Mild Depression Only?
My provider who treated my ADHD and mild depression has stopped therapy and private practice and moved solely to Spravato treatment. He offered this to me at our last traditional appointment (I come in just 1 to 4 times a year, and usually when a major life stressor happens, or if I get ground down by my horrible job.) but I have had bouts of depression of all severities for the last 45 years (most of my life) and failed several (all) classes of anti-depressants. I just think that now I'm able to cope better due to having a solid life and foundation. I just took the MADRS and came out with a 16, most of the points from lassitude and inner tension. No SI at all, can sleep and eat fine. Not too bad.
I can't tolerate psych meds at all anymore, and they did nothing or else made things worse for me. I'm thinking a little CBT, sleep hygiene, and more walks out in the sunshine and glasses of wine with friends would work just fine, but this is intriguing. It would be approved, and I have the time to do it, but I'm not interested in many cognitive side effects, anxiety, or a month long ramp up to notice any difference.
I do, however, need to get the heck out of bed sooner and stop feeling put out and having a tantrum over the most basic elements of my job (which is maximally stressful)! And I need to get rid of these swirling anxious horrible throughs and anxiety. Thoughts? It seems like a big commitment for mild depression with possible anxiety. I do like tripping, though...