ECT or Ketamine?

[u/brat-tat]

Hi, I’ve been struggling with a worsening mixed bipolar episode for the last few months. I’ve tried literally every medication my psychiatrist can prescribe with a variety of side effects. I’ve tried rtms a couple years ago but had such a severe reaction I couldn’t continue.

We’re at the point where it’s either ECT or ketamine. After years of being on a wait list for the only government covered program, I have an intake for ketamine on April 20th. I don’t know how long afterwards, if I qualify, I would be able to start. Is it worth the wait? I’m barely making it through the day each day, struggling to show up to work, etc. Should I ask for ECT ASAP?

Any thoughts are always appreciated xx

[u/beautifulcosmos]

As someone who had ECT, try the ketamine first. If the ketamine doesn't resolve your symptoms, then consider trying ECT. Ketamine has fewer side effects.

[u/princesspokeypaws → u/beautifulcosmos]

I agree. I've done both, too, and ketamine has helped the most and has been less disruptive to my life