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<blockquote data-quote="pepperidge" data-source="post: 170862" data-attributes="member: 2322"><p>/Smallworld, I</p><p></p><p>I don't know how to sort it out but I will give you the benefit of my children's experience for the little it might be worth to you. </p><p></p><p>First of all, on the stimulants, ask yourself what is the worst that would probably happen. My guess is that you would have a miserable child for one or two days, and then you would deep six it, especially if you started with a very low dose. This is what happened with child #2.</p><p></p><p>My oldest son who is very anxious, mood disregulated, probably not bipolar truly but who knows what, was started initially in this whole long process on a stimulant. It turned a non cooperative child who had trouble focusing on work into an emphathetic far more cooperative child. This continues to this day. The neuropsychologist (whom you know) was not at all clear whether his learning issues were a result of his anxiety (a lot of separation anxiety) and whether if we got the anxiety under control the learning issues would improve. That was five years ago and we are still not clear ultimately about just about anything. </p><p></p><p>We did have rebound effects that weren't too positive but the benefits from the 5 mg of Adderall are very definitely there so we haven't wanted to stop it. With a combination of Lamictal and Risperdal to help with the depression and anxiety and ability to tolerate no, Ihave a reasonably functioning kid. Still with anxiety, still with major school issues but generally cooperative around the house and not lying in bed all day. </p><p></p><p>If there was a huge downside to the stimulant then I would be wary. I guess you have the appetite thing under control. but if you think there might be some benefit it might be worth the trial.</p><p></p><p>I do think my child reasons more clearly and is more capable of taking the long term perspective and less likely to say no automatically when on a stimulant. I wouldn't say he is less anxious because of it other than maybe he fits in a little better at school and that must help his whoel social adjustment. So just thinking out loud here, would it help her be a better student at school? And how would that help her? But the logic of better executive functioning to less anxiety I have a hard time seeing, unless she is unable to make some needed cognitive connctions because of the exec functioning issue that keeps her anxious. </p><p></p><p>You know, this all reminds me of how little they truly know and much is guesswork. </p><p></p><p>good luck. do let us know what you decide and what goes on. </p><p>C.</p></blockquote><p></p>
[QUOTE="pepperidge, post: 170862, member: 2322"] /Smallworld, I I don't know how to sort it out but I will give you the benefit of my children's experience for the little it might be worth to you. First of all, on the stimulants, ask yourself what is the worst that would probably happen. My guess is that you would have a miserable child for one or two days, and then you would deep six it, especially if you started with a very low dose. This is what happened with child #2. My oldest son who is very anxious, mood disregulated, probably not bipolar truly but who knows what, was started initially in this whole long process on a stimulant. It turned a non cooperative child who had trouble focusing on work into an emphathetic far more cooperative child. This continues to this day. The neuropsychologist (whom you know) was not at all clear whether his learning issues were a result of his anxiety (a lot of separation anxiety) and whether if we got the anxiety under control the learning issues would improve. That was five years ago and we are still not clear ultimately about just about anything. We did have rebound effects that weren't too positive but the benefits from the 5 mg of Adderall are very definitely there so we haven't wanted to stop it. With a combination of Lamictal and Risperdal to help with the depression and anxiety and ability to tolerate no, Ihave a reasonably functioning kid. Still with anxiety, still with major school issues but generally cooperative around the house and not lying in bed all day. If there was a huge downside to the stimulant then I would be wary. I guess you have the appetite thing under control. but if you think there might be some benefit it might be worth the trial. I do think my child reasons more clearly and is more capable of taking the long term perspective and less likely to say no automatically when on a stimulant. I wouldn't say he is less anxious because of it other than maybe he fits in a little better at school and that must help his whoel social adjustment. So just thinking out loud here, would it help her be a better student at school? And how would that help her? But the logic of better executive functioning to less anxiety I have a hard time seeing, unless she is unable to make some needed cognitive connctions because of the exec functioning issue that keeps her anxious. You know, this all reminds me of how little they truly know and much is guesswork. good luck. do let us know what you decide and what goes on. C. [/QUOTE]
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