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We met with the social worker at the psychiatric hospital
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<blockquote data-quote="susiestar" data-source="post: 189996" data-attributes="member: 1233"><p>Terry,</p><p> </p><p>klmno had a good question about the medications. I really wish we had started with a mood stabilizer and then gone with the stims and antipsychotics. Wiz is SO suicidal when off medications that it just isn't something we could/can do. </p><p> </p><p>There is a protocol for kids who are suspected of having mood disorders. I think it is from the bipolar Child book, but I have also seen it for psychiatrists from the academy or board that certifies them. It says to start with a first-line mood stabil. then to add a 2nd if needed. Once youa re at the therapeautic level it takes 6-8 weeks to see if it is working. If it is, you problem have bipolar or other mood problem. </p><p> </p><p>After that 6-8 weeks, you address any other problems. You try to deal with ADHD, or rage/violence/anger, etc... You ahve to be careful - stims can send people with BiPolar (BP) cycling. SSRIs and other ADs can also cause cycling. There is actually a form of BiPolar (BP) that is CAUSED by SSRI/SNRI medications. Effects from the ADs can last a LONG time after the medication is stopped, so it is important to be careful when using these medications. </p><p> </p><p>With ANY medication it is important to start low and go slow - start at the lowest dose and increase slowly. medications have to be at the therapeautic level before you know if they will work. Sometimes it takes weeks or months to know if they are working.</p><p> </p><p>Also good to remember is to make ONE medication change at a time. Let the medication change have time to work before you add/change another medication. It can seem to take forever, but if you change more than one medication you don't know what each one is doing.</p><p> </p><p>I hope this was a bit clearer than mud - Sara PA is a really good medication resource. She has really educated herself about them.</p></blockquote><p></p>
[QUOTE="susiestar, post: 189996, member: 1233"] Terry, klmno had a good question about the medications. I really wish we had started with a mood stabilizer and then gone with the stims and antipsychotics. Wiz is SO suicidal when off medications that it just isn't something we could/can do. There is a protocol for kids who are suspected of having mood disorders. I think it is from the bipolar Child book, but I have also seen it for psychiatrists from the academy or board that certifies them. It says to start with a first-line mood stabil. then to add a 2nd if needed. Once youa re at the therapeautic level it takes 6-8 weeks to see if it is working. If it is, you problem have bipolar or other mood problem. After that 6-8 weeks, you address any other problems. You try to deal with ADHD, or rage/violence/anger, etc... You ahve to be careful - stims can send people with BiPolar (BP) cycling. SSRIs and other ADs can also cause cycling. There is actually a form of BiPolar (BP) that is CAUSED by SSRI/SNRI medications. Effects from the ADs can last a LONG time after the medication is stopped, so it is important to be careful when using these medications. With ANY medication it is important to start low and go slow - start at the lowest dose and increase slowly. medications have to be at the therapeautic level before you know if they will work. Sometimes it takes weeks or months to know if they are working. Also good to remember is to make ONE medication change at a time. Let the medication change have time to work before you add/change another medication. It can seem to take forever, but if you change more than one medication you don't know what each one is doing. I hope this was a bit clearer than mud - Sara PA is a really good medication resource. She has really educated herself about them. [/QUOTE]
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We met with the social worker at the psychiatric hospital
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