National Depression Screening Day

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

Ketamine…Again?

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

What Does It Feel Like To Be Suicidal

*May be triggering*

I think about suicide, like ALOT. 

If I’m being honest, it probably crosses my mind at least once per day, but most days I am able to distract it or change the subject. 

But then there are the days or even weeks when it decides it wants to fight back. 

It gets angry.

It uses scare tactics.

It bullies me.

And oftentimes it has pressured me into doing things I don’t want to do. 

For the better part of a week now I’ve been finding it more and more difficult to distract it. I do so for a while and try my darndest to change the subject but that only seems to be making it fight back even harder, and it seems angry. 

Which makes me even more vulnerable.  

The best way to describe what this feeling is like would be to compare its likeness to that of the antagonist in a horror film chasing after the heroic protagonist through the dark and foggy woods with a bloody butcher’s knife in hand.

You feel an adrenaline rush. You feel scared and alone.

You can barely catch your breathe.

You try running faster as you look back into the dark and fog filled woods. You can hear the rustling of leaves and you know that the antagonist is gaining speed. Then suddenly you lose your footing and collapse from exhaustion. You feel like you can’t run anymore.

*** I am needing to take a short break from social media. I’m at my breaking point. I have such an amazing community of support surrounding me which will never go unnoticed. I love and appreciate you all! xoxo 

*if you or someone you know is in crisis please tell someone immediately*

#suicide #depression #anxiety #mentalhealth #mentalillness #breakingpoint #socialmedia #takecareofyourself #selfcare #youarenotalone #dontsufferinsilence #youareenough

Monday Motivation: Crushing Your Dreams

Two years ago today, August 16th,  2019 was one of the happiest and most fulfilling days of my life when the first ever copies of my brand new, hot off the press children’s book “Where Did Mommy’s Smile Go?” arrived on my front porch. 

I had just spent the previous year and a half working on it from start to finish which included writing, editing, working with my fabulous illustrator and finding the “perfect” and most patient company to help me self-publish it. 

For the next four plus months I worked non stop trying to get my book into as many hands as possible. I attended one event after another, reached out to  Mental Health Advocates on Social Media, got it on the shelves of some independent bookstores in Toronto, sold it at large retail chains, made several National Television and Radio appearances, was interviewed by local Newspapers, gave book talks at Preschooler/Mommy & Me programs and I had just begun filling up my calendar for the new year with book talks on Mental Health at Elementary Schools as well. 

And I had endless possibilities still up my sleeve.

I met so many incredible people along the way. I also had such incredible support from so many fantastic friends, family, acquaintances and strangers alike.

It felt like my dreams were coming true. I felt like I had purpose and I even felt like royalty somedays, especially when I attended my fabulous book launch party that Fall in my honour, hosted by a friend and her husband.  

And then, BOOM💥, 2020 hit and it hit hard. I got a concussion on day two of the new year which put me out of commission for close to a month and then the Pandemic hit us all in March and then in June of 2020 I found out, just by dumb luck that my Publisher had closed his business after 35 years, without any warning to his clients or a simple courtesy email or thank you.  Instead he disappeared without a trace and took with him, several thousands of dollars of Grant money which had been gifted to me by a prominent Mental Health Organization along with any additional inventory of mine they had held on to for safe keeping for my personal use and my Amazon account.  

To say I felt defeated is an understatement. One obstacle after another left me feeling purposeless again and very broken. It was the final blow. My dreams felt crushed.

I wanted to give up completely. I didn’t see any point in continuing.

How was I ever going to move forward from this especially knowing I now needed to somehow find a way to republish my book. We were in the midst of a global Pandemic and money was extremely tight.

But how could I give up on my dream that I’d worked so hard for and wanted more than anything? How could I let anyone dull my sparkle?

Surrendering to my current situation was difficult to accept. The “what ifs” controlled my every waking moment, making it even more difficult to forgive myself and somehow find the strength to move forward. 

I took some time to figure out if I could somehow save my dream even though it felt too crushed to repair. 

I leaned on my support system for encouragement and reassurement even more. I didn’t want to give up on my dream even if it felt crushed beyond repair and that my anxiety and depression had taken over my ability to pivot my way through this, especially during a global Pandemic. 

I began slowly trying to rebuild my dream by learning how to use technology I’d never even knew existed before in order to keep my book relevant. I knew that with each passing month of the Pandemic there were more and more people in need of my voice and my book.

I kept reminding myself this was not my fault. 

I am still actively looking to republish my book when I am ready and able to and this time I plan to take everything I have learned through this process into account when choosing a new publisher to work with. I am wiser now.

I am also so grateful to still have copies of my book in my possession which has allowed me to continue promoting it in the meantime. And of course with the help of technology and social media I’ve found so many new and innovative ways of doing so during a Pandemic through guest spots on Podcasts, Book Talks and Conferences on Zoom, pre-recorded story times, Google meet-ups with Non-Profit Organizations and Facebook/Instagram lives.

These obstacles I’ve endured since January 2020 have taught me many important lessons. My dream has never changed. My vision hasn’t either.

It may feel crushed beyond repair but like so many of us have had to do over the last 17 months, I am learning to pivot. Pivots in life do not equate to failure. Pivoting simply allows new doors to open and new dreams to come true.

#crushingmydreams #pivoting #childrensbook #author #dreamsdocometrue #selfpublishing #mentalhealth #mentalwellness #depression #anxiety #failure #mentalhealthadvocate #blogger #youareenough

Inspire Always

Thank you @marciaagius for creating @_inspirealways; such an awe-inspiring, safe space to highlight women and share in their strength and vulnerability.

Follow them on Instagram to read my story being featured today and to meet some pretty amazing women too!

#inspirealways #strength #women #empowerment #selfcompassion #youareenough #youarenotalone #bekindtoyourself #mentalhealthmatters

Instagram Live: Wellness Wednesday

Thank you so much Joy for inviting me to share my journey tonight and to talk about the importance of educating both children and adults alike on mental illness and the stigma surrounding it on your “Wellness Wednesday” segment on Instagram Live. And for also giving me the opportunity to read my children’s book “Where Did Mommy’s Smile Go?” as well.

You are a true inspiration to so many and have such a magical way of spreading joy and kindness to every life you touch.

Please follow Joy’s Instagram page @mrsbiswatchingme for her daily dose of love and light.

Feel free to follow me as well @kimfluxgold

https://www.instagram.com/tv/CNGgHSxgYTJ/?igshid=gjcr6ljo3r97 (link to Instagram live)

#wellnesswednesday #instagramlive #lightandlove #youareenough #youarenotalone #itsoktonotbeok #endthestigmatogether #kindnessmatters #mentalwellness #mentalhealth #blogger #author #advocate #wheredidmommyssmilego