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another medication bites the dust
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<blockquote data-quote="pepperidge" data-source="post: 170079" data-attributes="member: 2322"><p>HI</p><p></p><p>Just wanted to report on the latest medication trial for difficult child #2 who has Fetal Alcohol Effects (FAE), and is quite impulsive, distractable, and very inflexible when he doesn't get his way. Doesn't really fit the childhood bipolar diagnosis very well, closest thing seems to be what Smallworld talked about a while back of severe mood dysregulation. After trying Ritalin, Focalin, Adderall, Welbutrin, Topamax, Trileptal, Lamictal, Tenex, Strattera and who knows what else, to no to bad results we are down to Abilify which has worked from the get go to curb impulsiveness a bit. But we can't go any higher than 2.5 mg cause it causes tics. </p><p></p><p>With extremely much trepidation we finally decided to try Zoloft. We have titrated up pretty slowly. </p><p></p><p>Felt we were getting some less perseveration --fixation with things (like going shopping at midnight), then went up in half steps to 50 mg in the last week or so. Well this past couple of weeks we have seen shaving of the eyebrows, inhaling helium at a friends birthday party from balloons (after being told not to do it) and crashing our little farm tractor (not serious) without getting permission to ride it, to parading around in my underwear tonight, funny but not really appropriate in a boy going through puberty. </p><p></p><p>I've come to the conclusion that this is disinhibition. My older son (who is more classic mood disorder) flipped out early on a too high dose of Lexapro from a very inexperienced child psychiatrist--we learned quick after that one. </p><p></p><p>So we will start titrating back down (more quickly!) and talk to the psychiatrist next week. </p><p></p><p>anyway, I hope it is the Zoloft because the impulsiveness has gotten a lot worse, but am kind of bummed out because it did seem to be helping a bit with the door slamming, inability to let go of perceived slights , bad mood type behavior anytime we didn't go along with difficult child's program. </p><p></p><p>medications have made such a big difference for our oldest son, but this one, not much seems to help. Perhaps to be expected with a kid with Fetal Alcohol Effects (FAE). I am so worried about the next few years because of the impulsiveness and absence of forward thinking. I am beginning to think that he can only be somewhere where there is close adult supervision. You know how that is going to fly in the teenage years with a kid who in many ways isn't so far out of the normal range.</p><p></p><p>Feeling down.</p><p>Pepperidge</p></blockquote><p></p>
[QUOTE="pepperidge, post: 170079, member: 2322"] HI Just wanted to report on the latest medication trial for difficult child #2 who has Fetal Alcohol Effects (FAE), and is quite impulsive, distractable, and very inflexible when he doesn't get his way. Doesn't really fit the childhood bipolar diagnosis very well, closest thing seems to be what Smallworld talked about a while back of severe mood dysregulation. After trying Ritalin, Focalin, Adderall, Welbutrin, Topamax, Trileptal, Lamictal, Tenex, Strattera and who knows what else, to no to bad results we are down to Abilify which has worked from the get go to curb impulsiveness a bit. But we can't go any higher than 2.5 mg cause it causes tics. With extremely much trepidation we finally decided to try Zoloft. We have titrated up pretty slowly. Felt we were getting some less perseveration --fixation with things (like going shopping at midnight), then went up in half steps to 50 mg in the last week or so. Well this past couple of weeks we have seen shaving of the eyebrows, inhaling helium at a friends birthday party from balloons (after being told not to do it) and crashing our little farm tractor (not serious) without getting permission to ride it, to parading around in my underwear tonight, funny but not really appropriate in a boy going through puberty. I've come to the conclusion that this is disinhibition. My older son (who is more classic mood disorder) flipped out early on a too high dose of Lexapro from a very inexperienced child psychiatrist--we learned quick after that one. So we will start titrating back down (more quickly!) and talk to the psychiatrist next week. anyway, I hope it is the Zoloft because the impulsiveness has gotten a lot worse, but am kind of bummed out because it did seem to be helping a bit with the door slamming, inability to let go of perceived slights , bad mood type behavior anytime we didn't go along with difficult child's program. medications have made such a big difference for our oldest son, but this one, not much seems to help. Perhaps to be expected with a kid with Fetal Alcohol Effects (FAE). I am so worried about the next few years because of the impulsiveness and absence of forward thinking. I am beginning to think that he can only be somewhere where there is close adult supervision. You know how that is going to fly in the teenage years with a kid who in many ways isn't so far out of the normal range. Feeling down. Pepperidge [/QUOTE]
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