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<blockquote data-quote="susiestar" data-source="post: 287886" data-attributes="member: 1233"><p>The adhd medications may have actually increases his irritability. I think the irritable, angry state is sometimes described as being a mixed state - mixture of both manic and depressive states. </p><p></p><p>Adhd medications can drastically increase that in a person who is bipolar. </p><p></p><p>The reaction to zoloft makes me think you should investigate and treat him as if he is possibly bipolar. Even if they want to use mood disorder-not otherwise specified (Not Otherwise Specified), the treatment protocol is the same.</p><p></p><p>Insist the doctor treat him with mood stabilizers BEFORE you add any other medications. For some reason docs want to give SSRI medications like Lexapro and Zoloft instead of following the treatment guidelines that are made by the group that certifies them. The protocol calls for stabilizing mood first, and then adding an antipsychotic if needed. After that if you are seeing stable mood and still have problems you can try adding an adhd medication or antidepressant, but you have to start low and slow - low dose and slow increases. This helps keep any interference with moods down.</p><p></p><p>Given you don't know, but it sounds like mood disorder or bipolar, you should use those guidelines for treatment. You may have to be insistent with the psychiatrist, but it will pay off.</p><p></p><p>get a copy of The Bipolar Child by Papalous. It has this treatment protocol in it, with proper citations. It also explains the WHY of following it. </p><p></p><p>Chances are if you use any medications other than mood stabilizers and an antipsychotic, you will send him cycling out of control. It can be very scary to see.</p></blockquote><p></p>
[QUOTE="susiestar, post: 287886, member: 1233"] The adhd medications may have actually increases his irritability. I think the irritable, angry state is sometimes described as being a mixed state - mixture of both manic and depressive states. Adhd medications can drastically increase that in a person who is bipolar. The reaction to zoloft makes me think you should investigate and treat him as if he is possibly bipolar. Even if they want to use mood disorder-not otherwise specified (Not Otherwise Specified), the treatment protocol is the same. Insist the doctor treat him with mood stabilizers BEFORE you add any other medications. For some reason docs want to give SSRI medications like Lexapro and Zoloft instead of following the treatment guidelines that are made by the group that certifies them. The protocol calls for stabilizing mood first, and then adding an antipsychotic if needed. After that if you are seeing stable mood and still have problems you can try adding an adhd medication or antidepressant, but you have to start low and slow - low dose and slow increases. This helps keep any interference with moods down. Given you don't know, but it sounds like mood disorder or bipolar, you should use those guidelines for treatment. You may have to be insistent with the psychiatrist, but it will pay off. get a copy of The Bipolar Child by Papalous. It has this treatment protocol in it, with proper citations. It also explains the WHY of following it. Chances are if you use any medications other than mood stabilizers and an antipsychotic, you will send him cycling out of control. It can be very scary to see. [/QUOTE]
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