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<blockquote data-quote="smallworld" data-source="post: 298441" data-attributes="member: 2423"><p>Toto, I'm not an expert on Lithium. My kids have never taken it. J is far too needle-phobic. Everything I know I've either read or learned from my friends at CABF. Speaking of which, you might want to post on the message boards over there. There are some very knowledgeable folks who frequent the boards.</p><p> </p><p>I do know that many patients only have a partial response to Lithium where some symptoms are improved but others persist or continue to wax and wane without stabilization of mood. Still other patients may be non-responders to Lithium. It's hard to judge at this point with K when you haven't reached a therapeutic level (some say you need to get to 1.0 to truly judge).</p><p> </p><p>You asked whether you should be seeing at least some improvement if the Lithium is working at all. Again, I don't know for sure, but I can answer somewhat from my experience with Lamictal. My daughter A is going through puberty, and when she outgrows her Lamictal dose, she suddenly become very mood erratic (for example, pulling a knife from the kitchen drawer and announcing she's going to kill herself). This is completely out of character and doesn't happen when her Lamictal dose is working properly. So we up her dose by just 25 mg and she is back in her "zone" again just like that. From my experience, mood stabilizers can work like that.</p><p> </p><p>Is K still hallucinating? I thought she was, which is why I suggested the need for an increase, change or augmentation of APs. The goal of treatment is complete remission of symptoms. </p><p> </p><p>These are just my thoughts. I'm not a doctor, just a mom who's read a lot and learned a lot from my own kids. My kids are not as sick as K, and I am in awe of all you do for K and N, day in, day out. Hang in there, Toto, and keep on keeping on.</p></blockquote><p></p>
[QUOTE="smallworld, post: 298441, member: 2423"] Toto, I'm not an expert on Lithium. My kids have never taken it. J is far too needle-phobic. Everything I know I've either read or learned from my friends at CABF. Speaking of which, you might want to post on the message boards over there. There are some very knowledgeable folks who frequent the boards. I do know that many patients only have a partial response to Lithium where some symptoms are improved but others persist or continue to wax and wane without stabilization of mood. Still other patients may be non-responders to Lithium. It's hard to judge at this point with K when you haven't reached a therapeutic level (some say you need to get to 1.0 to truly judge). You asked whether you should be seeing at least some improvement if the Lithium is working at all. Again, I don't know for sure, but I can answer somewhat from my experience with Lamictal. My daughter A is going through puberty, and when she outgrows her Lamictal dose, she suddenly become very mood erratic (for example, pulling a knife from the kitchen drawer and announcing she's going to kill herself). This is completely out of character and doesn't happen when her Lamictal dose is working properly. So we up her dose by just 25 mg and she is back in her "zone" again just like that. From my experience, mood stabilizers can work like that. Is K still hallucinating? I thought she was, which is why I suggested the need for an increase, change or augmentation of APs. The goal of treatment is complete remission of symptoms. These are just my thoughts. I'm not a doctor, just a mom who's read a lot and learned a lot from my own kids. My kids are not as sick as K, and I am in awe of all you do for K and N, day in, day out. Hang in there, Toto, and keep on keeping on. [/QUOTE]
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