Worsening bipolar depression.

This episode has lasted since this past May following a manic episode. I was hospitalized for depression in June and then just a couple of months later. Instead of doing a series of ECT treatments I was talked into giving ketamine therapy a try. I'm still weekly doing it and might for the rest of my life. My the depression is worsening in subtle ways that like to add up and cause big hits. It's effecting my sleep, low appetite, memory loss, worsening anxiety. The bipolar depression always tends to affect me all winter. There's always a hospitalization. I just want to avoid needing more ECT treatments. There are some stressors out of my control that don't help. And I try to keep myself distracted as much as possible. But due to another recent event that feeling of hope is disappearing. I've been putting up a good fight against it but now do feel the energy or drive to not let it swallow me. They are working on getting the ketamine treatments increased for a bit and my psychiatrist just prescribed an older antidepressant he said was good and also beneficial to anxiety. But those things take weeks to take effect.