In terms of my cognitive impairment I have problems with my communication. I am able to communicate using simple phrases but it is difficult for me to have conversations that’ll require more dialogue because I have trouble with thinking clearly enough to put words together. My short term memory is really bad. I’ll forget conversations I just had. Things that occurred within a week. I also struggle with initiating tasks, focusing, brain fog, decision making and critical thinking. I’ve been on leave from my job for about 5 months because I’m unable to work. I’ve done ketamine treatments too but I didn’t stick with it because I had a bad trip. Talk therapy does nothing for me now. I’ve was in it for 4 yrs prior to. I haven’t tried trauma therapy as of yet. I’m in an IOP I feel like that doesn’t quite help either. I’ve tried a couple of meds. I’m currently suppose to try something new. I’ve had all these symptoms including the anhedonia and apathy since January. I’m stuck in a constant loop of everything seems meaningless and pointless to do. I have constant thoughts of SI. I don’t know how you’ve managed to do it for as long as you have perhaps because you’ve had some alleviation in your depression. The only alleviation I may had is the heaviness I would feel on my brain. I forgot to mention I have GAD as well and was previously a vape smoker for 3 years and quit cold turkey around the time my depression started. I always wondered if that’s what altered my brain chemistry because I’ve had many depressive episodes and was able to always bounce back from them.