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Akasthia vs mania
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<blockquote data-quote="smallworld" data-source="post: 220054" data-attributes="member: 2423"><p>Hi klmno, I attended a talk this afternoon by Dr. Kenneth Towbin, a researcher at NIMH who is studying pediatric BiPolar (BP) with Dr. Ellen Leibenluft and others. A woman in our group asked what it meant in terms of diagnosis when a child has a manic reaction to an SSRI. Dr. Towbin said there is a difference between activation and mania. Usually activation occurs when the psychiatrist prescribes the medication to start at too high a dose or makes increases too quickly. Jumping from 10 mg to 20 mg without interim dose increases could have caused activation. Activation generally stops when the SSRI is out of the blood stream. Prozac has a long half life, which means it can stick around in the blood stream for a while (and because of its long half life, it is less problematic to stop it abruptly -- unlike Paxil or Effexor -- although M's psychiatrist did wean her from Prozac 5 mg at a time). Dr. Towbin made the point that having a bad reaction to an SSRI is not in and of itself indicative of BiPolar (BP). You have to have a manic episode separate from medications for it to be considered BiPolar (BP) (and it has to be the hallmark sx of mania as listed in the article I cited above).</p><p> </p><p>Dr. Towbin and his colleagues are conducting a variety of studies at NIMH for which your difficult child might qualify. It's at no cost to you, and after your difficult child is finished, the researchers are happy to consult with your outside psychiatrist. If you're interested, PM me and I'll send you the contact info.</p><p> </p><p>by the way, how did your difficult child respond to Lithium on its own?</p></blockquote><p></p>
[QUOTE="smallworld, post: 220054, member: 2423"] Hi klmno, I attended a talk this afternoon by Dr. Kenneth Towbin, a researcher at NIMH who is studying pediatric BiPolar (BP) with Dr. Ellen Leibenluft and others. A woman in our group asked what it meant in terms of diagnosis when a child has a manic reaction to an SSRI. Dr. Towbin said there is a difference between activation and mania. Usually activation occurs when the psychiatrist prescribes the medication to start at too high a dose or makes increases too quickly. Jumping from 10 mg to 20 mg without interim dose increases could have caused activation. Activation generally stops when the SSRI is out of the blood stream. Prozac has a long half life, which means it can stick around in the blood stream for a while (and because of its long half life, it is less problematic to stop it abruptly -- unlike Paxil or Effexor -- although M's psychiatrist did wean her from Prozac 5 mg at a time). Dr. Towbin made the point that having a bad reaction to an SSRI is not in and of itself indicative of BiPolar (BP). You have to have a manic episode separate from medications for it to be considered BiPolar (BP) (and it has to be the hallmark sx of mania as listed in the article I cited above). Dr. Towbin and his colleagues are conducting a variety of studies at NIMH for which your difficult child might qualify. It's at no cost to you, and after your difficult child is finished, the researchers are happy to consult with your outside psychiatrist. If you're interested, PM me and I'll send you the contact info. by the way, how did your difficult child respond to Lithium on its own? [/QUOTE]
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