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thanks for the thoughts for difficult child - the update
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<blockquote data-quote="Andy" data-source="post: 213990" data-attributes="member: 5096"><p>I would ask the psychiatrist what is wrong with stabilizing Matt with medications then teaching coping skills, then slowly take off medications if that is the goal?</p><p></p><p>When my difficult child was in the bottom of his anxiety episode last year, the docs knew there was no way he would be able to bring himself out without the help of medications. We stabilized him and gave him tools. I tried taking him off Clonazepam in Dec but noticed right away that he was not ready so put him back on. As he learned to use his tools and got control of his life, we started taking off the medications but very slowly.</p><p></p><p>Matt must be feeling so out of control and if the medication will give him that control back long enough for him to see what abilities he has then so be it.</p><p></p><p>We were explained that the medications are not a cure all but a way to take the edge off. difficult child still needs to use his coping skills to get through life and as these skills get stronger, there is a possibility that the medications can be decreased or discontinued.</p><p></p><p>I tell difficult child that the more he can use his skills, the healthier it is for his body, however, if it is too hard, then the medications will help. We just have to find the best combination of skills and medications.</p><p></p><p>I would wonder how those PRN's are being used? There is such a high chance of staff abusing those. When difficult child was in the psychiatric hospital, weekend staff wanted to use the PRN to shut him down. I was so proud that he ignored them and refused the PRN. He sensed they were giving it to him for the wrong reason. I told the staff that if they would have first talked to him and found out what was wrong then he would have felt like they were trying to help. Once his words were heard and understood, he would have been open to taking a PRN. They teach them to use coping skills but if it is not a good time for staff to help with those coping skills, they tend to shove a PRN off. I really think a regular prescribed daily medication is better than PRN's. </p><p></p><p>Do you know the policy for these PRN's? Some are only suppose to be given so many times a day at given intervals. I would ask for his chart to be reviewed to see if they are being abused? Try writing a letter to the Utilization Review Cooridinator of the facility.</p><p></p><p>Can you become his guardian so that your voice is louder?</p></blockquote><p></p>
[QUOTE="Andy, post: 213990, member: 5096"] I would ask the psychiatrist what is wrong with stabilizing Matt with medications then teaching coping skills, then slowly take off medications if that is the goal? When my difficult child was in the bottom of his anxiety episode last year, the docs knew there was no way he would be able to bring himself out without the help of medications. We stabilized him and gave him tools. I tried taking him off Clonazepam in Dec but noticed right away that he was not ready so put him back on. As he learned to use his tools and got control of his life, we started taking off the medications but very slowly. Matt must be feeling so out of control and if the medication will give him that control back long enough for him to see what abilities he has then so be it. We were explained that the medications are not a cure all but a way to take the edge off. difficult child still needs to use his coping skills to get through life and as these skills get stronger, there is a possibility that the medications can be decreased or discontinued. I tell difficult child that the more he can use his skills, the healthier it is for his body, however, if it is too hard, then the medications will help. We just have to find the best combination of skills and medications. I would wonder how those PRN's are being used? There is such a high chance of staff abusing those. When difficult child was in the psychiatric hospital, weekend staff wanted to use the PRN to shut him down. I was so proud that he ignored them and refused the PRN. He sensed they were giving it to him for the wrong reason. I told the staff that if they would have first talked to him and found out what was wrong then he would have felt like they were trying to help. Once his words were heard and understood, he would have been open to taking a PRN. They teach them to use coping skills but if it is not a good time for staff to help with those coping skills, they tend to shove a PRN off. I really think a regular prescribed daily medication is better than PRN's. Do you know the policy for these PRN's? Some are only suppose to be given so many times a day at given intervals. I would ask for his chart to be reviewed to see if they are being abused? Try writing a letter to the Utilization Review Cooridinator of the facility. Can you become his guardian so that your voice is louder? [/QUOTE]
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thanks for the thoughts for difficult child - the update
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