Therapeutic
I currently see a therapist (licensed social worker) and a prescriber (nurse practitioner). Though both support my use of therapeutic ketosis as a part of my treatment, neither are well versed in its application. I was put on olanzapine back in September 2023 as a result of a manic episode. Before that I had been off of all medications since spring of 2020 (as a result of the pandemic and lockdowns). It is likely that cannabis and possibly heavy nicotine use contributed to the manic episode. My prescriber and I now work together closely to monitor symptoms that tend to precede a manic episode and use the olanzapine as needed. Since the olanzapine has such metabolically damaging side effects, my prescriber and I are currently working to decrease the need for the drug by focusing heavily on sleep management, nicotine cessation and decreasing cannabis use.