u/SluttyForRamen

Looking for some advice. I’m only on my third session of IV ketamine (for TRD) and things are going alright so far. I feel a ton of relief during session and luckily I haven’t dealt with a k-hole, but I feel exhausted and more depressed right after session until I sleep it off. Then I go back to baseline depression until the next session. After my last appointment, my doctor asked if I felt like increasing the dose (0.5) and I’m not sure. I would like to feel some increased motivation and less depression but I don’t wanna increase too soon without giving it a chance. Anyone have this experience/advice?

for a bit of background, i’m diagnosed with PTSD, MDD and anxiety. after trying almost every medication prescribed, my psychiatrist recommended Spravato. I’ve had anhedonia for about 4 years so i’m open to it but I keep hearing about how intensely people dissociate during treatment and that scares me. Not being able to move/speak or not being in control my body is making me rethink treatment.

does anyone have any advice/support regarding dissociation or if you felt the same?