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General Parenting
4 yrs of Residential Treatment Center (RTC) 1 year of transiton
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<blockquote data-quote="smallworld" data-source="post: 144331" data-attributes="member: 2423"><p>If you want an opinion on his current medications, he's still not on a combo that treats bipolar disorder. Two antidepressants (Wellbutrin and Luvox) plus an ADHD stimulant (Concerta) can destabilize an adolescent with bipolar disorder. Furthermore, he's not on a first-line mood stabilizer (Depakote, LIthium, Lamictal, Tegretol, Trileptal). The only bipolar medication in the bunch is Invega, and it can't work its magic against the bad side effects of ADs and stimulants.</p><p> </p><p>I agree that you and wife are not the issue, but I think the medications could be. I will reiterate my original position: Before shipping your difficult child off to a wilderness program, get a second opinion with an adolescent psychiatrist well-versed in treating bipolar disorder. And a neuropsychological evaluation wouldn't hurt either. The cost of those two evaluations will be a lot less than the cost of a wilderness program.</p></blockquote><p></p>
[QUOTE="smallworld, post: 144331, member: 2423"] If you want an opinion on his current medications, he's still not on a combo that treats bipolar disorder. Two antidepressants (Wellbutrin and Luvox) plus an ADHD stimulant (Concerta) can destabilize an adolescent with bipolar disorder. Furthermore, he's not on a first-line mood stabilizer (Depakote, LIthium, Lamictal, Tegretol, Trileptal). The only bipolar medication in the bunch is Invega, and it can't work its magic against the bad side effects of ADs and stimulants. I agree that you and wife are not the issue, but I think the medications could be. I will reiterate my original position: Before shipping your difficult child off to a wilderness program, get a second opinion with an adolescent psychiatrist well-versed in treating bipolar disorder. And a neuropsychological evaluation wouldn't hurt either. The cost of those two evaluations will be a lot less than the cost of a wilderness program. [/QUOTE]
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