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At the end of my rope - what should I do?
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<blockquote data-quote="neednewtechnique" data-source="post: 28837" data-attributes="member: 3527"><p>Frustrated,</p><p></p><p>One very important question you should ask your psychiatrist when you go for your medication check is WHY ON EARTH they are giving your ODD child a STIMULANT to treat his ADHD when STIMULANTS make the ODD worse!!!!! We have been dealing with this EXACT problem for quite some time now, and our psychiatrist refused to make any changes, so we have found a new psychiatrist. The new doctor wants to REMOVE the Concerta completely, try the Straterra by itself for the ADHD because it is a NON stimulant, and then if necessary, and a mood stabilizer for the ODD. We will be seeing her in only a few short weeks (thank goodness, the time has come!)</p><p></p><p>This is one of my chief complaints and if you look back through my previous posts, you will see that this has been the thing that has frustrated me the most since our difficult child came to live with us. ADHD and ODD is SUCH a COMMON combination, one would THINK that the psychiatristS would know how to handle it, or at least have some ideas, but most of them act completely CLUELESS!! They prescribe these stimulants to treat ADHD and act like they don't know what you are talking about when you call them, wondering why your already out of control child has taken a turn for the worse. Do me a favor, look up the side effects of Concerta online. You will see all the warnings they put out about how Concerta can cause agression, violent behavior, and "fits of rage" as they call it...and they HIGHLY caution the use of this medication in children who already demonstrate these types of behavior. </p><p></p><p>And not to mention, a child with ANY mood disorder comorbid with ADHD....give me a break, I think the behavior/mood disorder takes precedence over the ADHD and would like to see the ADHD put on the back burner until the behavioral and mood issues are treated properly. Because now, not only is your difficult child's medication not helping anything, but it is in effect, working AGAINST you!!!!</p><p></p><p>Sorry, this is me venting because once again, I find that this is SUCH a common problem and the psychiatristS act completely CLUELESS!!!!</p><p></p><p>Maybe I should back up though, becuase I have never heard of using Concerta and Straterra at the same time, so I don't know what benefits your difficult child should be getting from the combination. But it is my understanding that Straterra is HIGHLY recommended for treating ADHD in children that have a comorbid behavior/mood disorder because Straterra is NON stimulant, so it doesn't cause the adverse side effects such as the agression, violent behavior, rapid mood swings, and "fits of rage". For example, our difficult child went on a two hour rage fit the other day because we had the wrong brand of margarine in our refrigerator. </p><p></p><p>Anyway, best of luck, I hope things go good with the psychiatrist. When you get an opportunity to discuss your difficult child's medications with them, the first thing you want to find out is what the benefits are from using the Straterra AND Concerta together. in my opinion, you should also come right out and ask if the side effects of the Concerta are making the ODD behaviors worse??? You don't want to go in there and try to tell them they are doing everything wrong, that would not be good, but you should never be afraid to voice your concerns about a medication combo, or if they are on something they shouldn't be, or if you think they need something they aren't getting. There is a difference between trying to do their job for them, and trying to voice your concerns or ideas regarding your child's treatment. After all, you are the one that lives with them everyday and knows how their behavior is. If you truly have a good psychiatrist, they will welcome your concerns and ideas (that doesn't mean they will do whatever you say) but a truly good one will always consider the parent's opinion!!!</p><p></p><p>I will keep you and your difficult child in my prayers!!!</p></blockquote><p></p>
[QUOTE="neednewtechnique, post: 28837, member: 3527"] Frustrated, One very important question you should ask your psychiatrist when you go for your medication check is WHY ON EARTH they are giving your ODD child a STIMULANT to treat his ADHD when STIMULANTS make the ODD worse!!!!! We have been dealing with this EXACT problem for quite some time now, and our psychiatrist refused to make any changes, so we have found a new psychiatrist. The new doctor wants to REMOVE the Concerta completely, try the Straterra by itself for the ADHD because it is a NON stimulant, and then if necessary, and a mood stabilizer for the ODD. We will be seeing her in only a few short weeks (thank goodness, the time has come!) This is one of my chief complaints and if you look back through my previous posts, you will see that this has been the thing that has frustrated me the most since our difficult child came to live with us. ADHD and ODD is SUCH a COMMON combination, one would THINK that the psychiatristS would know how to handle it, or at least have some ideas, but most of them act completely CLUELESS!! They prescribe these stimulants to treat ADHD and act like they don't know what you are talking about when you call them, wondering why your already out of control child has taken a turn for the worse. Do me a favor, look up the side effects of Concerta online. You will see all the warnings they put out about how Concerta can cause agression, violent behavior, and "fits of rage" as they call it...and they HIGHLY caution the use of this medication in children who already demonstrate these types of behavior. And not to mention, a child with ANY mood disorder comorbid with ADHD....give me a break, I think the behavior/mood disorder takes precedence over the ADHD and would like to see the ADHD put on the back burner until the behavioral and mood issues are treated properly. Because now, not only is your difficult child's medication not helping anything, but it is in effect, working AGAINST you!!!! Sorry, this is me venting because once again, I find that this is SUCH a common problem and the psychiatristS act completely CLUELESS!!!! Maybe I should back up though, becuase I have never heard of using Concerta and Straterra at the same time, so I don't know what benefits your difficult child should be getting from the combination. But it is my understanding that Straterra is HIGHLY recommended for treating ADHD in children that have a comorbid behavior/mood disorder because Straterra is NON stimulant, so it doesn't cause the adverse side effects such as the agression, violent behavior, rapid mood swings, and "fits of rage". For example, our difficult child went on a two hour rage fit the other day because we had the wrong brand of margarine in our refrigerator. Anyway, best of luck, I hope things go good with the psychiatrist. When you get an opportunity to discuss your difficult child's medications with them, the first thing you want to find out is what the benefits are from using the Straterra AND Concerta together. in my opinion, you should also come right out and ask if the side effects of the Concerta are making the ODD behaviors worse??? You don't want to go in there and try to tell them they are doing everything wrong, that would not be good, but you should never be afraid to voice your concerns about a medication combo, or if they are on something they shouldn't be, or if you think they need something they aren't getting. There is a difference between trying to do their job for them, and trying to voice your concerns or ideas regarding your child's treatment. After all, you are the one that lives with them everyday and knows how their behavior is. If you truly have a good psychiatrist, they will welcome your concerns and ideas (that doesn't mean they will do whatever you say) but a truly good one will always consider the parent's opinion!!! I will keep you and your difficult child in my prayers!!! [/QUOTE]
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