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<blockquote data-quote="klmno" data-source="post: 290138" data-attributes="member: 3699"><p>Well, he won't be as supervised by a medication prof as I would want. But, he is supervised 24/7 and kept on a regular schedule moreso than a psychiatric hospital would do. One advantage is that if he's having trouble sleeping as he adjusts, he could just get up and go talk to a nursse all night at a psychiatric hospital and the next day, the psychiatrist would rx something for it, probably. Where he is now, he won't get into trouble, but he would have to sit in the dark all night then wait for infor to get passed to psychiatrist- which could take days. That might sound mean of me, but I think it can be difficult to distinguish between needing to adjust to sleeping on schedule without medications and being hypomanic sometimes. So even though they are primarily behavior-focused, maybe that can serve to keep difficult child from looking for a medication solution if he doesn't really need it. ( I was accused by sd and PO and family of just getting medications for difficult child for things he could control.) In either case, this process should make things clearer. I really hope he doesn't get manic then have as difficult time getting stable as some have. That would be the worst, but you know, at least it should be obvious to everyone what we are dealing with then.</p><p></p><p>I'm going to call his therapist today to make sure she is telling all staff around difficult child about the medication decrease and that they need to watch for certain changes of behavior, etc. I don't want difficult child blamed if he should become truly hypomanic or manic. I think I better call the sd there, too. They even told me to call them if psychiatrist went this route to make sure they were aware of it so they could touch base with his teachers and catch any signs of hypomania (excessive talking in class, etc) early. He has been getting good marks for behaving well, cooperating, and trying hard to follow all rules, so as long as someone is paying attention, they should be able to spot any sudden change to hyperness, agitation, etc.</p><p></p><p>I'm a lot more concerned about the lithobid withdrawal than I am the tegretol.</p></blockquote><p></p>
[QUOTE="klmno, post: 290138, member: 3699"] Well, he won't be as supervised by a medication prof as I would want. But, he is supervised 24/7 and kept on a regular schedule moreso than a psychiatric hospital would do. One advantage is that if he's having trouble sleeping as he adjusts, he could just get up and go talk to a nursse all night at a psychiatric hospital and the next day, the psychiatrist would rx something for it, probably. Where he is now, he won't get into trouble, but he would have to sit in the dark all night then wait for infor to get passed to psychiatrist- which could take days. That might sound mean of me, but I think it can be difficult to distinguish between needing to adjust to sleeping on schedule without medications and being hypomanic sometimes. So even though they are primarily behavior-focused, maybe that can serve to keep difficult child from looking for a medication solution if he doesn't really need it. ( I was accused by sd and PO and family of just getting medications for difficult child for things he could control.) In either case, this process should make things clearer. I really hope he doesn't get manic then have as difficult time getting stable as some have. That would be the worst, but you know, at least it should be obvious to everyone what we are dealing with then. I'm going to call his therapist today to make sure she is telling all staff around difficult child about the medication decrease and that they need to watch for certain changes of behavior, etc. I don't want difficult child blamed if he should become truly hypomanic or manic. I think I better call the sd there, too. They even told me to call them if psychiatrist went this route to make sure they were aware of it so they could touch base with his teachers and catch any signs of hypomania (excessive talking in class, etc) early. He has been getting good marks for behaving well, cooperating, and trying hard to follow all rules, so as long as someone is paying attention, they should be able to spot any sudden change to hyperness, agitation, etc. I'm a lot more concerned about the lithobid withdrawal than I am the tegretol. [/QUOTE]
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