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Auditory Hallucinations
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<blockquote data-quote="seriously" data-source="post: 457872" data-attributes="member: 11920"><p>In your spare time, here's a relatively short article covering auditory hallucinations.</p><p></p><p><a href="http://www.psychiatrictimes.com/cme/content/article/10168/1534546" target="_blank">http://www.psychiatrictimes.com/cme/content/article/10168/1534546</a></p><p><a href="http://www.psychiatrictimes.com/cme/content/article/10168/1534546" target="_blank"></a></p><p><a href="http://www.psychiatrictimes.com/cme/content/article/10168/1534546" target="_blank"></a>You've gotten good advice. Yes anxiety could be causing or making the hallucinations worse. They are also associated with PTSD. If ALL symptoms of mood fluctuations disappeared when he was in Residential Treatment Center (RTC) then I would really have to question the Bipolar diagnosis. However, anxiety can be a symptom of bipolar illness as well as a separate co-morbid condition. So if the anxiety seems to fluctuate like a mood disorder, it may be the most obvious symptom of an underlying mood disorder.</p><p></p><p>I think trying to treat the anxiety may be the place to start since he is also having nightmares which I am thinking are connected to the anxiety as well.</p><p></p><p>Cognitive therapy is the ideal treatment for anxiety but he may be too young to benefit from that yet. And I personally think it works best when the person has some medications on board at the start so that they can ease into using the techniques after they've had some training in ways to handle the anxiety. Then they can work on the exercises without the medications but have them if needed.</p><p></p><p>You might also think about getting him into a yoga class or getting a yoga video and practicing that with him. The pace and breathing exercises can be very helpful in calming the body and mind. It encourages mindfulness which helps too.</p><p></p><p>The emla cream is helpful IF you know where the blood draw is going to be done. If he's a hard stick because it's hard to find a good vein, then it is not that helpful since you can't slather his whole arm with the stuff. It must be applied at least 30 minutes before the draw and covered with plastic wrap or something like that. So it's a pain.</p><p></p><p>We always use a pediatric blood draw location for blood draws even now that my son is 15. They are very accustomed to working with kids and usually have the best techs. Usually you can find one at a children's hospital or where there is a cluster of pediatricians sharing a lab or adjacent to a lab. We go to the same place each time so there is no worry about where we are or what the place is like. If you think it will help, you can talk to the lab and settle on one person to do his draws. Then you call ahead and find out when that person is on and only go when you can have that tech.</p><p></p><p>Holding him down is not helpful in my experience. It increases the trauma and anxiety which makes things worse the next time.</p><p></p><p>You can try desensitization - after each step you leave without having a blood draw so he learns that he can handle the anxiety of each step and you may have to repeat each step several times. First you go and just sit in the parking lot of the lab. Then you go and walk in the building and sit for a bit. Then go to the lab and just sit (no blood draw). etc. Each step should allow him to stay put long enough for him to get relaxed and over most of the anxiety associated with just being there. If the lab will let you, even take it as far as going in and sitting in the chair without having a blood draw etc. If it's a small lab you can ask when they are likely to be slow and go then to do the desensitization stuff.</p></blockquote><p></p>
[QUOTE="seriously, post: 457872, member: 11920"] In your spare time, here's a relatively short article covering auditory hallucinations. [URL="http://www.psychiatrictimes.com/cme/content/article/10168/1534546"]http://www.psychiatrictimes.com/cme/content/article/10168/1534546 [/URL]You've gotten good advice. Yes anxiety could be causing or making the hallucinations worse. They are also associated with PTSD. If ALL symptoms of mood fluctuations disappeared when he was in Residential Treatment Center (RTC) then I would really have to question the Bipolar diagnosis. However, anxiety can be a symptom of bipolar illness as well as a separate co-morbid condition. So if the anxiety seems to fluctuate like a mood disorder, it may be the most obvious symptom of an underlying mood disorder. I think trying to treat the anxiety may be the place to start since he is also having nightmares which I am thinking are connected to the anxiety as well. Cognitive therapy is the ideal treatment for anxiety but he may be too young to benefit from that yet. And I personally think it works best when the person has some medications on board at the start so that they can ease into using the techniques after they've had some training in ways to handle the anxiety. Then they can work on the exercises without the medications but have them if needed. You might also think about getting him into a yoga class or getting a yoga video and practicing that with him. The pace and breathing exercises can be very helpful in calming the body and mind. It encourages mindfulness which helps too. The emla cream is helpful IF you know where the blood draw is going to be done. If he's a hard stick because it's hard to find a good vein, then it is not that helpful since you can't slather his whole arm with the stuff. It must be applied at least 30 minutes before the draw and covered with plastic wrap or something like that. So it's a pain. We always use a pediatric blood draw location for blood draws even now that my son is 15. They are very accustomed to working with kids and usually have the best techs. Usually you can find one at a children's hospital or where there is a cluster of pediatricians sharing a lab or adjacent to a lab. We go to the same place each time so there is no worry about where we are or what the place is like. If you think it will help, you can talk to the lab and settle on one person to do his draws. Then you call ahead and find out when that person is on and only go when you can have that tech. Holding him down is not helpful in my experience. It increases the trauma and anxiety which makes things worse the next time. You can try desensitization - after each step you leave without having a blood draw so he learns that he can handle the anxiety of each step and you may have to repeat each step several times. First you go and just sit in the parking lot of the lab. Then you go and walk in the building and sit for a bit. Then go to the lab and just sit (no blood draw). etc. Each step should allow him to stay put long enough for him to get relaxed and over most of the anxiety associated with just being there. If the lab will let you, even take it as far as going in and sitting in the chair without having a blood draw etc. If it's a small lab you can ask when they are likely to be slow and go then to do the desensitization stuff. [/QUOTE]
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