Janna
New Member
Well, we got there. Took a few weeks to get it all together, but he's in. We left here yesterday around 8 AM, I got home arund 8 PM.
Typical intake - signing my life away to releases and insurance documents and such. Met with psychiatrist and therapist together - both seem pretty nice.
I asked about MRI/FMRI/EEG due to lifelong headbanging. Not sure how that will go. We'd have to have the referral from the psychiatrist, and he didn't seem too apt - but it's only day 1. If not (this is a huge thing on my mind right now), we'll do a study with NIMH once the Residential Treatment Facility (RTF) is done.
I want a medication wash. The Seroquel is not only making him more obese than he already was (158 lbs now, from 133 in July) - I don't see much improvement. We did discuss going higher for M.S. properties - he wrote it down. He asked if the Buspar was doing anything. I explained about the increased manic-type reaction at 20 mg AM/PM, and how I had to wean him down to 10 mg AM/PM. I don't know what it's *supposed* to do, haha, because no, it doesn't seem to be doing anything.
psychiatrist suggested waiting a week or two until D's stable in Residential Treatment Facility (RTF). I said that was okay. He asked if he'd ever taken Zoloft - that's one we haven't tried. It's really hard for me to say how he's done on AD's, because I don't know aside from the Luvox. He was on Wellbutrin at the last Residential Treatment Facility (RTF), and his moods DID seem much happier - but the psychiatrist was trying to treat ADHD symptoms, we didn't see a result with *those*, so he d/c. *shrug* But, Luvox was bad - D was smearing feces on the walls in the bathroom, crying the staff were trying to kill him (strangle, specifically). But, again - I wasn't present. I don't know. Just staff words....He said Zoloft is very good for anxiety. I dunno. I keep going back to the Lithium - D even asked for it specifically - said he felt really good on it. Obvious concerns with the thyroid (Levothyroxine overstimulates - TSH was 107) - but geez - that's the only medication that really DID anything. I mentioned Lamictal. We'll see. It really annoys me they always go to the AP's first. I hate AP's. Those were the first questions - "what about Risperdal, what about Geodon?". Gah!
I pretty much told him I'm letting go and they have full reigns (even though I say no to everything, haha). Obviously, they can't do anything with medications without my consent, but I'm leaving it up to them. I think I've been too overinvolved - I think I'm a psychiatrist when I'm not, hehehe, and I need to let them do what they need to do.
Went over Axis I. Saw the Aspergers, then saw Borderline Intellectual Functioning (BIF) below, and said "well that rules out Asperger" LOL! I thought, whatever....I don't care.
therapist seemed nice. Went over entire history. Paternal side is a disaster - had to remove D from the room to discuss bio dad.
So, first night in the res, I get a call. "These kids are crazy". His roommate is screaming at the top of his lungs, throwing a tantrum going nuts. I asked Dylan how that felt. He said it made him really angry. I gently tried to explain to him that is how SO and I feel when he's throwing his. Obviously, he can't put 2 and 2 together - or just won't. He said he asked the boy to "please be quiet" and the boy said he was going to beat him up. That concerns me. First night, I wanted to go get him. D, although aggressive and all that here - is never like that with peers. He's never been in a fight, never been beaten up, never beaten anyone up. So I'm sitting here thinking, geez, is he going to learn MORE negative stuff now? I mean this kid's a bruiser - is he going to come out some big, bad beating everyone up machine? *sigh*
This all just s*cks. Staff was watching D and the boy to make sure things stayed cool, but of course inside myself I'm freaking....
Hopefully things get better. I'm trying really hard to detach. Detach, detach, detach.....
Typical intake - signing my life away to releases and insurance documents and such. Met with psychiatrist and therapist together - both seem pretty nice.
I asked about MRI/FMRI/EEG due to lifelong headbanging. Not sure how that will go. We'd have to have the referral from the psychiatrist, and he didn't seem too apt - but it's only day 1. If not (this is a huge thing on my mind right now), we'll do a study with NIMH once the Residential Treatment Facility (RTF) is done.
I want a medication wash. The Seroquel is not only making him more obese than he already was (158 lbs now, from 133 in July) - I don't see much improvement. We did discuss going higher for M.S. properties - he wrote it down. He asked if the Buspar was doing anything. I explained about the increased manic-type reaction at 20 mg AM/PM, and how I had to wean him down to 10 mg AM/PM. I don't know what it's *supposed* to do, haha, because no, it doesn't seem to be doing anything.
psychiatrist suggested waiting a week or two until D's stable in Residential Treatment Facility (RTF). I said that was okay. He asked if he'd ever taken Zoloft - that's one we haven't tried. It's really hard for me to say how he's done on AD's, because I don't know aside from the Luvox. He was on Wellbutrin at the last Residential Treatment Facility (RTF), and his moods DID seem much happier - but the psychiatrist was trying to treat ADHD symptoms, we didn't see a result with *those*, so he d/c. *shrug* But, Luvox was bad - D was smearing feces on the walls in the bathroom, crying the staff were trying to kill him (strangle, specifically). But, again - I wasn't present. I don't know. Just staff words....He said Zoloft is very good for anxiety. I dunno. I keep going back to the Lithium - D even asked for it specifically - said he felt really good on it. Obvious concerns with the thyroid (Levothyroxine overstimulates - TSH was 107) - but geez - that's the only medication that really DID anything. I mentioned Lamictal. We'll see. It really annoys me they always go to the AP's first. I hate AP's. Those were the first questions - "what about Risperdal, what about Geodon?". Gah!
I pretty much told him I'm letting go and they have full reigns (even though I say no to everything, haha). Obviously, they can't do anything with medications without my consent, but I'm leaving it up to them. I think I've been too overinvolved - I think I'm a psychiatrist when I'm not, hehehe, and I need to let them do what they need to do.
Went over Axis I. Saw the Aspergers, then saw Borderline Intellectual Functioning (BIF) below, and said "well that rules out Asperger" LOL! I thought, whatever....I don't care.
therapist seemed nice. Went over entire history. Paternal side is a disaster - had to remove D from the room to discuss bio dad.
So, first night in the res, I get a call. "These kids are crazy". His roommate is screaming at the top of his lungs, throwing a tantrum going nuts. I asked Dylan how that felt. He said it made him really angry. I gently tried to explain to him that is how SO and I feel when he's throwing his. Obviously, he can't put 2 and 2 together - or just won't. He said he asked the boy to "please be quiet" and the boy said he was going to beat him up. That concerns me. First night, I wanted to go get him. D, although aggressive and all that here - is never like that with peers. He's never been in a fight, never been beaten up, never beaten anyone up. So I'm sitting here thinking, geez, is he going to learn MORE negative stuff now? I mean this kid's a bruiser - is he going to come out some big, bad beating everyone up machine? *sigh*
This all just s*cks. Staff was watching D and the boy to make sure things stayed cool, but of course inside myself I'm freaking....
Hopefully things get better. I'm trying really hard to detach. Detach, detach, detach.....
