Lessons from COVID - Individual and Collective

Michael Ebbinghaus • January 12, 2022

We're All Doing Our Best

An internal process has been at play over the course of the pandemic, one in which I struggle to adopt the proper frame that may allow me to be of service to the massive social conversation we are engaged in. Through this process I hope to be a part of the greatest possible outcome. Through this process, I have watched myself make many of the same assumptions I claim are dangerous and incite derision and disaster. This is namely collapsing broad narratives onto individuals, assuming that I know what their motivations are, and assigning them a label accordingly.

To some degree, we all do this. Our rationality craves certainty, predictability. We are not always aware of the massive collective forces and ideas that have us. The vast majority of us operate from a stance of best intention, and though good intentions are the proverbial pavement on the road to Hell, it is encouraging that this is what most of us ultimately desire. The citizens of Nazi Germany and communist Russia did not participate in their zeitgeists out of malice – they wanted what was best for their families, communities, and themselves. 

This is what I often fail to consider.

While there are forces and narratives beyond our conscious comprehension, it is unknown what the best path may be. It is likely that great upheaval and the path we have walked as individuals and societies is all necessary to bring about the best possible outcome or what is. How many of us would erase the mistakes of our youth and the ignorance that by fortune led us to great wisdom? I ease into an assumption of certainty and righteousness because this is something that makes me feel safe as a separate entity in the world, at times oblivious to the oneness of our nature. The Truth of the matter is that I have no idea what the correct course is or if there even is one. 

"How many of us would erase the mistakes of our youth and the ignorance that by fortune led us to great wisdom?"

My own experience of contracting COVID reflects this, and by examining the individual experience we can embody a fuller understanding towards what is happening in the social body. Ultimately I carried an assumption that the pandemic and everything that has followed in its wake has been a bad thing, though I often declare that it has been a time of massive reflection, as any illness is. Ridden with fever for three days, I could be nowhere but in my body. It alerted me to its presence with every breath and movement. Even lying still, the aches cried “I’m here.” I lamented the loss of smell though it proved occasionally advantageous, something made aware to me by the intact senses of others. 

Having COVID brought me to recesses within my body that had been dormant. How this process unfolded I am unsure. The best hypothesis I can assemble is that the movement of my consciousness into my body allowed these long-held energies to find some expression. After three days of fever, there was a terrible pain that emerged. Attributing it to prolonged high internal temperature, I took ibuprofen. As the fever broke it became clear that the fever was not solely responsible for the pain; I had unconsciously and voraciously contracted my muscles. I was unable to relax the tension through my breath. There was something emerging that the body felt the need to protect me from. 

There is a similar process at work here but on national and global levels. COVID is taking us to deep recesses of the collective unconscious, a realm full of tremendous power and hazard. Illness is the way that most of us find rest and time to reappraise our life and habits. The globe is sick. We have operated on paradigms no longer suited to the present condition, and everywhere the conflict between tradition and progression reaches new heights. People’s resistance to returning to work is neither an incentive from an indulgent government or proof of our laziness. There is something greater at work here, a movement away from what has been toward a new reality, and it is anyone’s guess as to what that reality might be. 

In my estimation, there is the desire for security that incites control, and there is a conflicting desire for liberation, freedom. It is clear from the data we have available that vaccinations are a means towards the former. While they are an effective means for lessening severity of the illness – preventing hospitalization and death – the authoritarian means by which they are promoted (mandates) and the manner in which all other treatment modalities were systematically eliminated, proffering the vaccines as the only effective method, can only earn our distrust and suspicion. I have heard the voices who, in the aftermath of the death of George Floyd, cried out against colonization and the tyranny of the white man, yet have no resistance towards enforcing a Western medicine with no regard for the indigenous capacities of the innate immune system or other effective pharmacological treatments. They are blissfully unaware they are participating in a fully patriarchal system of oppression and control, assuaged by the assurances of their good deeds and beneficent ideologies.  

"COVID is taking us to deep recesses of the collective unconscious, a realm full of tremendous power and hazard."

But this is exactly the point, and it’s the fallacy I see myself and so many others making: these individuals that I speak of, sometimes with great anger, are only doing what they think is best. Though the Inquisitors had great compassion for the people they tormented, they did it in interest of their everlasting souls. We must be aware of our tendency to want to know what is good for other people, and permit their agency and intelligence to make sense of the matters themselves and create their own solutions, make their own choices. I have been intensely guilty of this. Passing by people that wear masks outdoors, I label them as stupid, cautious to the point of living death, and fail to notice what is actually happening: a frightened individual adapting so they might still live in the world, that doesn’t want to hurt another, that doesn’t want to see someone they love or anyone placed on a ventilator and slowly suffocate. While I believe such fears are overblown, there are those that this has been an all too present reality. 

Do your best, acknowledge that others are doing their best too. When disagreements arise, resort to the harmless combat of conversation, lest we resort to hurling bricks, bombs, and bodies at one another. 

