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Please, Higher Being, tell me...
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<blockquote data-quote="Janna" data-source="post: 66135" data-attributes="member: 2737"><p>We had 16 MONTHS of good out of Dylan on the Lithium/Abilify combo and it died.</p><p></p><p>Curious, aside from everything else, has he had a lab done? What's his Lithium level?</p><p></p><p>Although the theraputic level is .6 -1.2, depending on who you ask (hospital says theraputic is .6 but Bipolar Child says .8), Dylan doesn't even do well around the .8 mark, Pam. He only responds when he's around 1.0 or higher. He needs the increased dose. If not, the Lithium is not really doing anything for the mania/aggression/anger, whatever. Dylan's the same age as your difficult child, and he's up to 1050 mg a day, probably headed to 1200 mg a day. </p><p></p><p>I know how draining this is. been there done that more times than I can count on two hands. In all honesty, he is going to get stronger, bigger and things are not going to get easier. Mood disorders don't disappear. medications will always need tweaking and changing. You are going to have to prepare for a lifetime of this with your difficult child. There is no pill or medication that is going to make him good forever. Just isn't there.</p><p></p><p>I think you should find more help. Find respite. Call MH/MR, get interventions, get Wrap, get a TSS, get someone in home, out of home, school, get people that know what they're doing to help. You can't do it alone. You can't depend on husband to keep your difficult child stable forever by hanging around. We have this thing called life. And you can't live your life this way.</p><p></p><p>Sending gentle hugs,</p><p></p><p>Janna</p></blockquote><p></p>
[QUOTE="Janna, post: 66135, member: 2737"] We had 16 MONTHS of good out of Dylan on the Lithium/Abilify combo and it died. Curious, aside from everything else, has he had a lab done? What's his Lithium level? Although the theraputic level is .6 -1.2, depending on who you ask (hospital says theraputic is .6 but Bipolar Child says .8), Dylan doesn't even do well around the .8 mark, Pam. He only responds when he's around 1.0 or higher. He needs the increased dose. If not, the Lithium is not really doing anything for the mania/aggression/anger, whatever. Dylan's the same age as your difficult child, and he's up to 1050 mg a day, probably headed to 1200 mg a day. I know how draining this is. been there done that more times than I can count on two hands. In all honesty, he is going to get stronger, bigger and things are not going to get easier. Mood disorders don't disappear. medications will always need tweaking and changing. You are going to have to prepare for a lifetime of this with your difficult child. There is no pill or medication that is going to make him good forever. Just isn't there. I think you should find more help. Find respite. Call MH/MR, get interventions, get Wrap, get a TSS, get someone in home, out of home, school, get people that know what they're doing to help. You can't do it alone. You can't depend on husband to keep your difficult child stable forever by hanging around. We have this thing called life. And you can't live your life this way. Sending gentle hugs, Janna [/QUOTE]
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