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About to send difficult child to residential!!!
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<blockquote data-quote="Steely" data-source="post: 151170" data-attributes="member: 3301"><p>I am off the opinion that in a situation like this, the child needs to go to a phosph for a full evaluation. He sounds like he is a danger to himself or others, which are the key words that can get you admitted to a phosph. You can just walk into the ER of a main hospital and have him admitted. Once admitted, they can can reevaluate the situation and tell you what they would recommend.</p><p></p><p>Just to be clear, because my son is bi-polar and borderline AS, and with kiddos like these sometimes the right medication combo can take awhile. Since the age of 12 my son has been on 2 mood stabilizer, and one anti-psychotic. Mood Stabilizers are medications that keep the mood from swinging around so fast, from vasciallating from manic to depressive - and these medications are things like Depakote, Lithium, Lamictal, Trileptal, & Tegeretol. APs are medications that help take the entire mood down a notch. Kind of like throwing a blanket on a fire. These are medications like Abilify, Seroquel, and Risperdal. </p><p></p><p>medications that are stims like Concerta or Ritalin, or Anti Depressants like Zoloft or Lexapro, in my opinion, almost always makes kids like this worse <em>until</em> they are stabilized on medications. <em>Sometimes, </em>you can add these medications later, once the child has gained stability, but they are rarely effective as main medications for a bi-polar child.</p><p></p><p>Hope this helps. To answer your question - before residential - I would suggest getting him admitted to a phosph for a full work up that includes; Sleep deprived EEG, MRI, NeuroPysch testing, and a medication evaluation that includes adding a mood stabilizer.</p></blockquote><p></p>
[QUOTE="Steely, post: 151170, member: 3301"] I am off the opinion that in a situation like this, the child needs to go to a phosph for a full evaluation. He sounds like he is a danger to himself or others, which are the key words that can get you admitted to a phosph. You can just walk into the ER of a main hospital and have him admitted. Once admitted, they can can reevaluate the situation and tell you what they would recommend. Just to be clear, because my son is bi-polar and borderline AS, and with kiddos like these sometimes the right medication combo can take awhile. Since the age of 12 my son has been on 2 mood stabilizer, and one anti-psychotic. Mood Stabilizers are medications that keep the mood from swinging around so fast, from vasciallating from manic to depressive - and these medications are things like Depakote, Lithium, Lamictal, Trileptal, & Tegeretol. APs are medications that help take the entire mood down a notch. Kind of like throwing a blanket on a fire. These are medications like Abilify, Seroquel, and Risperdal. medications that are stims like Concerta or Ritalin, or Anti Depressants like Zoloft or Lexapro, in my opinion, almost always makes kids like this worse [I]until[/I] they are stabilized on medications. [I]Sometimes, [/I]you can add these medications later, once the child has gained stability, but they are rarely effective as main medications for a bi-polar child. Hope this helps. To answer your question - before residential - I would suggest getting him admitted to a phosph for a full work up that includes; Sleep deprived EEG, MRI, NeuroPysch testing, and a medication evaluation that includes adding a mood stabilizer. [/QUOTE]
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