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difficult child refuses to do anything we say, sneaks out, etc
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<blockquote data-quote="Sara PA" data-source="post: 107568" data-attributes="member: 1498"><p>Originally Posted By: weatheringthestorm</p><p>We were aware of the possible increase in hypomania from the medications. His psychiatrist doesn't think this is likely for him as he's had these same problems long before the medications and they had improved on them. However, even she says anything is possible and she's monitoring it closely. I have read on several sites that the Wellbutrin - Seraquel combo is frequently used in BiPolar (BP) kids. He was on Wellbutrin and Abilify for a while.</p><p></p><p>Having the problems before, then having them improve when first taking an antidepressant, than have them swing into being worse is pretty much the way it works much of the time when there is a psychiatric adverse reaction to the medication. </p><p></p><p>Is your son better now or before he took medication? Before medications is the baseline to which you should compare his current behavior, not how he was when he first started the medications.</p><p></p><p>While the combo of an antidepressant and an antipsychotic might be <em>used</em> to treat people with bipolar, it is <em>not</em> what is recommended by the American Psychiatric Association guidelines for treating bipolar. A first line mood stabilizer (lithium, Lamictal, Depokote, Tegretol/Trileptal) and, <em>if needed for short term treatment of manic or depressed phases</em>, an antipsychotic or an antidepressan. It is recommended that when the mood stabilizer is working, the antipsychotic or antidepressant be weaned back or removed.</p><p></p><p>Mania is not the only psychiatric side effect for antidepressants. Hostility is another as are anger, aggression, anxiety and mood swings.</p><p></p><p>The criminal justice system is no cure for neurobiological disorders. It would be quicker, easier, cheaper if we could all just send our kids to jail for a bit instead of treating their malfunctioning brains. Unfortunately that isn't the case.</p></blockquote><p></p>
[QUOTE="Sara PA, post: 107568, member: 1498"] Originally Posted By: weatheringthestorm We were aware of the possible increase in hypomania from the medications. His psychiatrist doesn't think this is likely for him as he's had these same problems long before the medications and they had improved on them. However, even she says anything is possible and she's monitoring it closely. I have read on several sites that the Wellbutrin - Seraquel combo is frequently used in BiPolar (BP) kids. He was on Wellbutrin and Abilify for a while. Having the problems before, then having them improve when first taking an antidepressant, than have them swing into being worse is pretty much the way it works much of the time when there is a psychiatric adverse reaction to the medication. Is your son better now or before he took medication? Before medications is the baseline to which you should compare his current behavior, not how he was when he first started the medications. While the combo of an antidepressant and an antipsychotic might be [I]used[/I] to treat people with bipolar, it is [I]not[/I] what is recommended by the American Psychiatric Association guidelines for treating bipolar. A first line mood stabilizer (lithium, Lamictal, Depokote, Tegretol/Trileptal) and, [I]if needed for short term treatment of manic or depressed phases[/I], an antipsychotic or an antidepressan. It is recommended that when the mood stabilizer is working, the antipsychotic or antidepressant be weaned back or removed. Mania is not the only psychiatric side effect for antidepressants. Hostility is another as are anger, aggression, anxiety and mood swings. The criminal justice system is no cure for neurobiological disorders. It would be quicker, easier, cheaper if we could all just send our kids to jail for a bit instead of treating their malfunctioning brains. Unfortunately that isn't the case. [/QUOTE]
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