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Confused and Concerned
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<blockquote data-quote="flutterby" data-source="post: 570775" data-attributes="member: 7083"><p>By the end of the third paragraph you wrote, I was thinking depression, but of course I can't diagnose and bipolar could fit, too (as could other things). You mentioned a doctor, but didn't say what kind. A family doctor or pediatrician isn't the right doctor for mental health issues - especially not to the degree your son is experiencing. He needs to be evaluated by a psychiatrist. There is the possibility of trial and error with medications because what works for one doesn't necessarily work with another. And with mood disorders especially, medications on their own are not enough. Therapy is needed as well. </p><p></p><p>If your son has bipolar, medications should be a mood stabilizer, possibly an atypical AP (which are also considered mood stabilizers), and once that has taken effect only then do you add an AD if it is needed. If your son has depression, SSRI's are first choice but sometimes mood stabilizers (usually not atypical AP's) are used down the road if the SSRI's aren't enough.</p></blockquote><p></p>
[QUOTE="flutterby, post: 570775, member: 7083"] By the end of the third paragraph you wrote, I was thinking depression, but of course I can't diagnose and bipolar could fit, too (as could other things). You mentioned a doctor, but didn't say what kind. A family doctor or pediatrician isn't the right doctor for mental health issues - especially not to the degree your son is experiencing. He needs to be evaluated by a psychiatrist. There is the possibility of trial and error with medications because what works for one doesn't necessarily work with another. And with mood disorders especially, medications on their own are not enough. Therapy is needed as well. If your son has bipolar, medications should be a mood stabilizer, possibly an atypical AP (which are also considered mood stabilizers), and once that has taken effect only then do you add an AD if it is needed. If your son has depression, SSRI's are first choice but sometimes mood stabilizers (usually not atypical AP's) are used down the road if the SSRI's aren't enough. [/QUOTE]
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