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What is Ketamine-Assisted Psychotherapy? Ketamine-assisted psychotherapy (KAP) is a modality that uses low dose ketamine alongside talk therapy to access non-ordinary states of consciousness, helping clients process trauma, depression, and anxiety in a new and deeper way. One of the most common complaints about traditional psychotherapy is that it can take a very long time for unconscious material to surface, even after a solid relationship has formed with your therapist. While there are techniques we utilize in our practice that do not require substances (e.g. dreamwork, sentence completion, automatic writing/drawing, etc.), the introduction of intentional medicine work can reliably shift one into an altered state of consciousness, catalyzing access to unconscious material. After a brief introductory period, you will take ketamine under supervision from your therapist either in-office or virtually in the comfort of your own home. The therapist will guide you to take your own journey as well as direct you towards areas that might benefit from exploration in an alternate perspective. Learn more What is Ketamine? Ketamine is a dissociative anesthetic acting primarily on the glutamate neurotransmitter system. This differentiates it from the traditional psychedelics like LSD and psychedelic mushrooms which are much more prominent in the serotonin system. Ketamine increases neural plasticity, meaning that the brain becomes more flexible to change, open to new insights and behaviors. Ketamine has been used for over 50 years as a surgical anesthetic. It has no impact on the respiratory system, making it one of the most safe and effective medicines available. It is classified as a WHO top 10 essential medicine, and it is so safe that it is still the anesthetic of choice for children. It is a schedule III medication approved for off-label use in assisted psychotherapy, meaning a healthcare professional must be supervising in some capacity. Screening is essential, see below for more information. How KAP Works One of the things we like to stress is that the medicine is taking you to a place within yourself. It is not the ketamine "doing" anything other than relaxing your emotional defenses and allowing for exploration of consciousness. That said, you will feel a degree of relaxation in your body as well as your mind, which allows things which we keep buried to come up to the surface. By shifting into an alternate state of consciousness, we are able to sublimate many of the barriers we have in place that remain opaque to us. Oftentimes simply allowing this material to surface creates greater harmony, and you ma find yourself saying "Oh - this is what I've been afraid of for so long? It's not so big and scary after all." This is not always the case, of course. The nature of what is hidden can also be very painful, which is why the presence of the therapist as well as the therapeutic relationship is imperative when first working with alternate states of consciousness and healing trauma. What Does KAP Treat? Ketamine's claim to fame comes from its potent and immediate anti-depressive effect . While this requires lifestyle change and further exploration - greatly benefitted by depth psychotherapy - this can be incredibly helpful to those experiencing treatment resistant depression. It does this primarily through breaking up rigid neural networks (enhanced neuroplasticity), limiting one's ability to ruminate. Ketamine for depression can be powerful, indeed. In a meta-analysis of over 2,500 patients, it was found that 45% of people had significant drops in clinical depressions inventories, with 30% in remission. The benefits were often sustained at 6-month follow up. Ketamine-assisted therapy can be helpful for those who experience post-traumatic stress disorder or PTSD . The clinical evidence here is quite strong, with multiple meta-analyses and an open label study showing durable and significant reductions in PTSD symptoms in as many as 69% of respondents and up to six-months' follow up. Ketamine for trauma is widely studied and efficacious. Anxiety is also significantly reduced after brief KAP treatments. In a glimpse, ketamine can treat: Treatment-resistant depression PTSD and trauma-related symptoms Anxiety and existential distress Addiction and maladaptive coping Spiritual exploration or life transitions What Does Treatment Look Like At Ebb & Flow Depth Psychotherapy, we believe in the importance of a strong therapeutic relationship to help sustain the positive effects from ketamine treatment. To this end, prior to any medicine session, there are 6-8 preparation sessions (this can be reduced to 2-4 if you are already working with another therapist). From there, we will conduct two initial dosing sessions with an integration session in between each. We would then conduct another 6-8 dosing sessions, also with an integration session in between each. Our Approach During each session, you will be gently guided into your body utilizing a simple meditation or, if preferred, ambient music. We utilize sublingual lozenges, tablets which will be dissolved and swished in the mouth for 10-12 minutes, then spit out. This offers a psycholytic approach rather than a psychedelic approach. We prefer the psycholytic approach for two main reasons: 1) This helps to make ketamine-assisted psychotherapy more affordable, as the presence of a medical professional such as an RN is not needed as they are in IM (intramuscular) or IV (intravenous) injections. 2) Psychedelic ketamine therapy can be effective, but in our hustle and bustle world, the subtle work often gets overlooked, and it is the subtle work that carries us the farthest. If you’re seeking a full psychedelic experience, I often recommend doing so on your own time and terms, ideally in nature or a supportive setting. There are few practitioners I would trust to guide me through such an experience, and they come at an extraordinary financial cost more often than not. With psycholytic ketamine therapy, we are nudging gently and entering into an altered state but not breaking open the doors of reality. Through the experience and through the journey you've taken thus far, which includes your triumphs and your traumas, we will expand not only on who you are but who you are meant to be. Your exuberant and mature presence is sorely needed in this world, and it requires reconciliation of our darker nature and highest aspirations. Who is KAP for? Ask yourself now: "Am I in a place where I am ready for deep self-exploration?" "Am I open to the idea of letting go of things which both pain and comfort me?" "Can I remain off of substances and away from process addictions (such as pornography, over-eating/bingeing and purging, sex, etc.) for at least three days?" You may not be ready for KAP if: Are experiencing active psychosis or mania Have untreated Bipolar I or II disorder Have a personal or family history of schizophrenia Are currently struggling with active substance dependence If you are in a grounded place and ready to make shifts in your life, KAP may offer the support you've been looking for. Ketamine Therapy In Austin, TX - How to Get Started Contact me today for your free consultation to see if ketamine assisted depth psychotherapy might be right for you. Myself and the fine clinicians over at Journey Clinical are ready to help you find deeper meaning in life and be the change in the world you wish to see. We conduct ketamine-assisted therapy in Austin, Texas as well as virtually all over the state. Reach out to us today!