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<blockquote data-quote="miles2go" data-source="post: 263483" data-attributes="member: 6374"><p>And so more dose-upping hesitations comes with the allergy season and I have a general question on people's attitudes towards medications and conditions they treat. My difficult child's diagnosis is bipolar and is not in doubt. On the question of dosage I used to be conservative -- the minimum that keeps him out of trouble in school, and if there are occasional explosions that he/we can bring under control that's no reason to up the medication.</p><p>However, his psychiatrist's arguments make sense as well:</p><p>1. His self image begins to include these meltdowns and thus he'll see himself as unstable, prone to "bad behavior".</p><p>2. These occasional meltdowns are symptoms of the more pervasive condition his brain is in and he needs the experience of a healthy brain in order to properly develop. I have observed older family members with the same symptoms who have gone untreated and I can see how this condition, with early onset, has stunted and distorted development -- cognitive (hard to carry a logical train, a lot of "magical thinking") and emotional (no empathic imagination, narcissistic personality, etc).</p><p> Hence his psychiatrist's attitude to up the dosage until symptoms are reduced to none. </p><p>The only side effect so far has been weight gain, which is a drag, but when the medication works we have our sweet and intelligent boy with us who has really just started developing when he started Abilify.</p><p>Comments?</p><p>Me -- almost 50 y.o. married dad</p><p>difficult child boy 7y.o. BiPolar (BP), on Abilify</p></blockquote><p></p>
[QUOTE="miles2go, post: 263483, member: 6374"] And so more dose-upping hesitations comes with the allergy season and I have a general question on people's attitudes towards medications and conditions they treat. My difficult child's diagnosis is bipolar and is not in doubt. On the question of dosage I used to be conservative -- the minimum that keeps him out of trouble in school, and if there are occasional explosions that he/we can bring under control that's no reason to up the medication. However, his psychiatrist's arguments make sense as well: 1. His self image begins to include these meltdowns and thus he'll see himself as unstable, prone to "bad behavior". 2. These occasional meltdowns are symptoms of the more pervasive condition his brain is in and he needs the experience of a healthy brain in order to properly develop. I have observed older family members with the same symptoms who have gone untreated and I can see how this condition, with early onset, has stunted and distorted development -- cognitive (hard to carry a logical train, a lot of "magical thinking") and emotional (no empathic imagination, narcissistic personality, etc). Hence his psychiatrist's attitude to up the dosage until symptoms are reduced to none. The only side effect so far has been weight gain, which is a drag, but when the medication works we have our sweet and intelligent boy with us who has really just started developing when he started Abilify. Comments? Me -- almost 50 y.o. married dad difficult child boy 7y.o. BiPolar (BP), on Abilify [/QUOTE]
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