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<blockquote data-quote="smallworld" data-source="post: 42814" data-attributes="member: 2423"><p>Janet, I know insurance is an issue, but you have to make certain Ashleigh gets a very thorough psychiatric workup. Because of alleged sexual abuse, mental health issues in the family tree and her own suicidal tendencies, she has a complicated history that needs sorting out. She could have unipolar depression or she could have bipolar depression. It matters because the medications for unipolar depression (SSRIs like Prozac, for example) can make bipolar depression far worse. In fact, it is estimated that between 30 to 50 percent of children who initially are diagnosed with depression actually end up having bipolar disorder. </p><p></p><p>ODD, by the way, is a collection of behaviors that is generally fueled by an underlying disorder like depression. When the underlying disorder is identified and treated, the ODD behaviors typically subside. I have certainly found that to be the case with my own children.</p><p></p><p>You said nothing happened when Ashleigh took Prozac. Do you remember what dose and how long she was on it? Did her behavior worsen or just stay the same? </p><p></p><p>Do you know what kind of health professional the therapist is? Will the therapist be able to refer you to a child psychiatrist?</p></blockquote><p></p>
[QUOTE="smallworld, post: 42814, member: 2423"] Janet, I know insurance is an issue, but you have to make certain Ashleigh gets a very thorough psychiatric workup. Because of alleged sexual abuse, mental health issues in the family tree and her own suicidal tendencies, she has a complicated history that needs sorting out. She could have unipolar depression or she could have bipolar depression. It matters because the medications for unipolar depression (SSRIs like Prozac, for example) can make bipolar depression far worse. In fact, it is estimated that between 30 to 50 percent of children who initially are diagnosed with depression actually end up having bipolar disorder. ODD, by the way, is a collection of behaviors that is generally fueled by an underlying disorder like depression. When the underlying disorder is identified and treated, the ODD behaviors typically subside. I have certainly found that to be the case with my own children. You said nothing happened when Ashleigh took Prozac. Do you remember what dose and how long she was on it? Did her behavior worsen or just stay the same? Do you know what kind of health professional the therapist is? Will the therapist be able to refer you to a child psychiatrist? [/QUOTE]
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