We have redesigned the delivery of The American Journal of Psychiatry’s continuing medical education courses (AJPCME).
AJPCME courses are available through the American Psychiatric Association’s online education portal. Access to courses requires a psychiatry.org account and an active AJPCME subscription.
With your personal account at education.psychiatry.org you will have
Integrated course transcripts for all APA CME activities.
Personalized CME recommendations based on your interests.
With an active AJPCME subscription you will have access to a total of 108 activities:
All article courses developed during the current year
All courses from the previous year.
All courses for the following year.
Already a subscriber? Access the article’s CME course from the “Journal CME” box on the right and login using your psychiatry.org username and password. First-time users will also need the access code provided by email shortly after the time of purchase/renewal.
Don't have a subscription to AJPCME? Subscribe Now!
XiiAlphaiiXX on October 4th, 2017 at 13:03 UTC »
I actually have done the Ketamine infusion for chronic pain and depression. The problem for me was I went so far into the K-hole, I am terrified to do it again. While it did help my with my pain, I was crazy for about a week afterwards.
I am not sure If I will do it again as the first infusion was mainly to test my reaction to it. I did not react well. I have never been that crazy in my entire life. I had no idea what was real. I completely lost touch with reality even after the drug was no longer active in my system. It took my a week to return to "normal." It has been a few months and I am still uncomfortable at times. I know what I experienced, and at times it is hard to accept this place.
I have a tendency to remember the events of being intensely drugged. Despite being dosed with high doses of Ativan, and Ketamine, I remember the events while under the influences. It aided in my psychosis. While this has helped a lot of people. It really has, and has a promising future, I haven't read a lot of reports on the negative possibilities of how ketamine can effect people.
That is something people should know about. It is not all rainbows and butterflies. There is no perfect cure, or treatment for people suffering from depression/pain or other ailments. I had a very intense reaction to a very HIGH dose of Ketamine. It most likely won't happen to you simply because you won't remember what happens when you are given the infusion. But it is worth noting. The k-hole is a horrible place and something you should discuss with your doctor if you are considering doing an infusion.
Edit: Considering Ketamine infusions or other forms of Ketamine for treatment should be a last resort. Please exhaust all other possibilities before considering it. It is expensive and its experimental phase. While the residual effects of ketamine seem to be very very promising and have helped a lot of people, it isn't widely accepted yet. Since there is no Patent on Ketamine, it is hard to get good funding for research. This has slowed down the process and the advancement of Ketamine infusions and the positive effects it can have on people. If you would like to know more about it check out, http://www.ketamineadvocacynetwork.org/ They have a lot of good information along with places that do infusions. Feel free to give places a call and talk to them. Just like anything else, this treatment is not for everyone. The doctors will assess you, maybe even over the phone, and tell you if its right for you. Do not let my words deter you from something that could make your life better!
2nd Edit: why would I consider doing it again if my reaction was so bad? It helped with my pain. Despite the fact I was completely bonkers, my pain? lowest it had been in 6 years, without having to take anything for it. People like me don't have good and bad days, we have bad and worse days. Those days in regards to pain? "good" So it did help. It did do something hence me considering further infusions.
StarbuckPirate on October 4th, 2017 at 11:24 UTC »
A single dose of Ketamine reduces a lot of things. Ambition, movement, the amount of potato chips in my house...
illusionofpower on October 4th, 2017 at 10:13 UTC »
I can tell you from experience, dropping ketamine on a patient who is being combative reduces a lot of things, especially the will to fight.
Source: Medic