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Depression, anxiety or moodiness? - ** updated**
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<blockquote data-quote="smallworld" data-source="post: 48427" data-attributes="member: 2423"><p>Sheila, I recall that you recently said your difficult child's ADHD medications weren't working any longer. Have the medications been switched, or is he still taking Adderall?</p><p></p><p>The reason I ask is that I notice your difficult child already has a diagnosis of anxiety. I'm wondering whether the ADHD medications are making his anxiety worse, or causing depression. As you probably know, stimulants can exacerbate pre-existing anxiety, and over the long haul, can cause depression.</p><p></p><p>I will share my son's experience in the event it sheds light on your own. difficult child 1 was diagnosed with ADHD and anxiety at the end of 4th grade. He was prescribed Concerta and did well for about 1.5 years. At the beginning of 6th grade, it seemed as if Concerta was no longer helping him. We upped the dose, but it didn't seem to make a difference. He couldn't concentrate on his schoolwork/homework, he was unmotivated and he was incredibly disorganized. He also seemed very unhappy with his new school. In March of 6th grade, he begged us to take him off Concerta because he felt flat and inhibited. His mood seemed to brighten a bit, but removing Concerta did not solve the school problems. In retrospect, what we've been able to piece together (with our new psychiatrist's help) is that situationally he was becoming more anxious and depressed in middle school, and the stimulant was making his mood issues worse. </p><p></p><p>Unfortunately, when we treated his anxiety and depression with an SSRI in 7th grade, he had a prolonged intense manic reaction. We know now that his mood issues are far greater than any challenges he ever had with ADHD. I'm not saying that's the case for your difficult child, but I do think you need to look at the interplay between ADHD and mood issues and how they're treated.</p><p></p><p>To answer your question, I don't know firsthand if boys become as moody as girls at puberty because difficult child 1's big mood issues surfaced right when he started puberty. All I do know is that our psychiatrist said things should improve when difficult child 1 gets to the other side of puberty. We can only hope!</p></blockquote><p></p>
[QUOTE="smallworld, post: 48427, member: 2423"] Sheila, I recall that you recently said your difficult child's ADHD medications weren't working any longer. Have the medications been switched, or is he still taking Adderall? The reason I ask is that I notice your difficult child already has a diagnosis of anxiety. I'm wondering whether the ADHD medications are making his anxiety worse, or causing depression. As you probably know, stimulants can exacerbate pre-existing anxiety, and over the long haul, can cause depression. I will share my son's experience in the event it sheds light on your own. difficult child 1 was diagnosed with ADHD and anxiety at the end of 4th grade. He was prescribed Concerta and did well for about 1.5 years. At the beginning of 6th grade, it seemed as if Concerta was no longer helping him. We upped the dose, but it didn't seem to make a difference. He couldn't concentrate on his schoolwork/homework, he was unmotivated and he was incredibly disorganized. He also seemed very unhappy with his new school. In March of 6th grade, he begged us to take him off Concerta because he felt flat and inhibited. His mood seemed to brighten a bit, but removing Concerta did not solve the school problems. In retrospect, what we've been able to piece together (with our new psychiatrist's help) is that situationally he was becoming more anxious and depressed in middle school, and the stimulant was making his mood issues worse. Unfortunately, when we treated his anxiety and depression with an SSRI in 7th grade, he had a prolonged intense manic reaction. We know now that his mood issues are far greater than any challenges he ever had with ADHD. I'm not saying that's the case for your difficult child, but I do think you need to look at the interplay between ADHD and mood issues and how they're treated. To answer your question, I don't know firsthand if boys become as moody as girls at puberty because difficult child 1's big mood issues surfaced right when he started puberty. All I do know is that our psychiatrist said things should improve when difficult child 1 gets to the other side of puberty. We can only hope! [/QUOTE]
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