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Another psychiatric hospital Update
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<blockquote data-quote="jal" data-source="post: 186715" data-attributes="member: 3477"><p>husband does understand he needs to be there, he is just upset that difficult child has to be there and I guess I wasn't so clear about "upset". He's not mad or in denial - he's just so emotionally sad that difficult child has to go through this and be away from us and he just wants his little boy to be home.</p><p></p><p>With regards to the ADHD vs Bipolar. Under difficult child's reg psychiatrist we were doing a wash because difficult child has been on this protocol for over a year and we just did not see the improvement that we had hoped for. During the wash difficult child became worse. This is what prompted the inpatient. On his 4th day there the wash was completed (we had been doing this for around 4 weeks). They began to observe and see that difficult child has a motor that just does not shut off, can't sit still, frustrates easily and it escalates to lashing out. </p><p></p><p>Reg psychiatrist wanted to address ADHD after the wash anyways. I felt it was fruitless since we've tried every stimulant under the sun, but it had to be tried because the poor kid CANNOT concentrate on anything for more than 2-5 minutes, CANNOT sit still and is constantly going. (he's been like this since age 2 and I cannot believe he has been in a manic state for 4 years 24/7). As we predicted, Ritalin did not work and they saw how much more agitated and agressive he became on it. So they switched to the older class that used to be used for ADHD, the anti-depressant Pamelor (nortriptaline). It is actually seeming to have some effect. He's been able to play Monopoly for up to 25 minutes with only getting up 2 times. We play Sorry yesterday and he did not leave the table (normally he would be up 10+ times). I have always known in my heart he has ADHD although alot that presents falls in the bipolar catagory too. I am just wondering if that all these years of constant going and going and the frustration that comes with it brought out the physicality because he couldn't express himself any other way.</p><p></p><p>The psychiatrist at the inpatient is very hesitant on giving difficult child diagnosis of bipolar as it will stick with-him throughout his lifetime. He is insistant that he will not let him go until he is stable. He does see issues with his cognitive thinking and emotional thinking, but says his executive function is good that he's as sharp as a tack and his vocabulary is great. But all in all some things slightly touch the austism spectrum (which I have been questioning for awhile). Unfortunatley it appears that difficult child has a HUGE mixed bag - a little of every disorder - he even threw in a little Obsessive Compulsive Disorder (OCD) for good measure (that one I see a bit of too, when it comes to fixating on something).</p></blockquote><p></p>
[QUOTE="jal, post: 186715, member: 3477"] husband does understand he needs to be there, he is just upset that difficult child has to be there and I guess I wasn't so clear about "upset". He's not mad or in denial - he's just so emotionally sad that difficult child has to go through this and be away from us and he just wants his little boy to be home. With regards to the ADHD vs Bipolar. Under difficult child's reg psychiatrist we were doing a wash because difficult child has been on this protocol for over a year and we just did not see the improvement that we had hoped for. During the wash difficult child became worse. This is what prompted the inpatient. On his 4th day there the wash was completed (we had been doing this for around 4 weeks). They began to observe and see that difficult child has a motor that just does not shut off, can't sit still, frustrates easily and it escalates to lashing out. Reg psychiatrist wanted to address ADHD after the wash anyways. I felt it was fruitless since we've tried every stimulant under the sun, but it had to be tried because the poor kid CANNOT concentrate on anything for more than 2-5 minutes, CANNOT sit still and is constantly going. (he's been like this since age 2 and I cannot believe he has been in a manic state for 4 years 24/7). As we predicted, Ritalin did not work and they saw how much more agitated and agressive he became on it. So they switched to the older class that used to be used for ADHD, the anti-depressant Pamelor (nortriptaline). It is actually seeming to have some effect. He's been able to play Monopoly for up to 25 minutes with only getting up 2 times. We play Sorry yesterday and he did not leave the table (normally he would be up 10+ times). I have always known in my heart he has ADHD although alot that presents falls in the bipolar catagory too. I am just wondering if that all these years of constant going and going and the frustration that comes with it brought out the physicality because he couldn't express himself any other way. The psychiatrist at the inpatient is very hesitant on giving difficult child diagnosis of bipolar as it will stick with-him throughout his lifetime. He is insistant that he will not let him go until he is stable. He does see issues with his cognitive thinking and emotional thinking, but says his executive function is good that he's as sharp as a tack and his vocabulary is great. But all in all some things slightly touch the austism spectrum (which I have been questioning for awhile). Unfortunatley it appears that difficult child has a HUGE mixed bag - a little of every disorder - he even threw in a little Obsessive Compulsive Disorder (OCD) for good measure (that one I see a bit of too, when it comes to fixating on something). [/QUOTE]
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