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antidepressants after 1 week - IQ/executive function drop?
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<blockquote data-quote="pepperidge" data-source="post: 414156" data-attributes="member: 2322"><p>Hi Agee,</p><p></p><p>Both of my kids exhibited major acting out (far more impulsiveness, some stealing etc) a couple of days after starting anti depressants. They don't have bipolar, but something more akin to emotional dysregulation. My older son who has more depressive type mood issues has been helped a great deal by Lamictal. A-Ds apparently "relax" whatever minimal executive functioning they had. If it were me and you noticed this much worse behavior I would be thinking about discontinuing the anti depressants immediately. My third grader on 10 mg of Lexapro was knocking over desks in his classroom after two or three days. It was bad. Once we d/c the anti depressants (and this happened on Zoloft, Prozac and Lexapro) things went back to "normal". Is Depakote helping? I have heard that fetal alcohol kids are hard to medicate. psychiatrists I have have been skeptical about the negative effects but we have behavior data from school and our own observations so I think my kids' deterioration in behavior was definitely due to the ADs.</p><p></p><p></p><p>I have a kid with a fetal alcohol diagnosis. We have tried a whole bunch of different medications with him because of his tendency to get really nasty. He wasn't able to tolerate stimulants when in grade school but now that he has gone through puberty he is on Concerta which seems to help. He did better with Abilify when younger. It is very slow progress on the nastiness front. (not to mention the impulsive front). I am slowly learning how not to trigger incidents (we write down lists of things he needs to do for example because he doesn't like it when we change the game plan --oh, I forget that you had to do such and such before you watch TV). We have found punishment not to have great benefits. What we have found is to try to find great adults for him to interact with (coaches, etc). But it is a really long haul. I think one mindset that is useful is to realize that you need to change the environment around them so that they can be successful, rather than expect that they will be able to conform to what is commonly expected. For example, we have to be more vigilant than most parents I think.</p><p></p><p>Please pm if you want to tlk more about FA at any point.</p></blockquote><p></p>
[QUOTE="pepperidge, post: 414156, member: 2322"] Hi Agee, Both of my kids exhibited major acting out (far more impulsiveness, some stealing etc) a couple of days after starting anti depressants. They don't have bipolar, but something more akin to emotional dysregulation. My older son who has more depressive type mood issues has been helped a great deal by Lamictal. A-Ds apparently "relax" whatever minimal executive functioning they had. If it were me and you noticed this much worse behavior I would be thinking about discontinuing the anti depressants immediately. My third grader on 10 mg of Lexapro was knocking over desks in his classroom after two or three days. It was bad. Once we d/c the anti depressants (and this happened on Zoloft, Prozac and Lexapro) things went back to "normal". Is Depakote helping? I have heard that fetal alcohol kids are hard to medicate. psychiatrists I have have been skeptical about the negative effects but we have behavior data from school and our own observations so I think my kids' deterioration in behavior was definitely due to the ADs. I have a kid with a fetal alcohol diagnosis. We have tried a whole bunch of different medications with him because of his tendency to get really nasty. He wasn't able to tolerate stimulants when in grade school but now that he has gone through puberty he is on Concerta which seems to help. He did better with Abilify when younger. It is very slow progress on the nastiness front. (not to mention the impulsive front). I am slowly learning how not to trigger incidents (we write down lists of things he needs to do for example because he doesn't like it when we change the game plan --oh, I forget that you had to do such and such before you watch TV). We have found punishment not to have great benefits. What we have found is to try to find great adults for him to interact with (coaches, etc). But it is a really long haul. I think one mindset that is useful is to realize that you need to change the environment around them so that they can be successful, rather than expect that they will be able to conform to what is commonly expected. For example, we have to be more vigilant than most parents I think. Please pm if you want to tlk more about FA at any point. [/QUOTE]
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