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<blockquote data-quote="flutterby" data-source="post: 263587" data-attributes="member: 7083"><p>When you have a condition like BiPolar (BP), medications are necessary. I have my doubts about Abilify being used as bipolar monotherapy, though. The studies to get FDA approval as use for monotherapy were short - even more so for kids (and those were aged 10-17). I believe the studies were 4 weeks long and a lot can happen after that.</p><p></p><p>The standard treatment for bipolar has always been first line mood stabilizer (lithium, lamictal, depakote, etc) and an antipsychotic (abilify, risperdal, seroquel, etc) as adjunctive therapy. Abilify is new. Until further studies show that it is as effective as the treatment above, I personally would be leary of trying it as monotherapy. </p><p></p><p>As far as doses, I personally don't think it's enough to just get by. I think it needs to be enough where the child is stable. </p><p></p><p>You're correct about the stunted emotional and cognitive growth for those with this disorder. difficult child 2 is 16, but emotionally is about 12...but he thinks he's 25. <img src="/community/styles/default/xenforo/smilies/Graemlins/1010hammer.gif" class="smilie" loading="lazy" alt=":hammer:" title="hammer :hammer:" data-shortname=":hammer:" /> Reaching and maintaining stability are very important.</p><p></p><p>ETA: I guess I shouldn't say "always been" above. But, it has been for a long time.</p></blockquote><p></p>
[QUOTE="flutterby, post: 263587, member: 7083"] When you have a condition like BiPolar (BP), medications are necessary. I have my doubts about Abilify being used as bipolar monotherapy, though. The studies to get FDA approval as use for monotherapy were short - even more so for kids (and those were aged 10-17). I believe the studies were 4 weeks long and a lot can happen after that. The standard treatment for bipolar has always been first line mood stabilizer (lithium, lamictal, depakote, etc) and an antipsychotic (abilify, risperdal, seroquel, etc) as adjunctive therapy. Abilify is new. Until further studies show that it is as effective as the treatment above, I personally would be leary of trying it as monotherapy. As far as doses, I personally don't think it's enough to just get by. I think it needs to be enough where the child is stable. You're correct about the stunted emotional and cognitive growth for those with this disorder. difficult child 2 is 16, but emotionally is about 12...but he thinks he's 25. :hammer: Reaching and maintaining stability are very important. ETA: I guess I shouldn't say "always been" above. But, it has been for a long time. [/QUOTE]
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