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General Parenting
Why do you think treatment thus far hasn't worked?
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<blockquote data-quote="smallworld" data-source="post: 131390" data-attributes="member: 2423"><p>Sue, my difficult child 1 isn't as old as yours nor have we been at this as long as your family has. But I will say that my son's recent improvement came about after having a fresh set of eyes observe him for 6 weeks in a day treatment program at a local psychiatric hospital. Those eyes belonged to a child psychiatrist, a gifted psychopharmacologist who refined the diagnosis and changed the medications in a way that now allows J to access treatment. </p><p> </p><p>I should back up a bit. J has always struggled with school (since K) in spite of a high IQ. He was diagnosed with ADHD and anxiety at age 9. We made some progress with ADHD medications in 4th and 5th grades, but his mood issues intensified in 6th grade. He was prescribed Zoloft for anxiety in 7th grade and had a prolonged intense manic reaction that involved aggression toward family members. Depakote stopped the mania, but he plunged into a deep depression (which can be a side effect of Depakote). For the last two years, the psychiatrist made medication change after medication change, but J continued to be depressed, become socially isolated and fail classes at school. His psychiatrist told us many times that J just needed to mature and grow out of it. We had a hard time accepting that because we felt something was preventing him from being able to. Things completely spun out of control this fall when J became emotionally shut down to the point that his school (private) said he could not stay without further psychiatric intervention. That's when we placed him in day treatment.</p><p> </p><p>The new medications have made a tremendous difference. He's no longer depressed. He's interacting with family members in a (mostly) positive way. He's cooperative and even helpful at times. He's much easier to live with. We're definitely not out of the woods yet -- we still may need to find a more suitable academic environment -- but things have improved to a point where I feel hopeful for the first time in years.</p><p> </p><p>So I will ask you:</p><p>Has thank you been evaluated and treated by fresh eyes in the last year or so?</p><p>Have his medications been the same for a while?</p><p>Do you feel that everything possible has been done medically to stabilize him so that he has the ability to access therapy and other interventions?</p><p> </p><p>I know apropriate medication is not THE answer, but for us, it was the step we needed to take before we could go on with further treatment.</p><p> </p><p>I hope you find some answers soon. Hugs.</p></blockquote><p></p>
[QUOTE="smallworld, post: 131390, member: 2423"] Sue, my difficult child 1 isn't as old as yours nor have we been at this as long as your family has. But I will say that my son's recent improvement came about after having a fresh set of eyes observe him for 6 weeks in a day treatment program at a local psychiatric hospital. Those eyes belonged to a child psychiatrist, a gifted psychopharmacologist who refined the diagnosis and changed the medications in a way that now allows J to access treatment. I should back up a bit. J has always struggled with school (since K) in spite of a high IQ. He was diagnosed with ADHD and anxiety at age 9. We made some progress with ADHD medications in 4th and 5th grades, but his mood issues intensified in 6th grade. He was prescribed Zoloft for anxiety in 7th grade and had a prolonged intense manic reaction that involved aggression toward family members. Depakote stopped the mania, but he plunged into a deep depression (which can be a side effect of Depakote). For the last two years, the psychiatrist made medication change after medication change, but J continued to be depressed, become socially isolated and fail classes at school. His psychiatrist told us many times that J just needed to mature and grow out of it. We had a hard time accepting that because we felt something was preventing him from being able to. Things completely spun out of control this fall when J became emotionally shut down to the point that his school (private) said he could not stay without further psychiatric intervention. That's when we placed him in day treatment. The new medications have made a tremendous difference. He's no longer depressed. He's interacting with family members in a (mostly) positive way. He's cooperative and even helpful at times. He's much easier to live with. We're definitely not out of the woods yet -- we still may need to find a more suitable academic environment -- but things have improved to a point where I feel hopeful for the first time in years. So I will ask you: Has thank you been evaluated and treated by fresh eyes in the last year or so? Have his medications been the same for a while? Do you feel that everything possible has been done medically to stabilize him so that he has the ability to access therapy and other interventions? I know apropriate medication is not THE answer, but for us, it was the step we needed to take before we could go on with further treatment. I hope you find some answers soon. Hugs. [/QUOTE]
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