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Substance Abuse
What do you treat first?
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<blockquote data-quote="flutterbee" data-source="post: 98104"><p>A few things. </p><p></p><p>ADHD is either there or it's not, so if he's not exhibiting symptoms, it would make me wonder if he really suffers from it. A lot of things can mimic ADHD including mania, anxiety (took one therapist 8 months to decide my difficult child was not ADHD; that it was anxiety) and even depression. With depression you probably wouldn't see hyperactivity, but definitely inattentiveness...an inability to focus. Of course, it could just be with the other things stabilized, he's able to maintain better control over the ADHD. </p><p></p><p>Seroquel is an atypical antipsychotic, not a mood stabilizer. It is used for short term treatment of mania, but it will not stabilize moods. It is also useful with a major depressive episode in helping with impulse control. I took risperdal (another atypical antipsychotic) when I was suffering from a major depressive episode. I couldn't take it daily because I couldn't think on it and it caused nightmares, but I took it PRN when I was feeling like I wanted to come out of my skin. If they are thinking bipolar he's going to need a mood stabilizer, probably in addition to the seroquel.</p></blockquote><p></p>
[QUOTE="flutterbee, post: 98104"] A few things. ADHD is either there or it's not, so if he's not exhibiting symptoms, it would make me wonder if he really suffers from it. A lot of things can mimic ADHD including mania, anxiety (took one therapist 8 months to decide my difficult child was not ADHD; that it was anxiety) and even depression. With depression you probably wouldn't see hyperactivity, but definitely inattentiveness...an inability to focus. Of course, it could just be with the other things stabilized, he's able to maintain better control over the ADHD. Seroquel is an atypical antipsychotic, not a mood stabilizer. It is used for short term treatment of mania, but it will not stabilize moods. It is also useful with a major depressive episode in helping with impulse control. I took risperdal (another atypical antipsychotic) when I was suffering from a major depressive episode. I couldn't take it daily because I couldn't think on it and it caused nightmares, but I took it PRN when I was feeling like I wanted to come out of my skin. If they are thinking bipolar he's going to need a mood stabilizer, probably in addition to the seroquel. [/QUOTE]
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