Hi all, I haven't posted for awhile. difficult child is now 13. His diagnosis is Pervasive Developmental Disorder (PDD)/not otherwise specified, ODD, ADD. He's been on Abilify & tenex for a long time, years. We've kept him on those after trials of many other medications, as these worked out the best. difficult child is maxed out on the dosage for both. He's still very defiant & oppositional & easily agitated/aggressive & has trouble working in school or homework. Without his current medications he would be much more so however. New psychiatrist presented 3 options to consider: 1)Leave ability, add lamictal (slowly get rid of tenex) 2) Change Abilify to Invega 3) Leave Abilify & add Vyvance.
My concerns are these 1) difficult child has tried mood stabilizers with previous psychiatrist (depakote, lithium, trileptal) and they didn't work. These were tried while difficult child was also on risperdal. 2) Abilify & Invega are in the same family, so I don't see any advantage of switching 3) difficult child has never done well on stimulants (trued concerta, ritalin, adderall, straterra)
Out of the 3, I may try to add the lamictal, but why? ...he never did well on the other options. When we were with previous psychiatrist I had asked her about lamictal, and she didn't want to try it.
Any advice is appreciated. **p.s. recently saw movie "stepbrothers" and they reminded me of my difficult child in some ways.
Also, is there a trick to getting previous psychiatrist to mail new psychiatrist or give me a copy of difficult child's records? they faxed a request a while back & called,& still no copies.
Thanks
difficult child 13, Pervasive Developmental Disorder (PDD)/add/odd
My concerns are these 1) difficult child has tried mood stabilizers with previous psychiatrist (depakote, lithium, trileptal) and they didn't work. These were tried while difficult child was also on risperdal. 2) Abilify & Invega are in the same family, so I don't see any advantage of switching 3) difficult child has never done well on stimulants (trued concerta, ritalin, adderall, straterra)
Out of the 3, I may try to add the lamictal, but why? ...he never did well on the other options. When we were with previous psychiatrist I had asked her about lamictal, and she didn't want to try it.
Any advice is appreciated. **p.s. recently saw movie "stepbrothers" and they reminded me of my difficult child in some ways.
Also, is there a trick to getting previous psychiatrist to mail new psychiatrist or give me a copy of difficult child's records? they faxed a request a while back & called,& still no copies.
Thanks
difficult child 13, Pervasive Developmental Disorder (PDD)/add/odd