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Depression or bipolar?
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<blockquote data-quote="pepperidge" data-source="post: 14203" data-attributes="member: 2322"><p>We go back to see the psychiatrist next week on difficult child 2. I am tearing out my hair, and am at the point where all I can think to do is find a way to try to help myself detach and try to destress in a major way--seems like I can't help my son at all. And he is only 9.</p><p></p><p>His major symptoms are irritabililty, whininess, need for instant gratification, difficulty letting things go (holds grudges etc), emotional disregulation, impulsiveness. Has had the full nine yds of neuropsychologist, no autistic spectrum stuff at all. I used to think of him as this happy child, but highly impulsive, didn't listen. That seems to have abated some (I think the abilify has helped). But what is becoming more evident is the constant irritability, whininess. </p><p></p><p> He has a high need for external stimulation and if he doing something fun, the whininess disappears. But he can't entertain himself at all. He enjoys school but it doesn't come easy for him. When he is at home that's when the whininess etc starts. Somewhat I am sure is the letdown from the day at school. While I am sure I wouldn't win any awards as mother of the year, we are pretty consistent, try to meet needs, etc, lots in Basket C, so at this point I don't see that there is a whole lot I can do to modify things at home. </p><p></p><p>He has responded poorly to all medications (stims, Tenex bad reaction), except abilify. Have not tried any SSRIs. His diagnosis is unclear--he certainly doesn't have the raging or cycling or mania that would make one think of bipolar. We got up to 125 mg of Lamictal with no positive impact at all it seems, Topamax hasn't helped very much if at all. We can't seem to go higher on the Abilify because of problems with TICs and urinary accidents. </p><p></p><p>so here's my question. I know all about anti-depressants and bipolar. But right now I am wondering, could this child have depression (as distinct from bipolar) and might he benefit from an anti-depressant? Are there any children who benefit, other than the obviously obsessive compulsive types? I believe Prozac is the only AD approved for children, but are there advantages to others? </p><p></p><p>His birthmother was a substance abuser, which I know (now) is a red flag for bipolar. But is it also common in depression as well?</p><p></p><p>Appreciate any thoughts.</p><p></p><p>Chris</p></blockquote><p></p>
[QUOTE="pepperidge, post: 14203, member: 2322"] We go back to see the psychiatrist next week on difficult child 2. I am tearing out my hair, and am at the point where all I can think to do is find a way to try to help myself detach and try to destress in a major way--seems like I can't help my son at all. And he is only 9. His major symptoms are irritabililty, whininess, need for instant gratification, difficulty letting things go (holds grudges etc), emotional disregulation, impulsiveness. Has had the full nine yds of neuropsychologist, no autistic spectrum stuff at all. I used to think of him as this happy child, but highly impulsive, didn't listen. That seems to have abated some (I think the abilify has helped). But what is becoming more evident is the constant irritability, whininess. He has a high need for external stimulation and if he doing something fun, the whininess disappears. But he can't entertain himself at all. He enjoys school but it doesn't come easy for him. When he is at home that's when the whininess etc starts. Somewhat I am sure is the letdown from the day at school. While I am sure I wouldn't win any awards as mother of the year, we are pretty consistent, try to meet needs, etc, lots in Basket C, so at this point I don't see that there is a whole lot I can do to modify things at home. He has responded poorly to all medications (stims, Tenex bad reaction), except abilify. Have not tried any SSRIs. His diagnosis is unclear--he certainly doesn't have the raging or cycling or mania that would make one think of bipolar. We got up to 125 mg of Lamictal with no positive impact at all it seems, Topamax hasn't helped very much if at all. We can't seem to go higher on the Abilify because of problems with TICs and urinary accidents. so here's my question. I know all about anti-depressants and bipolar. But right now I am wondering, could this child have depression (as distinct from bipolar) and might he benefit from an anti-depressant? Are there any children who benefit, other than the obviously obsessive compulsive types? I believe Prozac is the only AD approved for children, but are there advantages to others? His birthmother was a substance abuser, which I know (now) is a red flag for bipolar. But is it also common in depression as well? Appreciate any thoughts. Chris [/QUOTE]
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