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Bipolar medications?
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<blockquote data-quote="smallworld" data-source="post: 47682" data-attributes="member: 2423"><p>My difficult children, whose symptoms are largely depressive but react aggressively when given SSRI antidepressants on their own, have done very well on Lamictal. But you are right -- it is very individual how the patient will respond. Unfortunately, it is still very much a trial and error process.</p><p></p><p>The one important aspect of treating bipolar disorder is to put the mood stabilizer (Lamictal, Lithium, Depakote, Trileptal, Tegretol) down first, attain a therapeutic level for 8 weeks and then assess what residual symptoms persist. In your shoes, I'd want your difficult child weaned from Lexapro and Concerta and see how she does on a mood stabilizer on its own. No mood stabilizer or atypical antipsychotic will be able to counter the bad side effects of either an SSRI or a stimulant. As you probably know, both SSRIs and stimulants can make adolescents with BiPolar (BP) much, much worse.</p><p></p><p>There are very helpful treatment guidelines <a href="http://www.thebalancedmind.org/sites/default/files/treatment_guidelines.pdf" target="_blank">http://www.thebalancedmind.org/sites/default/files/treatment_guidelines.pdf</a></p></blockquote><p></p>
[QUOTE="smallworld, post: 47682, member: 2423"] My difficult children, whose symptoms are largely depressive but react aggressively when given SSRI antidepressants on their own, have done very well on Lamictal. But you are right -- it is very individual how the patient will respond. Unfortunately, it is still very much a trial and error process. The one important aspect of treating bipolar disorder is to put the mood stabilizer (Lamictal, Lithium, Depakote, Trileptal, Tegretol) down first, attain a therapeutic level for 8 weeks and then assess what residual symptoms persist. In your shoes, I'd want your difficult child weaned from Lexapro and Concerta and see how she does on a mood stabilizer on its own. No mood stabilizer or atypical antipsychotic will be able to counter the bad side effects of either an SSRI or a stimulant. As you probably know, both SSRIs and stimulants can make adolescents with BiPolar (BP) much, much worse. There are very helpful treatment guidelines [url]http://www.thebalancedmind.org/sites/default/files/treatment_guidelines.pdf[/url] [/QUOTE]
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