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New.... does this sound "normal"?
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<blockquote data-quote="susiestar" data-source="post: 367409" data-attributes="member: 1233"><p>Hi and welcome!!! You sure have a full plate, don't you??</p><p></p><p>I completely agree that you NEED a new psychiatrist. Any time a doctor discourages you from seeking a second opinion it is a GIANT red flag. I have health issues and have NEVER had a reputable doctor discourage me from getting a second opinion. A couple of docs have required it before some surgical procedures. psychiatrists, esp, should NEVER discourage a second opinion. Psychiatry is packed with disorders that have similar symptoms and you could go to six psychiatrists and get completely different diagnosis's from each of them. It is actually rather normal to have several psychiatrists each have different ideas about what is going on. Having another psychiatrist tell you exactly what the first one did would be an experience that very few of us have ever had. We couldn't even get three psychiatrists who worked at the same psychiatric hospital to give the same diagnosis's (diagnoses) for my son. I was surprised because they all saw him with-in a three day window.</p><p></p><p>If you have trialed all of those medications since January I would bet that not only has the doctor not gotten the medications up to the therapeutic range, they have not been in his system at that level for long enough to have a clue as to whether they work or not. The stimulant (vyvanse) is quick in/quick out. You would see results within hours if it was going to work. It would be out of his system within hours also. The other medications need to be at a therapeutic level for as long as six weeks (yes, six WEEKS) before you would know if they were having an effect and what it would be. </p><p></p><p>If you have been lurking you have likely seen us recommend <em>The Explosive Child</em> by Ross Greene. Regardless of your son's diagnosis, it may be helpful to you. You also may find help in the various Love and Logic books. You can learn about the various books at <a href="http://www.loveandlogic.com" target="_blank">www.loveandlogic.com</a> . I also strongly recommend you read <em>The Bipolar Child</em> by Papalous. It will explain a LOT about mood disorders. Pay special attention to the parts about medications as many rx and OTC medications can make mood disorders MUCh worse.</p><p></p><p>While you do all of that (as if you had spare time before you started here, LOL!) it would be incredibly helpful if you could keep a diary of his moods, outbursts, etc... If you can identify a trigger for the rage be sure to note it down. In a few weeks you may be able to start seeing patterns in his behavior. MOST people are creatures of habit, it is just the nature of the beast. </p><p></p><p>I also suggest you start a Parent Report. Years ago some moms here worked out an outline to keep all the info on a difficult child in one binder. That way you have the info when you get those forms about health history, you can give a doctor a section of the report to let him have the family history (rather than relying on his notes after you give the history orally).The outline is in the FAQ/Board Help section under the title Parent Input/Multi-Disciplinary Evaluation. Here is a link: <a href="http://www.conductdisorders.com/forum/f7/parent-input-multi-disciplinary-evaluation-10/" target="_blank">http://www.conductdisorders.com/forum/f7/parent-input-multi-disciplinary-evaluation-10/</a></p><p></p><p>I am glad you joined us and spoke up out of "lurkdom", though I wish you didn't need us!</p><p></p><p>{{{{{hugs}}}}}</p></blockquote><p></p>
[QUOTE="susiestar, post: 367409, member: 1233"] Hi and welcome!!! You sure have a full plate, don't you?? I completely agree that you NEED a new psychiatrist. Any time a doctor discourages you from seeking a second opinion it is a GIANT red flag. I have health issues and have NEVER had a reputable doctor discourage me from getting a second opinion. A couple of docs have required it before some surgical procedures. psychiatrists, esp, should NEVER discourage a second opinion. Psychiatry is packed with disorders that have similar symptoms and you could go to six psychiatrists and get completely different diagnosis's from each of them. It is actually rather normal to have several psychiatrists each have different ideas about what is going on. Having another psychiatrist tell you exactly what the first one did would be an experience that very few of us have ever had. We couldn't even get three psychiatrists who worked at the same psychiatric hospital to give the same diagnosis's (diagnoses) for my son. I was surprised because they all saw him with-in a three day window. If you have trialed all of those medications since January I would bet that not only has the doctor not gotten the medications up to the therapeutic range, they have not been in his system at that level for long enough to have a clue as to whether they work or not. The stimulant (vyvanse) is quick in/quick out. You would see results within hours if it was going to work. It would be out of his system within hours also. The other medications need to be at a therapeutic level for as long as six weeks (yes, six WEEKS) before you would know if they were having an effect and what it would be. If you have been lurking you have likely seen us recommend [I]The Explosive Child[/I] by Ross Greene. Regardless of your son's diagnosis, it may be helpful to you. You also may find help in the various Love and Logic books. You can learn about the various books at [url]www.loveandlogic.com[/url] . I also strongly recommend you read [I]The Bipolar Child[/I] by Papalous. It will explain a LOT about mood disorders. Pay special attention to the parts about medications as many rx and OTC medications can make mood disorders MUCh worse. While you do all of that (as if you had spare time before you started here, LOL!) it would be incredibly helpful if you could keep a diary of his moods, outbursts, etc... If you can identify a trigger for the rage be sure to note it down. In a few weeks you may be able to start seeing patterns in his behavior. MOST people are creatures of habit, it is just the nature of the beast. I also suggest you start a Parent Report. Years ago some moms here worked out an outline to keep all the info on a difficult child in one binder. That way you have the info when you get those forms about health history, you can give a doctor a section of the report to let him have the family history (rather than relying on his notes after you give the history orally).The outline is in the FAQ/Board Help section under the title Parent Input/Multi-Disciplinary Evaluation. Here is a link: [url]http://www.conductdisorders.com/forum/f7/parent-input-multi-disciplinary-evaluation-10/[/url] I am glad you joined us and spoke up out of "lurkdom", though I wish you didn't need us! {{{{{hugs}}}}} [/QUOTE]
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