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Update, answers to questions, medication cocktail
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<blockquote data-quote="mindinggaps" data-source="post: 763936" data-attributes="member: 29823"><p>Dear [USER=18958]@Copabanana[/USER] - First and foremost, I feel for your situation. As difficult as it is, you simply cannot blame yourself for your son's struggles. You have clearly been a positive and supportive parent and have tried to do what you can. However, there is only so much you can do and you must take care of and protect yourself. He is an adult and is ultimately responsible for his mental health. For many situations and classes of mental illness, issues do not appear until adulthood, like for your son. Of course, in these cases, the concepts of very young and early intervention are not possible. There is nothing parents can do.</p><p></p><p>Once again, you raise many interesting things to think about. Of course, given his situation, the likely reality is that the only pathway to stability for your son is a medication cocktail which would take time, energy, input from quality physicians and crucially some self awareness to build out. At a high level, lack of compliance, often caused by poor thinking should be thought of as a <em>symptom</em> as you correctly mention. However, compliance and its intertwined relationship with side effects and symptoms is a very complex topic. Compliance is very hard and your son's struggle with it is far from unique. Consider the fact that even with a lifetime of experience managing medications, awareness that I require medications and quality care, I have had periods of not being medication compliant.</p><p></p><p>Unfortunately, remaining compliant can often be what I would describe as a "chicken and egg" problem. A carefully crafted cocktail will often include treatments which target the symptoms that lead to lack of compliance. However, how can you get to this point if the patient isn't willing to engage in treatment? To this day, remaining compliant is a work in progress and something I am continually refining with my psychiatrist. After I most recently stopped my medication, one of the main goals was introducing treatments which specifically would help ensure I did not have the impulsive or compulsive urge to stop medication. I can provide many more thoughts and details on what is required to remain compliant, along with some of my own experiences if it is useful.</p><p></p><p>However, I did want to touch upon something you brought up which is very important - the possibility he may <em>enjoy </em>his symptoms. This is very possible, perhaps even likely. I can tell you firsthand that there have been many points in my life where I have been deeply excited and entertained by the effects of my rage and aggression. I had a desire to create chaos. This is a symptom. It is a bizarre irony that enjoying the symptoms of the illness is itself a symptom. The goal here has to be building some base level of stability which provides the self-awareness required to identify when this is happening, which can then lead to refinements in treatment, but getting that point is far from easy.</p></blockquote><p></p>
[QUOTE="mindinggaps, post: 763936, member: 29823"] Dear [USER=18958]@Copabanana[/USER] - First and foremost, I feel for your situation. As difficult as it is, you simply cannot blame yourself for your son's struggles. You have clearly been a positive and supportive parent and have tried to do what you can. However, there is only so much you can do and you must take care of and protect yourself. He is an adult and is ultimately responsible for his mental health. For many situations and classes of mental illness, issues do not appear until adulthood, like for your son. Of course, in these cases, the concepts of very young and early intervention are not possible. There is nothing parents can do. Once again, you raise many interesting things to think about. Of course, given his situation, the likely reality is that the only pathway to stability for your son is a medication cocktail which would take time, energy, input from quality physicians and crucially some self awareness to build out. At a high level, lack of compliance, often caused by poor thinking should be thought of as a [I]symptom[/I] as you correctly mention. However, compliance and its intertwined relationship with side effects and symptoms is a very complex topic. Compliance is very hard and your son's struggle with it is far from unique. Consider the fact that even with a lifetime of experience managing medications, awareness that I require medications and quality care, I have had periods of not being medication compliant. Unfortunately, remaining compliant can often be what I would describe as a "chicken and egg" problem. A carefully crafted cocktail will often include treatments which target the symptoms that lead to lack of compliance. However, how can you get to this point if the patient isn't willing to engage in treatment? To this day, remaining compliant is a work in progress and something I am continually refining with my psychiatrist. After I most recently stopped my medication, one of the main goals was introducing treatments which specifically would help ensure I did not have the impulsive or compulsive urge to stop medication. I can provide many more thoughts and details on what is required to remain compliant, along with some of my own experiences if it is useful. However, I did want to touch upon something you brought up which is very important - the possibility he may [I]enjoy [/I]his symptoms. This is very possible, perhaps even likely. I can tell you firsthand that there have been many points in my life where I have been deeply excited and entertained by the effects of my rage and aggression. I had a desire to create chaos. This is a symptom. It is a bizarre irony that enjoying the symptoms of the illness is itself a symptom. The goal here has to be building some base level of stability which provides the self-awareness required to identify when this is happening, which can then lead to refinements in treatment, but getting that point is far from easy. [/QUOTE]
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