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She is driving us nuts...
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<blockquote data-quote="smallworld" data-source="post: 23334" data-attributes="member: 2423"><p>T, your difficult child could be worse right now for 3 reasons: 1) therapeutic dose for Trileptal is judged on clinical response, and she may not actually be at a therapeutic dose (even though the psychiatrist told you 600 mg is a therapeutic dose); 2) 1.5 weeks on a mood stabilizer is not enough to judge its effectiveness because it does take 6 to 8 weeks for mood stabilizers to kick in fully; and 3) you lowered Risperdal, and her worsening behavior now could be the result of that, not a result of Trileptal's ineffectiveness. I'm not saying you should increase Risperdal, because your difficult child had bad side effects, but it's pretty certain she's going to need an antipsychotic (because of her auditory hallucinations) in addition to a mood stabilizer. I'm not trying to be discouraging, but the medication roller coaster can take you on a wild ride until you get the kinks worked out. It has taken more than a year for both my difficult children to gain some sense of stability, and believe it or not, we're still tweaking doses for maximum benefit.</p><p></p><p>I'm truly hoping you like the new psychiatrist on Monday. Please keep us posted.</p></blockquote><p></p>
[QUOTE="smallworld, post: 23334, member: 2423"] T, your difficult child could be worse right now for 3 reasons: 1) therapeutic dose for Trileptal is judged on clinical response, and she may not actually be at a therapeutic dose (even though the psychiatrist told you 600 mg is a therapeutic dose); 2) 1.5 weeks on a mood stabilizer is not enough to judge its effectiveness because it does take 6 to 8 weeks for mood stabilizers to kick in fully; and 3) you lowered Risperdal, and her worsening behavior now could be the result of that, not a result of Trileptal's ineffectiveness. I'm not saying you should increase Risperdal, because your difficult child had bad side effects, but it's pretty certain she's going to need an antipsychotic (because of her auditory hallucinations) in addition to a mood stabilizer. I'm not trying to be discouraging, but the medication roller coaster can take you on a wild ride until you get the kinks worked out. It has taken more than a year for both my difficult children to gain some sense of stability, and believe it or not, we're still tweaking doses for maximum benefit. I'm truly hoping you like the new psychiatrist on Monday. Please keep us posted. [/QUOTE]
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