Author's note: this post has references to suicide and sensitive subjects. I write this with a lot of fear, as I know many who have lost someone to suicide, and I don't want anyone to feel blame because of what I'm going to talk about. It wasn't your fault. Please read with care.
Not only does ketamine not make you feel better, in the middle of it you feel worse. Decades of major depressive disorder, panic disorder, and suicidal ideation, so I thought it wouldn't be possible to feel any worse than I have....and I'm lower than I've ever been. I called this past December the lowest point of my life, as I was the closest I've ever been to ending it, but now it's strangely worse. Sometimes the crying won't end. Other times I'm on the edge of tears, and to cry would bring release, yet nothing comes out. I feel like I could explode and implode at the same time. I live every day in terror as I'm emotionally drowning with no land in sight.
Driving to my last session I talked to my friend, smiled, asked about her life, while in my head ruminating was "I don't want to be alive. I hate being alive. I want this over." I didn't tell her. My psychiatrist has me do a test every time so they can gauge where you are at. The last question is "Do you have thoughts you'd be better off dead or of hurting yourself", and your response needs to be how many times in the last 2 weeks this has happened. My response every time: every day. The next question is "Do you have a plan to do this?" No plan.
There’s something I don’t think gets talked about enough when it comes to suicidal ideation and it’s the sheer enormity of the pain a person is in. It's the version of this experience that isn't being understood. And the gap between intention and impact is a lot bigger than people think. It’s excruciating to say just how bad it is, have people see it, respond with a quick comment or a care react, and then disappear. It feels like I’m being burned alive and being given cheerleading comments from the sidelines. And when you’re in that kind of pain, you’re not thinking about hypothetical future joys or small moments. You’re trying to survive what’s happening right now. There’s no space for “maybe someday.” There’s barely space to think at all. This isn’t about anyone not caring or not trying hard enough. It’s about how that level of pain actually works from the inside. For some of us, the pain will override everything. We know we would hurt people. We know it would cause devastation. We feel immense shame that we can't just suck it up. And we are doing everything we can just to keep breathing but the pain can take over anyway.
The sun is shining right now, my cats are sleeping by my side, and I feel like a boulder is on my chest as I try to take a breath. And the obvious question is "What can I do? I try to say something positive, and you say I'm hurting you? What can anybody possibly do?" Fair. There are no feel-good sayings here. The perfect words don't exist. What we need is presence. "Just letting you know I'm thinking about you and haven't left." "I see you are in horrifying pain, and I can't imagine how awful it must be. I'm sorry you are experiencing this." "You aren't a burden." Believe us when we say we are trying.
I have a post-it on my wall that says, “Someone’s waiting for the words you haven’t written yet.” I know I’m not the only one who feels like this. So, I’m writing them.
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I didn't write this. But I could have. I feel it.
“She calls me”

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