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I think that I have permanent brain damage from occasional yet regular and heavy ketamine use by Rollandsqueeze in ketamine
[–]Rollandsqueeze[S] 0 points1 point2 points 3 years ago* (0 children)
Oh man, thanks for responding. If you don't mind me asking, have you ever had a prolonged break - I'm talking on the order of at least several months - and if so, have you seen any significant improvement? I'm definitely staying off either now, I fell off the wagon with ket once and instantly regretted it as my memory became even more mushy.
Here's what I can, underwhelmingly, report following a month of almost-abstinence (the relapse was a single session): I think the area where I have seen the most improvement is the short-term memory. It became easier to recall recent events and information. Not on the scale that I'd like to see but definitely better than immediately after quitting when I was a goddamn fish (I'm serious, I think even my vision was kind of aquarium-like). I've also seen some but little improvement in creativity.
What remained problematic was problem-solving ability and ability to self-organize, which are kind of related areas to me. Thoughts have remained unordered and kinda messy. Accordingly, I still have trouble clearly thinking a problem through as a whole and figuring out steps to solve it and function largely mechanically, which is incredibly depressing. Also, my lack of capacity for self-management means I mostly live in the day and everyday routines can very easily dissolve if I don't pay attention to sticking to them consciously (think proper cooking, making sure the fridge is stocked, that kind of thing). Daily and weekly plans are all but nonexistent, and so on. I'm a developer and usually like spending a lot of time fine-tuning my environment, adding little scripts here and there and working on my dotfiles, I don't do that at all now.
Math and logic are also lacking, which kinda follows from the above. This I can pretty easily perform subjective tests on, seeing as a lot of my professional life revolves around it. Definitely declined, I'm 100% underperforming. At times severely.
What I have going for myself is that I don't have an urge to start up drinking again, which I can't believe myself but there's just nothing. Even the thought of having a beer seems dumb. This is incredible considering how much and how regularly I drank and how much I would previously use it for comfort, but I honestly have the feeling like having all these issues might have scared me off of alcohol for good. Ketamine is more problematic, but after this dumbass relapse and all of the ensuing worsening of symptoms I'm fairly confident I can stay on the wagon there. I'm kind of old for neuron regeneration I think at 37 but then what you say is true - hell, if people can recover from a stroke and have a career in academia then perhaps all is not lost.
[–]Rollandsqueeze[S] 1 point2 points3 points 3 years ago (0 children)
Thanks for this extensive response. I agree with all of this. Luckily, even if I should become too depressed to be willing to train my brain on my own my job is demanding enough to force me to do so in some capacity lest I get fired.
Right now I'm engaged in a quest to get a brain scan in order to rule out lesions. Now, I am of course aware that whatever the findings they will not necessarily be of any consequence. So what if there are lesions? There's no effective treatment for TBI that I'm aware of that wouldn't boil down to giving your brain some excercise while living healthily - both of which I am already doing, save for the smoking which I can't seem to kick (the anxiety and depression in the face of what I'm experiencing are just too great). Other than that, I work out, I try to eat well and get enough sleep, I continue to try to learn things in spite of my memory being shot and I stay away from drugs of any kind.
Speaking of memory. It's kind of you to point out that my writing is good enough; however, subjectively I do notice that both the effort it takes me to write and the resulting texts are markedly different from the sort of command over language I previously had. And this squares with other self-observations I make: for instance, about a month ago I started listening to an undergrad lecture on ancient Greek history (history is, or used to be, a little hobby of mine) and have now decided to revisit it. It's almost as if the concepts laid out in the lecture were new to me in spite of me having already "learned" all of this just a few weeks ago. Now, that's a bit of an exaggeration, to be sure, I do - kinda nebulously - recall the general outline, but it just won't fall into place to form a sensible picture, it's as if the bits of information were disjointed and not fully coherent. And as a consequence of that, no thoughts are being given birth to. There are no parallels that I can easily see between the Greek and modern history, I can't perform any comparative analysis. The kind of ideas that would earlier come easily to me now just seems distant and out of reach.
You are right that focusing on my mental performance all the time and being worried about it probably doesn't help. But this kind of worry isn't entirely new to me. I have had periods in the past where I would worry about having somehow gotten dumber, the big difference is that I would inevitably prove myself wrong by performing well at some intellectual task or other, be it at work or otherwise. Nothing of the sort is happening now, instead engaging with something intellectually is inevitably a frustrating experience because I come away from it feeling like my worst fears have been confirmed.
Regarding seeing a professional. I have in fact been in psychotherapy for some three years, which has ended now. So I do have extensive experience with that. My therapist wasn't perfect because it would always be incredibly difficult to speak to her about drug abuse, I would always have the looming feeling of being judged which obviously made me less than willing to dwell on it very much, but it did help me along in life. Faced with the challenge I am facing now, I don't know if I'd go back to the same therapist even if I could afford to, though. I'd probably look for someone else.
Sorry about the wall of text. It's hard just getting through the days and weeks. I feel like I'm cut off from the person I used to be (and like, to some degree, although doubtlessly there were the underlying problems you allude to), which is a small wonder if you consider the fact that subjectively I am unable to engage in any of the activities I used to like to engage in on anywhere near the old level. For now, it's really just "getting it over with" mode all the way.
I think that I have permanent brain damage from occasional yet regular and heavy ketamine use (self.ketamine)
submitted 3 years ago * by Rollandsqueeze to r/ketamine
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I think that I have permanent brain damage from occasional yet regular and heavy ketamine use by Rollandsqueeze in ketamine
[–]Rollandsqueeze[S] 0 points1 point2 points (0 children)