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General Parenting
psychiatrist Says- Can't Help
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<blockquote data-quote="gcvmom" data-source="post: 256241" data-attributes="member: 3444"><p>Our psychiatrist typically goes by therapeutic response. He slowly titrates up on an as-needed basis with an eye on the absolute upper limits, but an understanding that some people metabolize drugs at a faster or slower rate. My difficult child 2 is a case in point. He takes a very high dose of Seroquel XR each day, but is functioning fine on it. psychiatrist says if it were too much for him, we'd see it in his behavior.</p><p> </p><p>I think I would just ask for a .5mg increase first and see how your difficult child does on it for a few weeks. If he's not responding or if it's only slight, ask for another bump up. The fact that you've seen SOME improvement on Risperdal makes me think his dosage just isn't high enough yet. </p><p> </p><p>You might also consider a therapist for difficult child if he doesn't have one already. He can learn coping skills to help him manage his anger more appropriately, which will give him extra support besides the medication. Keep in mind, though, that no amount of therapy will work for very long if the underlying neurochemical issues are not addressed. It would be like giving him a squirt gun to manage a forest fire. It's just not going to work.</p></blockquote><p></p>
[QUOTE="gcvmom, post: 256241, member: 3444"] Our psychiatrist typically goes by therapeutic response. He slowly titrates up on an as-needed basis with an eye on the absolute upper limits, but an understanding that some people metabolize drugs at a faster or slower rate. My difficult child 2 is a case in point. He takes a very high dose of Seroquel XR each day, but is functioning fine on it. psychiatrist says if it were too much for him, we'd see it in his behavior. I think I would just ask for a .5mg increase first and see how your difficult child does on it for a few weeks. If he's not responding or if it's only slight, ask for another bump up. The fact that you've seen SOME improvement on Risperdal makes me think his dosage just isn't high enough yet. You might also consider a therapist for difficult child if he doesn't have one already. He can learn coping skills to help him manage his anger more appropriately, which will give him extra support besides the medication. Keep in mind, though, that no amount of therapy will work for very long if the underlying neurochemical issues are not addressed. It would be like giving him a squirt gun to manage a forest fire. It's just not going to work. [/QUOTE]
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