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  • AADD Moderators: swilow | Vagabond696

Misc feels bad

Thank you for letting me know. I woke up in the middle of the night very depressed and saw this reply and it helped to know there are some treatments out there. Do you think I should say if they ask (if I get the chance that is) that I've tried ketamine recreationally before and it helped or would that make me sound bad?
Name. Rank. Serial number.
 
Thank you for letting me know. I woke up in the middle of the night very depressed and saw this reply and it helped to know there are some treatments out there. Do you think I should say if they ask (if I get the chance that is) that I've tried ketamine recreationally before and it helped or would that make me sound bad?
I found is always better to not volunteer anything unless failure to disclose is going to result in your immediate sickness or death from a potential substance interaction.

Secondly, there is an injectable generic ketamine that has been administered subcutaneously that is just as effective as the Uber expensive nasal spray ketamine.

The injectable is not covered by Australian Medicare, but I believe it may be covered by certain insurances, regardless for an entire course of treatment, which is apparently two injections a week for 4 weeks costs $1,150 including all the doctor visits and everything.
 
I found is always better to not volunteer anything unless failure to disclose is going to result in your immediate sickness or death from a potential substance interaction.

Secondly, there is an injectable generic ketamine that has been administered subcutaneously that is just as effective as the Uber expensive nasal spray ketamine.

The injectable is not covered by Australian Medicare, but I believe it may be covered by certain insurances, regardless for an entire course of treatment, which is apparently two injections a week for 4 weeks costs $1,150 including all the doctor visits and everything.
Thank you for letting me know and the good advice. I worry about absolutely everything and was even worrying about if I should say I had it recreationally before once or twice and it helped my depression or not but I won't. I will just say I want to try ketamine as I heard good things about it and tried lots of other meds.

Do you know how to find a psychiatrist that will do the injections? If you know of any name starting points I would appreciate it if you could kindly let me know on here or through private message. If not I will ring around psychiatrists in my area but being from a "regional" area it might be hard to find someone.
 
Thank you for letting me know and the good advice. I worry about absolutely everything and was even worrying about if I should say I had it recreationally before once or twice and it helped my depression or not but I won't. I will just say I want to try ketamine as I heard good things about it and tried lots of other meds.

Do you know how to find a psychiatrist that will do the injections? If you know of any name starting points I would appreciate it if you could kindly let me know on here or through private message. If not I will ring around psychiatrists in my area but being from a "regional" area it might be hard to find someone.
I'm sorry, I'm not from Australia.

I live in the states. Perhaps start with the medical association for whatever state in Australia you live in. For example, I'm sure there's probably something like the New South Wales Physician Association.

I was seriously making that up but I did a quick google search and they're actually is


Australian Medical Association (NSW)
+61 2 9439 8822

https://g.co/kgs/YRkuBPL

I bet you there's one for every state in Australia and I bet you. If you call the number that's there for New South Wales, it'll get you in contact with the whole Australian medical association.
 
I'm sorry, I'm not from Australia.

I live in the states. Perhaps start with the medical association for whatever state in Australia you live in. For example, I'm sure there's probably something like the New South Wales Physician Association.

I was seriously making that up but I did a quick google search and they're actually is


Australian Medical Association (NSW)
+61 2 9439 8822

https://g.co/kgs/YRkuBPL

I bet you there's one for every state in Australia and I bet you. If you call the number that's there for New South Wales, it'll get you in contact with the whole Australian medical association.
Thank you so much. I will give them a call when business hours begin. I appreciate your help.

Editing to say that I rang and the woman said they are mainly an advocacy body for member doctors and for me to ring NSW Health. She gave me the number so I called them. They said I need to talk to the pharmaceutical area of them and put me through and I got put through to somewhere and the line cut out. So that's where I'm at. I will have to google the NSW Health pharmacy number to get back through.
 
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Thank you for letting me know. I woke up in the middle of the night very depressed and saw this reply and it helped to know there are some treatments out there. Do you think I should say if they ask (if I get the chance that is) that I've tried ketamine recreationally before and it helped or would that make me sound bad?
Yo I've found some info about ketamine therapy...I'll send you link via PM
 
Eh I'll post it.


