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Today I am in a "don't mess with me" mood. Update on our difficult child 2 in psychiatric hospital
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<blockquote data-quote="pepperidge" data-source="post: 438851" data-attributes="member: 2322"><p>Hi Seriously--</p><p></p><p>My experience with the otherwise very good board certified child psychiatrists we have had is that they totally tend to discount any disinhibition type of responses of kids to SSRIs. We've seen it in both of our kids, who don't meet the diagnosis criteria for BiPolar (BP). One is depressed, the other ADHD and a some other stuff. Our youngest trialed Zoloft in December. It didn't have any obvious on off type of reactions, but after about a week he was doing more crazy stuff (trying to swing off the rood on a rope tied to a pine tree for ex), more aggressive, etc. We took him off after a few weeks, and it took about two-three weeks to get him calmed down. The dreppsed son who has had a very positive reaction to Lamictal was originally trialed on Prozac and Lexapro (separately). Both had disinhibiting effects (stealing, totally losing it in the classroom, extremely silly behavior). The psychiatrists just didn't want to believe that SSRIs were having those effects. Now we have trialed some 10-15 medications for each of them in very controlled ways under psychiatrist supervision. Very few had really negative effects, but the SSRIs were pretty clear. </p><p></p><p>The only reason I am going through this is to say that I am glad that you are researching the effects and going to talk to the psychiatrist. Even if you decide to keep him on it, be really vigilant about watching for disinhibition, more rages. The hard part will be to figure out what is the effect of the medications. </p><p></p><p>HOpe you have a good conversation with the psychiatrist.</p></blockquote><p></p>
[QUOTE="pepperidge, post: 438851, member: 2322"] Hi Seriously-- My experience with the otherwise very good board certified child psychiatrists we have had is that they totally tend to discount any disinhibition type of responses of kids to SSRIs. We've seen it in both of our kids, who don't meet the diagnosis criteria for BiPolar (BP). One is depressed, the other ADHD and a some other stuff. Our youngest trialed Zoloft in December. It didn't have any obvious on off type of reactions, but after about a week he was doing more crazy stuff (trying to swing off the rood on a rope tied to a pine tree for ex), more aggressive, etc. We took him off after a few weeks, and it took about two-three weeks to get him calmed down. The dreppsed son who has had a very positive reaction to Lamictal was originally trialed on Prozac and Lexapro (separately). Both had disinhibiting effects (stealing, totally losing it in the classroom, extremely silly behavior). The psychiatrists just didn't want to believe that SSRIs were having those effects. Now we have trialed some 10-15 medications for each of them in very controlled ways under psychiatrist supervision. Very few had really negative effects, but the SSRIs were pretty clear. The only reason I am going through this is to say that I am glad that you are researching the effects and going to talk to the psychiatrist. Even if you decide to keep him on it, be really vigilant about watching for disinhibition, more rages. The hard part will be to figure out what is the effect of the medications. HOpe you have a good conversation with the psychiatrist. [/QUOTE]
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Today I am in a "don't mess with me" mood. Update on our difficult child 2 in psychiatric hospital
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