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difficult child in the hospital/new diagnosis
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<blockquote data-quote="susiestar" data-source="post: 368283" data-attributes="member: 1233"><p>I hope the hospital is able to help her. I am glad you are getting a few days to recharge your batteries, if possible. </p><p></p><p>Have you read "The Bipolar Child"? It is an excellent resource, esp with regards to medications. Bipolar can be very different in children.</p><p></p><p>It would be a miracle if your daughter was able to get better while still on Adderal and Welbutrin. It is RARE for a child with bipolar to be able to take stimulants OR antidepressants with-o them causing cycling and other problems. The trileptal is a good choice for antipsychotic as it seems to also have some mood stabilizing properties. While difficult child is still in the psychiatric hospital please ask the doctor about weaning her off of the adderal and welbutrin and getting her on a first line mood stabilizer. </p><p></p><p>Often a child with bipolar will have to be taken off all medications except a mood stabilizer and an antipsychotic. Sometimes they even need 2 mood stabilizers to become stable. Once their moods are stable then SMALL amounts of stims or antidepressants can be tried. It is not uncommon for them not to be needed because the symptoms that were thought to be adhd and depression were actually being caused by the bipolar. Until she has been off of them, and on the right combo of mood stabilizers and antipsychotics for 6-8 weeks, you won't know if she will really NEED the adderal and welbutrin. </p><p></p><p>For some reason many docs need to be pushed to follow this. It is the formal medication protocol for treating bipolar patients (children and adults) established by the boards of psychiatry. It is in the medication section of the Bipolar Child, and is also on the web. Ask the doctor to follow this to see if it will help. You may find that the welbutrin and adderal are causing far more problems than they are helping.</p><p></p><p>Several of the adults on the site who have bipolar have said that changing to this protocol made a HUGE difference, better than they ever thought could happen. It is one reason that many of us suggest pushing the doctor to try it. It will take 6 to 8 weeks after difficult child is at a therapeutic level to know how well the medications are going to work. It can be HARD to get to that level and then wait so long, but it can be worth the effort in the long run. </p><p></p><p>I hope that this helps. Now that she has the formal diagnosis it is time to push for the right treatment. When other disorders are comorbid, it is important to treat the bipolar first because many medications cause cycling. Until the moods are stable the other problems cannot be fixed no matter what you do.</p></blockquote><p></p>
[QUOTE="susiestar, post: 368283, member: 1233"] I hope the hospital is able to help her. I am glad you are getting a few days to recharge your batteries, if possible. Have you read "The Bipolar Child"? It is an excellent resource, esp with regards to medications. Bipolar can be very different in children. It would be a miracle if your daughter was able to get better while still on Adderal and Welbutrin. It is RARE for a child with bipolar to be able to take stimulants OR antidepressants with-o them causing cycling and other problems. The trileptal is a good choice for antipsychotic as it seems to also have some mood stabilizing properties. While difficult child is still in the psychiatric hospital please ask the doctor about weaning her off of the adderal and welbutrin and getting her on a first line mood stabilizer. Often a child with bipolar will have to be taken off all medications except a mood stabilizer and an antipsychotic. Sometimes they even need 2 mood stabilizers to become stable. Once their moods are stable then SMALL amounts of stims or antidepressants can be tried. It is not uncommon for them not to be needed because the symptoms that were thought to be adhd and depression were actually being caused by the bipolar. Until she has been off of them, and on the right combo of mood stabilizers and antipsychotics for 6-8 weeks, you won't know if she will really NEED the adderal and welbutrin. For some reason many docs need to be pushed to follow this. It is the formal medication protocol for treating bipolar patients (children and adults) established by the boards of psychiatry. It is in the medication section of the Bipolar Child, and is also on the web. Ask the doctor to follow this to see if it will help. You may find that the welbutrin and adderal are causing far more problems than they are helping. Several of the adults on the site who have bipolar have said that changing to this protocol made a HUGE difference, better than they ever thought could happen. It is one reason that many of us suggest pushing the doctor to try it. It will take 6 to 8 weeks after difficult child is at a therapeutic level to know how well the medications are going to work. It can be HARD to get to that level and then wait so long, but it can be worth the effort in the long run. I hope that this helps. Now that she has the formal diagnosis it is time to push for the right treatment. When other disorders are comorbid, it is important to treat the bipolar first because many medications cause cycling. Until the moods are stable the other problems cannot be fixed no matter what you do. [/QUOTE]
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