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HOCD? Anyone? Anyone?
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<blockquote data-quote="hearts and roses" data-source="post: 550883" data-attributes="member: 2211"><p>She already takes prozac 20mg every day, which has helped with the overall depression and pmdd, however, her pmdd is very severe the few days leading up to her period. When she was on the depo shot, she was very even tempered and rarely got bent over much...but she can't be on that long term. It doesn't help that her cycle is very irregular, painful and lasts up to about 10 days. I have suggested she call our gyno to go over other options.</p><p></p><p>She was diagnosis with tourette syndrome at around age 10...for a few years, besides her obvious facial tics, she had wild and massive rage attacks that would often last all weekend, she was spending a majority of her class time counting things, such as the stripes on her teacher's shirt or the lines on the clock or on her paper. We didn't know this was happening until mid-year and that was when she was tested and deemed eligible for 504 services. Over the years her Tourette's Syndrome has manifested itself in ADHD, Obsessive Compulsive Disorder (OCD), anxiety and depression - sometimes alone, sometimes all at the same time. She was on medications for the depression and ADHD/depression as well as the Obsessive Compulsive Disorder (OCD) and also for her trunk tics. Her medications were tweaked throughout her pre-teens and teens and finally at about 17 (I think) she stopped everything altogether. She cannot take mood stabilizers - we tried a few and they all wreaked havoc on her body. Anti-seizure medications work well in keeping her temper from flaring, but they also wreak havoc on her body after a while. A low dose anti-depressant works best, which is what she's on, prozac. If she takes too high a dose, she becomes manic and engages in extremely risky behavior so the DR would not raise her dose of prozac during her week of menses. </p><p></p><p>My feeling is that the best option at this point is to work very closely with an extremely experienced therapist to learn some coping skills and anger management the difficult child can use when the need arises. Simply adding or changing up her medications is not a smart thing in my humble opinion as we've been there done that and it's not pretty. difficult child is CAPABLE of normal function with a combo of therapist support and healthy tools, family support, and a low dose AD. It would probably be helpful if she could take some kind of low dose progesterine, but we'd have to check with her gyno to see if that's possible. difficult child has a difficult time remembering to take medications - has always been an issue. </p><p></p><p>Thanks again everyone!</p></blockquote><p></p>
[QUOTE="hearts and roses, post: 550883, member: 2211"] She already takes prozac 20mg every day, which has helped with the overall depression and pmdd, however, her pmdd is very severe the few days leading up to her period. When she was on the depo shot, she was very even tempered and rarely got bent over much...but she can't be on that long term. It doesn't help that her cycle is very irregular, painful and lasts up to about 10 days. I have suggested she call our gyno to go over other options. She was diagnosis with tourette syndrome at around age 10...for a few years, besides her obvious facial tics, she had wild and massive rage attacks that would often last all weekend, she was spending a majority of her class time counting things, such as the stripes on her teacher's shirt or the lines on the clock or on her paper. We didn't know this was happening until mid-year and that was when she was tested and deemed eligible for 504 services. Over the years her Tourette's Syndrome has manifested itself in ADHD, Obsessive Compulsive Disorder (OCD), anxiety and depression - sometimes alone, sometimes all at the same time. She was on medications for the depression and ADHD/depression as well as the Obsessive Compulsive Disorder (OCD) and also for her trunk tics. Her medications were tweaked throughout her pre-teens and teens and finally at about 17 (I think) she stopped everything altogether. She cannot take mood stabilizers - we tried a few and they all wreaked havoc on her body. Anti-seizure medications work well in keeping her temper from flaring, but they also wreak havoc on her body after a while. A low dose anti-depressant works best, which is what she's on, prozac. If she takes too high a dose, she becomes manic and engages in extremely risky behavior so the DR would not raise her dose of prozac during her week of menses. My feeling is that the best option at this point is to work very closely with an extremely experienced therapist to learn some coping skills and anger management the difficult child can use when the need arises. Simply adding or changing up her medications is not a smart thing in my humble opinion as we've been there done that and it's not pretty. difficult child is CAPABLE of normal function with a combo of therapist support and healthy tools, family support, and a low dose AD. It would probably be helpful if she could take some kind of low dose progesterine, but we'd have to check with her gyno to see if that's possible. difficult child has a difficult time remembering to take medications - has always been an issue. Thanks again everyone! [/QUOTE]
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