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Paradox Theater or The Focalin Follow Up....
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<blockquote data-quote="PorcupineWhisperer" data-source="post: 298780" data-attributes="member: 62"><p>Thanks for the feedback. Let's see, where to begin...<img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p></p><p>Christy: Thanks for the warning and concern. The Focalin is definitely having an opposite effect in that it is making him a bit more hyper. In some ways this is good since the Tenex left him flat and lethargic - it's nice to see his playful personality return. We are monitoring very closely for signs of trouble and trying to fine tune before school starts. His behavior has stabilized and he is back to being complaint (or as compliant as a teenage boy can be) and things are reported great at home. In terms of priorities, working on the bedwetting is actually difficult child's primary goal. When we discussed the idea of the Focalin in therapy and the possible risks (I reminded him of the negative response to the Adderall), difficult child stated that he wanted to give it a try because (and I quote) "I hate waking up in a puddle of pee every morning." Oh and on the nightly wakings they have been tried, but difficult child would generally wet again during the night. He also got to the point where he would refuse to get out of bed (he's now taller than his mom). When he would wake up he would often be very disoriented from his nightly medications and would have trouble ... let's say being neat when he would go.<img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /> And at almost 16, he is way too old for mom to be supervising him in the bathroom and making sure he gets back to bed.</p><p></p><p>smallworld: I think it might help to clarify that none of the behaviors that I described are outside the norm of difficult child's range of 'typical' behaviors. Because of difficult children' attachment issues, his maturity tends to vary from being very childlike at times to being very responsible and age appropriate. On most days he is generally somewhere in between. I think since he seems to have stabilized and has had only the one behavior incident this month, I'm not overly concerned. </p><p></p><p>Oh and there are no plans to increase the Focalin at present. I think if we can get what we need on the 5mg, then that's great. If not - then it's time to look at other options (for example adding the DDAVP back into the mix).</p></blockquote><p></p>
[QUOTE="PorcupineWhisperer, post: 298780, member: 62"] Thanks for the feedback. Let's see, where to begin...:) Christy: Thanks for the warning and concern. The Focalin is definitely having an opposite effect in that it is making him a bit more hyper. In some ways this is good since the Tenex left him flat and lethargic - it's nice to see his playful personality return. We are monitoring very closely for signs of trouble and trying to fine tune before school starts. His behavior has stabilized and he is back to being complaint (or as compliant as a teenage boy can be) and things are reported great at home. In terms of priorities, working on the bedwetting is actually difficult child's primary goal. When we discussed the idea of the Focalin in therapy and the possible risks (I reminded him of the negative response to the Adderall), difficult child stated that he wanted to give it a try because (and I quote) "I hate waking up in a puddle of pee every morning." Oh and on the nightly wakings they have been tried, but difficult child would generally wet again during the night. He also got to the point where he would refuse to get out of bed (he's now taller than his mom). When he would wake up he would often be very disoriented from his nightly medications and would have trouble ... let's say being neat when he would go.:) And at almost 16, he is way too old for mom to be supervising him in the bathroom and making sure he gets back to bed. smallworld: I think it might help to clarify that none of the behaviors that I described are outside the norm of difficult child's range of 'typical' behaviors. Because of difficult children' attachment issues, his maturity tends to vary from being very childlike at times to being very responsible and age appropriate. On most days he is generally somewhere in between. I think since he seems to have stabilized and has had only the one behavior incident this month, I'm not overly concerned. Oh and there are no plans to increase the Focalin at present. I think if we can get what we need on the 5mg, then that's great. If not - then it's time to look at other options (for example adding the DDAVP back into the mix). [/QUOTE]
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