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New.... does this sound "normal"?
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<blockquote data-quote="gcvmom" data-source="post: 367387" data-attributes="member: 3444"><p>In my opinion, you need to find a new psychiatrist for starters. </p><p> </p><p>Second, I would question whether or not the various medications have been given a sufficient amount of time and/or been taken to a therapeutic level to do the job. If you read the prescribing info for Lamictal, for example, <a href="http://us.gsk.com/products/assets/us_lamictal.pdf" target="_blank">http://us.gsk.com/products/assets/us_lamictal.pdf</a> you'll see in Table 5 that the peak level targeted after a titration period is 200mg/day. You may very well not see much of a change until you get to a higher dose. Furthermore, the upper limits of a medication's recommended dosage is often just that -- recommended. Sometimes a psychiatrist, in their extensive experience and judgement, will base dosing on patient response rather than a recommended limit.</p><p> </p><p>There are likely multiple issues going on with your difficult child that are causing the rages, the violence, the lack of impulse control, etc. I would focus on the rage/violence first and get those under control before worrying about the impulse control problems.</p></blockquote><p></p>
[QUOTE="gcvmom, post: 367387, member: 3444"] In my opinion, you need to find a new psychiatrist for starters. Second, I would question whether or not the various medications have been given a sufficient amount of time and/or been taken to a therapeutic level to do the job. If you read the prescribing info for Lamictal, for example, [URL]http://us.gsk.com/products/assets/us_lamictal.pdf[/URL] you'll see in Table 5 that the peak level targeted after a titration period is 200mg/day. You may very well not see much of a change until you get to a higher dose. Furthermore, the upper limits of a medication's recommended dosage is often just that -- recommended. Sometimes a psychiatrist, in their extensive experience and judgement, will base dosing on patient response rather than a recommended limit. There are likely multiple issues going on with your difficult child that are causing the rages, the violence, the lack of impulse control, etc. I would focus on the rage/violence first and get those under control before worrying about the impulse control problems. [/QUOTE]
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