Good news: it's available in Australia.
Bad news: You'll need a referral from a treating psychiatrist and might be a fair bit out of pocket...
Thank you so much. I have emailed them again but like I replied I have definitely emailed the blackdog institute before about ketamine therapy and been told to see my GP or similar. I have been chasing this up for years on and off to no avail. I hope I get a break soon.
 
Thank you so much. I have emailed them again but like I replied I have definitely emailed the blackdog institute before about ketamine therapy and been told to see my GP or similar. I have been chasing this up for years on and off to no avail. I hope I get a break soon.
Do you know any friends that are vets as in veterinarians?

Drastic times. Call for drastic actions. If you know anybody that is in veterinary medicine, a vet would be preferred and you can get the dosing schedule for subcutaneous ketamine treatment for treatment resistant depression, it would probably be in your best interest to use veterinary ketamine subcutaneously for n number of sessions.

Or you could just get a very accurate milligram scale. Buy some special k and self-medicate.
 
Do you know any friends that are vets as in veterinarians?

Drastic times. Call for drastic actions. If you know anybody that is in veterinary medicine, a vet would be preferred and you can get the dosing schedule for subcutaneous ketamine treatment for treatment resistant depression, it would probably be in your best interest to use veterinary ketamine subcutaneously for n number of sessions.

Or you could just get a very accurate milligram scale. Buy some special k and self-medicate.
Unfortunately I don't have anyone I know who is a vet. I got some years ago when silk road was big but stopped using it when bitcoins got very expensive and wouldn't even know how to navigate the dark web any more. I'm that much older and hate what I have heard about it. I did get a response from the blackdog institute though about how to get ketamine therapy. It's an ordeal where you need a psychiatrist who will refer you to them and it's expensive. I will paste their reply here:

Thank you for your enquiry into our Ketamine program with our Neurostimulation Clinic.



Ketamine is used as treatment for depression only when a person has not responded to antidepressant medication or other treatments, and at present our clinic does not use this treatment for other conditions. Our clinic provides treatment for NSW residents over the age of 18.



As this is a very specialised form of treatment, it is important that we discuss with you what is involved and how you are screened for suitability before we accept your referral.



How to book an assessment to see if Ketamine treatment is right for you



  1. We will arrange a phone call with you to discuss some of the basic eligibility criteria with you and answer any further questions you may have about the treatment.


  1. If appropriate, after the call we will send you our referral information for your psychiatrist to complete. This includes
  1. Our referral form for Ketamine Treatment Program completed by your psychiatrist* * (do not have your psychiatrist fill in this referral form until after you have had your suitability call with us)
  2. a detailed referral letter from your psychiatrist* on their practice letterhead addressed to Neurostimulation Clinic outlining your:
- Psychiatric history

- Treatment history (medications and neurostimulation, including length of treatment, dose, type, etc).

- General medical conditions

- Previous psychiatrist letters, pathology, discharge summaries (if available)

*Note: GP referrals are not accepted for the Ketamine Treatment Program, as you must have a psychiatrist who sees you for ongoing management during treatment.



  1. Once all referral documents are received, your referrals will be reviewed by our clinical team, and they will decide if it’s appropriate for you to have an assessment for suitability.


What happens after my referral is reviewed?

If our team determines it is appropriate for you to be assessed, you will be contacted to book an appointment. If it’s not appropriate for you to be assessed, we will notify your psychiatrist, so they can help you with the next steps in your care.



How would I start treatment?

Your assessment with our team will determine if ketamine is an appropriate form of treatment for you. After your assessment, our team will contact you about your next steps and starting treatment.



If ketamine treatment is not suitable for you at this time, our team will notify your psychiatrist, so they can help you with the next steps in your care



What are the costs involved?

At this time, Medicare does not provide a rebate for Ketamine treatments (but there is a Medicare rebate for your suitability assessment).



The fees are as follows:

  • Initial assessment: $462 (rebate of $246, or bulk billed if you have a pension or concession card)
  • Initial ketamine treatment: $500
  • Follow up ketamine treatments: $350
  • Reviews with our psychiatry team at each treatment: bulk billed


If you would like to proceed, please call our clinic at 02 9382 2991 to go over initial eligibility, and to answer any questions you may have.





Kind regards,
 
$1.5k, how long does the ketamine treatment help for ?

thats cheap compared to transcranial magnetic stimulation (TMS), i'm saving up for, i think it will cost around $4k, but it can be a cure for depression

interesting video on tms

 
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