still have 25 5mg diazepam pills. I always get anxious on weekends since I'm not allowed to leave my house - my friends havent seen me since june, I'm running out of excuses (no one knows I went to LA to get clean, or that I was abusing drugs for all they know), I can't do shit. I had sex one time since I left rehab. And due to my relapses, this chick cant see me anymore (my family thinks that she was bringing me weed, which is ludicrous because I relapsed with a THC pen my family had not found because it was very well hidden), and depression is creeping in heavily again, and I'm running out of options when it comes to antidepressants, thats why im considering ketamine, although I'm very very sure that my relatives and doctors wont allow it since im a junkie (not super junkie but I cant seem to get my mind of drugs, specially THC).

Tbh, I dont know if a no tolerance policy is the best or if harm reduction could be the way. This is a hipothetical of course no one will allow it. I still think I should be allowed at least one joint per weekend, that would make me feel much better about life in general. Sorry if Im just venting here, im really pissed. At myself, doctors, family. I do not talk to anyone, am beginning to lose intimacy with friends, cant smoke weed, cant pop pills (I dont want to, im just saying. The weed I do want to smoke). I also have suicidal thoughts but obviously would never put my family through that, specially my little brother. All of this just cuz I cant have a modest joint on a saturday. Im also being drug tested weekly on mondays,

*I even thought about changing it to saturday morning in order to be able to smoke weed on saturday nights and still test negative. Btw, can anyone tell me if thats a safe strategy? I would really appreciate it*


At the sime time, I do feel bad for the huge amount of money spent on me and I still want to smoke weed. No benzos though. Whenever I get an urge to pop benzos, I pop like 50-60mg of baclofen with 450mg of pregabalin and that takes the edge off for me and these drugs are not being tested for so my piss will still be clean. I have not smoked weed in over 10 days now and my largest streak after 4 years of daily use was 58 days. This year, the most amount of time was 51 days (including 28 days in rehab).

And I will test positive for amphetamines tomorrow because I took vyvanse to study yesterday (Yay!). Im fucked guys. Again, sorry for venting.
 
I’ve had a complicated relationship with drugs for a few years. Cannabis became a daily habit for a long period, but benzodiazepines were ultimately the bigger problem for me. There were also periods where I mixed other drugs into the picture, including cocaine, and at my worst my use was seriously affecting my anxiety, cognition, studies, work, and ability to function normally. What started as something I could rationalize eventually became something I clearly wasn’t controlling very well. My DOC were weed (a lot; spending almost $4k a month on it), benzos (clonazepam, alprazolam, lorazepam and diazepam, in that order - sometimes, mixing kpins with xanax and baclofen/prometh/hydroxizine) and, whenever I could put my hands on it, oxycodone (was never really hooked on it, but it sure is the best feeling I've experienced).

Eventually I went to rehab, mainly because of the benzos but also because of my overall relationship with drugs. I spent 28 days at a very expensive rehab in LA (almost $100k; im not rich like that so that made me feel sort of guilty that I had put myself in a position that made my family spend that tipe of money on me due to self inflicted problems). I managed a meaningful period completely sober afterward, but since leaving treatment I’ve had several lapses—first with cannabis and later with benzos as well (more specifically, got high on THC 5 times and took 2mg of klonopin once). That has probably been the hardest part psychologically: spending so much time, money and effort on treatment and then realizing that rehab didn’t magically remove the part of me that still wants to use when I’m stressed, anxious or simply craving the feeling.

I also got out of rehab with a new "diagnostic hypothesis" for CPTSD. Also, diagnosed with GAD and ADHD. I've done coke probably half a dozen times only, and after one coke binge my former doctor suspended my vyvanse script. Ever since then, I havent got shit done, it feels impossible to graduate from college (I'm 24 already). I'm not sure where the CPTSD could have come from, genuinely. I've had a wonderful childhood, but relatively rought teenage years (anti-social, not very popular at school) and drug abuse that started in my 20s.

I’m still trying to figure out what recovery actually looks like for me long term. I don’t want to reduce my entire identity to being an “addict,” or a psichyatric patient, but I also don’t want to keep minimizing a pattern that has already caused real consequences in my life. I’m posting here partly because I’m interested in hearing from people who have gone through treatment, relapsed afterward, and eventually found a way of making recovery sustainable rather than just cycling between abstinence and relapse.

Thank you for reading
Man, I’d give supplements a try, especially NAC, taurine, and CoQ10. They could seriously change your life.
 
I’ve had a complicated relationship with drugs for a few years. Cannabis became a daily habit for a long period, but benzodiazepines were ultimately the bigger problem for me. There were also periods where I mixed other drugs into the picture, including cocaine, and at my worst my use was seriously affecting my anxiety, cognition, studies, work, and ability to function normally. What started as something I could rationalize eventually became something I clearly wasn’t controlling very well. My DOC were weed (a lot; spending almost $4k a month on it), benzos (clonazepam, alprazolam, lorazepam and diazepam, in that order - sometimes, mixing kpins with xanax and baclofen/prometh/hydroxizine) and, whenever I could put my hands on it, oxycodone (was never really hooked on it, but it sure is the best feeling I've experienced).

Eventually I went to rehab, mainly because of the benzos but also because of my overall relationship with drugs. I spent 28 days at a very expensive rehab in LA (almost $100k; im not rich like that so that made me feel sort of guilty that I had put myself in a position that made my family spend that tipe of money on me due to self inflicted problems). I managed a meaningful period completely sober afterward, but since leaving treatment I’ve had several lapses—first with cannabis and later with benzos as well (more specifically, got high on THC 5 times and took 2mg of klonopin once). That has probably been the hardest part psychologically: spending so much time, money and effort on treatment and then realizing that rehab didn’t magically remove the part of me that still wants to use when I’m stressed, anxious or simply craving the feeling.

I also got out of rehab with a new "diagnostic hypothesis" for CPTSD. Also, diagnosed with GAD and ADHD. I've done coke probably half a dozen times only, and after one coke binge my former doctor suspended my vyvanse script. Ever since then, I havent got shit done, it feels impossible to graduate from college (I'm 24 already). I'm not sure where the CPTSD could have come from, genuinely. I've had a wonderful childhood, but relatively rought teenage years (anti-social, not very popular at school) and drug abuse that started in my 20s.

I’m still trying to figure out what recovery actually looks like for me long term. I don’t want to reduce my entire identity to being an “addict,” or a psichyatric patient, but I also don’t want to keep minimizing a pattern that has already caused real consequences in my life. I’m posting here partly because I’m interested in hearing from people who have gone through treatment, relapsed afterward, and eventually found a way of making recovery sustainable rather than just cycling between abstinence and relapse.

Thank you for reading
So in my experience, I was actually totally sober from 2021 - 2024 and I was able to do it just on ketamine injection therapy and my regular medications.

I didn't make it obviously but it was my longest stent of sobriety and it wasn't to difficult. You cant just rely on the meds though they aren't going to stop you entirely.

I think behavioral therapy has to be done as well, I'm adhd and probably autistic. With just the medication therapy and me isolating trying to finish my college degree.

One day I just had like a switch and went back.
 
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