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<blockquote data-quote="rlsnights" data-source="post: 302938" data-attributes="member: 7948"><p>got it - you've covered many of the bases and I agree disruption in schedule + anxiety = trouble</p><p></p><p>agree with psychiatrist about lamictal = diminishing returns after 100 mg make raising it above 250 unlikely to make big difference although I am at 300 and found it has made a big difference for me.</p><p></p><p>rx issue - ask psychiatrist if he will tell pharmacy of change and ask them to just give you a new bottle with a different label - no rx just new label. have done this with my son when we had similar issue. worked out great. or you can ask pharmacist about it and she/he may be willing to call psychiatrist for permission.</p><p></p><p>treat anxiety short term with tiny dose of clonapin at night? may contribute to mood stabilization too but psychiatrist is one to ask. maybe just ask about option for prn medication for anxiety.</p><p></p><p>do relaxation exercises with him like deep breathing often so he gets used to that and he may remember to use it on his own and may be cooperative when you remind him in times of stress</p><p></p><p>do deep muscle/joint stimulation if you're not already - tug of war, wall push ups, roll up with sheet and pressure</p><p></p><p>articulate for him what's going on inside him * ask him, are you worried about the field trip - feeling all fluttery inside when you think about it? breathe deeply when you start feeing that - it will really help (then do a couple deep breaths yourself and it's likely he will do the same cause it's catching) * it's been hard to have our schedule disrupted - it will feel good to get back on track after the field trip* What would feel good to help you get ready for the trip? Pick out what you're going to take? Get your backpack ready? Plan a special lunch for the bus or snack to take? Walk to school with friends that day - call and talk about it? plan who to sit with on the bus for the trip? find out more details about where they're staying like who he'll be sharing a room with, what kind of food they'll be having etc?</p></blockquote><p></p>
[QUOTE="rlsnights, post: 302938, member: 7948"] got it - you've covered many of the bases and I agree disruption in schedule + anxiety = trouble agree with psychiatrist about lamictal = diminishing returns after 100 mg make raising it above 250 unlikely to make big difference although I am at 300 and found it has made a big difference for me. rx issue - ask psychiatrist if he will tell pharmacy of change and ask them to just give you a new bottle with a different label - no rx just new label. have done this with my son when we had similar issue. worked out great. or you can ask pharmacist about it and she/he may be willing to call psychiatrist for permission. treat anxiety short term with tiny dose of clonapin at night? may contribute to mood stabilization too but psychiatrist is one to ask. maybe just ask about option for prn medication for anxiety. do relaxation exercises with him like deep breathing often so he gets used to that and he may remember to use it on his own and may be cooperative when you remind him in times of stress do deep muscle/joint stimulation if you're not already - tug of war, wall push ups, roll up with sheet and pressure articulate for him what's going on inside him * ask him, are you worried about the field trip - feeling all fluttery inside when you think about it? breathe deeply when you start feeing that - it will really help (then do a couple deep breaths yourself and it's likely he will do the same cause it's catching) * it's been hard to have our schedule disrupted - it will feel good to get back on track after the field trip* What would feel good to help you get ready for the trip? Pick out what you're going to take? Get your backpack ready? Plan a special lunch for the bus or snack to take? Walk to school with friends that day - call and talk about it? plan who to sit with on the bus for the trip? find out more details about where they're staying like who he'll be sharing a room with, what kind of food they'll be having etc? [/QUOTE]
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