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<blockquote data-quote="gcvmom" data-source="post: 288890" data-attributes="member: 3444"><p>I haven't read everyone's replies to your thread, but I think you are absolutely right about his anxiety being the biggest issue here. Until you get that treated, and until you get the school to understand how he learns best and in what kind of environment, I think it's going to continue to be an uphill climb for him. </p><p> </p><p>With regard to your question about antipsychotics, I don't believe that it's ever a situation of having to necessarily increase the dosage until it just doesn't work anymore. If that's happening, then it's probably not the right medication and something else needs to be considered. </p><p> </p><p>In my difficult child 2's case, he did start with one atypical antipsychotic to help with his aggression early on and it worked well for quite a while. But then as he grew and developed something began to change in him -- and I think that's when his mood disorder started expressing itself. He did have to switch to another atypical, which worked okay for a while. Then he developed an autoimmune-related movement disorder as the result of a strep infection. Ironically, the symptoms are treated with certain atypicals. Unfortunately, difficult child 2 developed a dystonic reaction to the newest medication we tried. So we tried another. Same reaction. </p><p> </p><p>The movement disorder has resolved, and he is now on Seroquel XR, which I understand behaves a little differently than the other atypicals. There were some side effects that were troubling at first, like heavy sedation and ravenous appetite. But as we titrated his dosage and with more time to adjust, those side effects have improved quite a lot.</p><p> </p><p>You are doing the right thing by asking questions and seeking second opinions. I hope you can find a psychiatrist who is has the experience you need to treat your son. It's a long journey you are on, but with patience and persistence, you will eventually find a treatment solution that is right for your son.</p><p> </p><p>Hang in there!</p></blockquote><p></p>
[QUOTE="gcvmom, post: 288890, member: 3444"] I haven't read everyone's replies to your thread, but I think you are absolutely right about his anxiety being the biggest issue here. Until you get that treated, and until you get the school to understand how he learns best and in what kind of environment, I think it's going to continue to be an uphill climb for him. With regard to your question about antipsychotics, I don't believe that it's ever a situation of having to necessarily increase the dosage until it just doesn't work anymore. If that's happening, then it's probably not the right medication and something else needs to be considered. In my difficult child 2's case, he did start with one atypical antipsychotic to help with his aggression early on and it worked well for quite a while. But then as he grew and developed something began to change in him -- and I think that's when his mood disorder started expressing itself. He did have to switch to another atypical, which worked okay for a while. Then he developed an autoimmune-related movement disorder as the result of a strep infection. Ironically, the symptoms are treated with certain atypicals. Unfortunately, difficult child 2 developed a dystonic reaction to the newest medication we tried. So we tried another. Same reaction. The movement disorder has resolved, and he is now on Seroquel XR, which I understand behaves a little differently than the other atypicals. There were some side effects that were troubling at first, like heavy sedation and ravenous appetite. But as we titrated his dosage and with more time to adjust, those side effects have improved quite a lot. You are doing the right thing by asking questions and seeking second opinions. I hope you can find a psychiatrist who is has the experience you need to treat your son. It's a long journey you are on, but with patience and persistence, you will eventually find a treatment solution that is right for your son. Hang in there! [/QUOTE]
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