It’s been a little over 3 weeks since I started low-dose ketamine nasal spray as part of my treatment regimen for CPTSD, DID and suicidality. I have had phenomenal, life-changing results that seem entirely impossible to be true. The stability I feel just doesn’t seem believable to me, and I am still waiting for the bottom to fall out.
You can read about my initial experience here if you are interested.
At 3 weeks in, I have been able to decrease the ketamine doses. The first two weeks I did one nasal spray on Monday/Wednesday/Friday. Since I responded so positively with the first dose, and the stability seemed so solid, I decided to push it out to one spray a week for the 3rd week. I’ll keep you posted how this goes, but so far, it is holding me in a good place of stability and mental clarity.
As a side note, I am not taking the commonly recommended antidepressant to go with it as I am not a fan of of them for me, and I wonder do people really need to take the antidepressant since it wasn’t necessary for me. Anyway, I know someone else may need something different, so I recognize it may be necessary for other people. I do take a sleeping pill at night, which is the only medication I take besides the generic ketamine.
As someone who experienced severe developmental trauma, I have been living a lifetime of PTSD flashbacks, debilitating depression and anxiety, frequent thoughts of suicide and self-harm, and the unsteadiness that comes with having dissociative identity disorder. Oh, and the most difficult consequence of my awful childhood has been trying to live a decent life after being raised by a family that didn’t love me.
The traumatic patterns I learned as a kid have been extremely difficult to change as an adult.
With my new ketamine-induced stability, I have honestly been a little confused about what to do with myself. I don’t feel like myself because I am not used to this ability to regulate my emotions, deal with stressors, and not think about killing myself on-and-off throughout my days.
For me, ketamine actually accomplishes what DBT is supposed to accomplish for those of us with CPTSD.
I can’t completely say, oh, I tried ketamine and now everything in my life is perfect. It’s not. But it is 1000% better and more manageable. The difficulty with the issues I was struggling with have gone from a 10 to a 3, which has made a very significant difference in my ability to cope and live my life.
Since the ketamine also enables me to think more clearly, I have had the opportunity to think about what is still causing my life to be messy, or less than good. By no surprise to me, it’s my attachment issues. Turns out ketamine can help a lot, but it doesn’t help with the aftermath of growing up in a family that didn’t love you.
My earliest messages from my family were: you don’t deserve love; you are unlovable; you are too much so make yourself small; there is something wrong with you; everyone hates you, so shut up and stay quiet; you don’t deserve happy; you are trash and don’t deserve anything good; you should do us all a favor and kill yourself; the only thing you are good for is sex.
So, sadly, the ketamine doesn’t take away my belief that I am a terrible, no-good person who doesn’t deserve love.
Since the ketamine did take away the nonstop flashbacks of childhood abuse, I can now actually focus on these horrible beliefs that I have about myself. For once, I will be stable enough to stay focused and safe while I deal with the real pain of my childhood. I am done talking about the horrific abuse I suffered as a child because that is in my past, and I need to live in the present.
Talking about my abuse did not help me recover from my traumatic childhood. I did a lot of therapy, and it just didn’t give me the results I needed to recover from all the trauma. I do believe there is value in therapy, but I honestly do not see it alone giving most people the results they need to recover from CPTSD.
Unfortunately, in the present, I hold these really horrible beliefs about myself that I can’t seem to distance myself from like I can the memories of abuse.
Maybe this is the real work of therapy I have been waiting for. It’s so extremely painful for me that I am probably going to drive my therapist crazy with the slow pace and resistance I am going to put up to defend myself. I really can’t help it no matter how hard I try not to do it.
Ugh. I have no idea how to even begin to tackle this horrible belief system I have about myself. At this moment, even with my new found mental clarity, I can’t even intellectually believe that those things aren’t true about me. I know usually starting in an intellectual place is easiest for me, but at this point, that seems like that might be a far off accomplishment. But, I will push like hell to get there because I will not waste the miracle of what the ketamine has done for me.
Ketamine still allows me to feel the awful feelings that go along with severe trauma. The big difference is that ketamine makes it so I can mentally get myself out of a suicidal spiral as my knee-jerk response to these feelings. Instead of going right into a suicide plan, I seem to have the wherewithal to recognize my suicidality and to talk to someone about what is going on with me. It’s not alway easy to find someone to talk to about what I am feeling and thinking because I only have a few people in my life that understand it without freaking out.
Once I find someone to talk to, to just get it out, the suicidal thoughts melt away. This was definitely not possible pre-ketamine.
I am excited to see if the ketamine continues to hold me in a place of stability, and whether it quite possibly might allow me to do a level of talk-therapy that I had never done before. A level that may actually bring me healing?