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New Member - difficult child in Hospital
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<blockquote data-quote="BusynMember" data-source="post: 12797" data-attributes="member: 1550"><p>Hi there. It's never too late to come out of denial. Im with Sara on this. The medications he is on would make a kid with underlying bipolar MUCH worse. It can take weeks of not being on medications to see the real kid. There is a withdrawal from antidepressants that can be severe and last a long time. (Goggle SSRI withdrawal, Prozac and Zoloft are SSRIs). Aside from that I think that there are too many conflicting/confusing diagnosis. and that you should try to sort them out. I also recommend a good neuropsychologist, against psycologists without the Neuro or even a Psychiatrist (they don't tend to know much about Autism Spectrum Disorders (ASD)). You can't have Pervasive Developmental Disorder (PDD)-not otherwise specified and High-Functioning Autism (HFA). You have one or the other (my son has Autism Spectrum Disorders (ASD)). Actually, they are sort of both the same thing, and they require diligent interventions (not talk therapy), however they are neurological, NOT psychiatric problems, and don't cause psychosis.</p><p></p><p> Pulling a child abruptly off medications CAN cause psychosis!!!!!! I don't care WHAT they told you. It happened to me. I had a bad reaction to an antidepressant (which can also cause psychosis) and had to go off cold turkey and and it made me psychotic for a few days. I'm NOT psychotic. Most of your son's medications have been for ADHD and antidepressants (not good for kids with angry thoughts). That would make anything like a mood disorder or, if he has any leaning towards schizophrenia, even worse. He was treated for the wrong disorder. He may be FINE once his core problem is found and treated. ODD is not useful. Every child here acts ODD, but it doesn't usually stand alone, and the ODD behavior is usually caused by the "big picture" problem. Stand alone ODD wouldn't cause psychosis either and, in my opinion, this child is too sick to respond to reward charts--he needs help and you can do that stuff later, when he's stable. </p><p></p><p>A neuropsychologist does rather intensive testing, including psycological testing, and, while there are no blood tests for any disorders, certain answers to questions and certain behaviors in situations can point to disorders more clearly. Also, look hard at his family tree on both sides. Disorders don't pop out of the air, they are inherited. If there is, say, bipolar in the family, that's a good place to look. I'd want to peel that onion and see what's really at the core, and I'm not at all sure that he isn't psychotic because of the medications. ADHD medications would NOT mask psychosis. They would likely make it worse. Find a neuropsychologist with a good reputation and give it a try. You'll find that a neuropsychologist will be more precise and less confusing. I'm sorry you are going through all this and I hope you can sort it out.</p></blockquote><p></p>
[QUOTE="BusynMember, post: 12797, member: 1550"] Hi there. It's never too late to come out of denial. Im with Sara on this. The medications he is on would make a kid with underlying bipolar MUCH worse. It can take weeks of not being on medications to see the real kid. There is a withdrawal from antidepressants that can be severe and last a long time. (Goggle SSRI withdrawal, Prozac and Zoloft are SSRIs). Aside from that I think that there are too many conflicting/confusing diagnosis. and that you should try to sort them out. I also recommend a good neuropsychologist, against psycologists without the Neuro or even a Psychiatrist (they don't tend to know much about Autism Spectrum Disorders (ASD)). You can't have Pervasive Developmental Disorder (PDD)-not otherwise specified and High-Functioning Autism (HFA). You have one or the other (my son has Autism Spectrum Disorders (ASD)). Actually, they are sort of both the same thing, and they require diligent interventions (not talk therapy), however they are neurological, NOT psychiatric problems, and don't cause psychosis. Pulling a child abruptly off medications CAN cause psychosis!!!!!! I don't care WHAT they told you. It happened to me. I had a bad reaction to an antidepressant (which can also cause psychosis) and had to go off cold turkey and and it made me psychotic for a few days. I'm NOT psychotic. Most of your son's medications have been for ADHD and antidepressants (not good for kids with angry thoughts). That would make anything like a mood disorder or, if he has any leaning towards schizophrenia, even worse. He was treated for the wrong disorder. He may be FINE once his core problem is found and treated. ODD is not useful. Every child here acts ODD, but it doesn't usually stand alone, and the ODD behavior is usually caused by the "big picture" problem. Stand alone ODD wouldn't cause psychosis either and, in my opinion, this child is too sick to respond to reward charts--he needs help and you can do that stuff later, when he's stable. A neuropsychologist does rather intensive testing, including psycological testing, and, while there are no blood tests for any disorders, certain answers to questions and certain behaviors in situations can point to disorders more clearly. Also, look hard at his family tree on both sides. Disorders don't pop out of the air, they are inherited. If there is, say, bipolar in the family, that's a good place to look. I'd want to peel that onion and see what's really at the core, and I'm not at all sure that he isn't psychotic because of the medications. ADHD medications would NOT mask psychosis. They would likely make it worse. Find a neuropsychologist with a good reputation and give it a try. You'll find that a neuropsychologist will be more precise and less confusing. I'm sorry you are going through all this and I hope you can sort it out. [/QUOTE]
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