I am doing Ketamine therapy for treatment resistant depression and SI. It worked miracles for the SI, that’s almost completely gone. For depression it helps a lot, but that’s not going to just go away. If nothing else has helped, I would recommend it. Seriously talk with a real psychiatrist first. They do want you to dissociate though, but it’s a pretty harmless feeling for me. I wouldn’t have anxiety about it, it’s not going to completely rewrite your psyche lol.
Maybe it’s more that the majority of the fediverse doesn’t tolerate far right bullshit and open racism, unlike the other reddit alternatives.