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psychiatrist on call- UUHHMMM
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<blockquote data-quote="klmno" data-source="post: 146565" data-attributes="member: 3699"><p>Thanks,all! I think there is some good advice here, in every post. Oddly enough, as much as that psychiatrist annoyed me last night (and he REALLY did), he might have found an answer. psychiatrist (the regular one) had said reduce lithobid when I started difficult child on the zyprexa (due to lithobid causing some twinging of muscles and being jittery). So, I did, then when I stopped the zyprexa, I increased the lithobid back, thinking difficult child would just have to live with side effects until I got a better answer from psychiatrist. The psychiatrist last night said give the higher dose of lithobid (that I had already raised difficult child up to again) plus the zyprexa. (Actually, I think a wise parent here suggested that last week too- I should have addressed it then!) I was going to call the regular psychiatrist this afternoon, but I am going to wait now because if today is any indicator- this is great! difficult child barely fussed when getting up for school and came home with a great attitude and seems happy (in a normal range) right now. I'll just have to see if it stays that way through the entire evening. Of course, there is still the issue of the lithobid side effects- I don't see how we can ever get him switched from that medication. Maybe we'll just have to wait until mid-summer, when it is apparently difficult child's most stable period.</p><p></p><p>As far as behavioral management- Oh, I'm sure there are times when difficult child manipulates me. Last night he was raging and acting somewhat manic (I'm not sure where the line is between mania and hypomania) before I called the psychiatrist. I called more because of what I was afraid it was leading to and due to increase in frequqency of these episodes and being afraid to wait until next psychiatrist appointment. Anyway, he had calmed down by the time several phone calls were made and I finally had psychiatrist on phone. The picking up extension and other stuff- I agree- bad behavior. difficult child has some issues that may or may not be related to mood cycling, and he heard some things that hit raw nerves to him. Anyway, after we discussed those things, he seemed to be ok and took his medications just fine last night and this morning. </p><p></p><p>When difficult child started exhibiting problems (over 2 years ago), we spent over 6 mos on the behavior management road and it just made things worse- and I mean more than a little worse. When those strategies stopped and I started dealing with him differently and we thought the prozac he'd been started on helped, anyway, he really changed and was fine for 8-10 mos. Then it all went haywire again. The profs who know all the details and actually saw a lot of this with their own eyes say he is definitely cycling and he was manic (which followed his first major depression) when all this started 2 years ago. Still, there are strategies I can use to help keep things on an even keel most times and strategies he can learn to help himself- we are working through some of those currently. But this behavior management technique is much different than the conventional ones they tried before when they thought the diagnosis was dpression and something conduct related (like ODD or Disruptive Behavior), even though those still "fit in" with BiPolar (BP) not otherwise specified. The MDE psychiatrist doesn't think it is true BiPolar (BP) (she does see he is cycling though) because she thinks the adequate therapy to deal with underlyying issues and learning these strategies and hormones balancing out after puberty will probably stop the mood cycling. We'll just have to wait and see on that one, but I do believe there is cycling going on now because the treatment for cycling (both medications and strategies are effective- at least most of the time) and the treatment for CD related problems made things worse. And when I read the list of symptoms for BiPolar (BP)- if there are 20 things listed, my difficult child exhibits 18 of them, seriously, i was amazed to see how much it fit him like a hand in a glove, as far as what he has exhibited over the last 2+ years- but, he hasn't exhibited these symptoms all his life.</p><p></p><p>Still, Star, you bet there are times when difficult child is pushing limits with me and with rules and plucking every nerve and it is not BiPolar (BP)- it's obnoxious teen boy!!</p><p></p><p>I have to go now- I have to start a thread on my issue for today about job and insurance problems......ARGH!!!</p></blockquote><p></p>
[QUOTE="klmno, post: 146565, member: 3699"] Thanks,all! I think there is some good advice here, in every post. Oddly enough, as much as that psychiatrist annoyed me last night (and he REALLY did), he might have found an answer. psychiatrist (the regular one) had said reduce lithobid when I started difficult child on the zyprexa (due to lithobid causing some twinging of muscles and being jittery). So, I did, then when I stopped the zyprexa, I increased the lithobid back, thinking difficult child would just have to live with side effects until I got a better answer from psychiatrist. The psychiatrist last night said give the higher dose of lithobid (that I had already raised difficult child up to again) plus the zyprexa. (Actually, I think a wise parent here suggested that last week too- I should have addressed it then!) I was going to call the regular psychiatrist this afternoon, but I am going to wait now because if today is any indicator- this is great! difficult child barely fussed when getting up for school and came home with a great attitude and seems happy (in a normal range) right now. I'll just have to see if it stays that way through the entire evening. Of course, there is still the issue of the lithobid side effects- I don't see how we can ever get him switched from that medication. Maybe we'll just have to wait until mid-summer, when it is apparently difficult child's most stable period. As far as behavioral management- Oh, I'm sure there are times when difficult child manipulates me. Last night he was raging and acting somewhat manic (I'm not sure where the line is between mania and hypomania) before I called the psychiatrist. I called more because of what I was afraid it was leading to and due to increase in frequqency of these episodes and being afraid to wait until next psychiatrist appointment. Anyway, he had calmed down by the time several phone calls were made and I finally had psychiatrist on phone. The picking up extension and other stuff- I agree- bad behavior. difficult child has some issues that may or may not be related to mood cycling, and he heard some things that hit raw nerves to him. Anyway, after we discussed those things, he seemed to be ok and took his medications just fine last night and this morning. When difficult child started exhibiting problems (over 2 years ago), we spent over 6 mos on the behavior management road and it just made things worse- and I mean more than a little worse. When those strategies stopped and I started dealing with him differently and we thought the prozac he'd been started on helped, anyway, he really changed and was fine for 8-10 mos. Then it all went haywire again. The profs who know all the details and actually saw a lot of this with their own eyes say he is definitely cycling and he was manic (which followed his first major depression) when all this started 2 years ago. Still, there are strategies I can use to help keep things on an even keel most times and strategies he can learn to help himself- we are working through some of those currently. But this behavior management technique is much different than the conventional ones they tried before when they thought the diagnosis was dpression and something conduct related (like ODD or Disruptive Behavior), even though those still "fit in" with BiPolar (BP) not otherwise specified. The MDE psychiatrist doesn't think it is true BiPolar (BP) (she does see he is cycling though) because she thinks the adequate therapy to deal with underlyying issues and learning these strategies and hormones balancing out after puberty will probably stop the mood cycling. We'll just have to wait and see on that one, but I do believe there is cycling going on now because the treatment for cycling (both medications and strategies are effective- at least most of the time) and the treatment for CD related problems made things worse. And when I read the list of symptoms for BiPolar (BP)- if there are 20 things listed, my difficult child exhibits 18 of them, seriously, i was amazed to see how much it fit him like a hand in a glove, as far as what he has exhibited over the last 2+ years- but, he hasn't exhibited these symptoms all his life. Still, Star, you bet there are times when difficult child is pushing limits with me and with rules and plucking every nerve and it is not BiPolar (BP)- it's obnoxious teen boy!! I have to go now- I have to start a thread on my issue for today about job and insurance problems......ARGH!!! [/QUOTE]
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