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<blockquote data-quote="susiestar" data-source="post: 286008" data-attributes="member: 1233"><p>Welcome! I am so glad you came out to say Hi and join us!</p><p></p><p>It sounds like your older difficult child is having a rough time, and sharing it liberally with the rest of the family. I know you have spoken with the doctor about the medicines, but it does seem like a pretty interesting mix. </p><p></p><p>Have you read The Bipolar Child? Looked into possible sensory issues? Had difficult child tested by a neuropsychologist and/or a multidisciplinary evaluation? Sensory issues are usually treated in young children, but after I learned brushing therapy for my youngest I applied it to my older kids with wonderful results. It must be taught by an Occupational Therapist (OT) as you can cause some problems if you don't do it properly, but it involves NO additional medication and can make some really drastic differences.</p><p></p><p>Has difficult child ever been through a medication wash? It would give you a chance to see what is "him" or the "disease/disorder" and what is side effects from the medications, or medication interactions.</p><p></p><p>I am fascinated by the liberal use of stimulant and antidepressant medications. He is on a stimulant and TWO antidepressants, WOW! Has he ever gone just on the mood stabilizer and antipsychotic? Or just the mood stabilizer? Keep in mind it can take a couple of MONTHS to clear the medications out of his system AFTER he is titrated down. Then you have to titrate up to a therapeautic dose and after you are at that dose it take 6 to 8 weeks to get the full effect of the medications.</p><p></p><p>Sadly there are very few docs who want to take the time to do this properly. Many docs don't even believe in SSRI/SNRI withdrawal! (let me tell you, it is VERY VERY real and is scary to go through).</p><p></p><p>Those are just ideas to think about. If the medications are working together and he is getting better, then stick with them. </p><p></p><p>Above ALL the ONLY rule you must NEVER EVER EVER break is this one:</p><p></p><p>Trust your Mommy Instincts. If you have that gut feeling, or absolute knowledge that something is good or bad for your child then follow that feeling. Many of us here, esp me, have made truly huge mistakes when we ignored our instincts. I beleive those instincts are there for the survival of the species. We are hard-wired with them for a reason.</p><p></p><p>I hope you stick around. I look forward to getting to know you.</p><p></p><p>And of course, take whatever I babble about that you can use and ignore the rest. Never hard feelings, I promise!</p></blockquote><p></p>
[QUOTE="susiestar, post: 286008, member: 1233"] Welcome! I am so glad you came out to say Hi and join us! It sounds like your older difficult child is having a rough time, and sharing it liberally with the rest of the family. I know you have spoken with the doctor about the medicines, but it does seem like a pretty interesting mix. Have you read The Bipolar Child? Looked into possible sensory issues? Had difficult child tested by a neuropsychologist and/or a multidisciplinary evaluation? Sensory issues are usually treated in young children, but after I learned brushing therapy for my youngest I applied it to my older kids with wonderful results. It must be taught by an Occupational Therapist (OT) as you can cause some problems if you don't do it properly, but it involves NO additional medication and can make some really drastic differences. Has difficult child ever been through a medication wash? It would give you a chance to see what is "him" or the "disease/disorder" and what is side effects from the medications, or medication interactions. I am fascinated by the liberal use of stimulant and antidepressant medications. He is on a stimulant and TWO antidepressants, WOW! Has he ever gone just on the mood stabilizer and antipsychotic? Or just the mood stabilizer? Keep in mind it can take a couple of MONTHS to clear the medications out of his system AFTER he is titrated down. Then you have to titrate up to a therapeautic dose and after you are at that dose it take 6 to 8 weeks to get the full effect of the medications. Sadly there are very few docs who want to take the time to do this properly. Many docs don't even believe in SSRI/SNRI withdrawal! (let me tell you, it is VERY VERY real and is scary to go through). Those are just ideas to think about. If the medications are working together and he is getting better, then stick with them. Above ALL the ONLY rule you must NEVER EVER EVER break is this one: Trust your Mommy Instincts. If you have that gut feeling, or absolute knowledge that something is good or bad for your child then follow that feeling. Many of us here, esp me, have made truly huge mistakes when we ignored our instincts. I beleive those instincts are there for the survival of the species. We are hard-wired with them for a reason. I hope you stick around. I look forward to getting to know you. And of course, take whatever I babble about that you can use and ignore the rest. Never hard feelings, I promise! [/QUOTE]
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