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difficult child back in behavioral hospital
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<blockquote data-quote="susiestar" data-source="post: 145216" data-attributes="member: 1233"><p>First of all, welcome. This is a hard situation for your family. Your son is sick. It is NOT something tough love will fix. NO amount of spanking or beating will change this. Many of us have learned that physical discipline like spanking makes our difficult kids worse, NOT better. </p><p> </p><p>Breaking his spirit will not help. I strongly advice that you remember he is actually more fragile than most children, emotionally. </p><p> </p><p>Have you read The Bipolar Child by papalous? It is a wonderful resource. We also recommend The Explosive Child by Ross Greene. It is very very helpful, no matter what diagnosis you have.</p><p> </p><p>You say your child is on prozac, lithium, focalin and another medication? First off, if he is bipolar the moods should be stabilized BEFORE anything else is treated. It is a long road, and a tough one. Prozac is an SSRI antidepressant. It makes many children manic, and tends to make those with bipolar cycle even more rapidly. Lithium is a mood stabilizer. This is going to make the moods more even, and cycle less. This is the "gold standard" of mood stabilizers. </p><p> </p><p>Focalin is for ADHD. this is another medication that can make those with bipolar worse. </p><p> </p><p>Many with bipolar say they need time on a mood stabilizer only, or even 2 mood stabilizers and an antipsychotic (risperdal, geodon, trileptal, zyprexa) to make them have stable moods. All of htese medications are serious, and you should read as much as you can on them.</p><p> </p><p>Another thing that is important is to check to see if seizures can be part of the mix. You need a neurologist to do a sleep deprived EEG. This iwll let htem see how his brain is working, if it is seizing. Seizures can cause many types of behaviors, and many medications can make seizures worse.</p><p> </p><p>Is it possible to ask the psychiatrist to wean your child off hte prozac and focalin to see if the lithium will work? You can't just stop these medications, and most docs taper them off much faster than many of us find successful. I tend to taper medications off much slower than the doctor says.</p><p> </p><p>This IS a disability. You MUST work for his rights, and protect him while setting appropriate limits and keeping him from hurting others. It is hard to do.</p><p> </p><p>Please get your 14yo some counselling. This is going to be hard on her, and on your marriage. It is important to remember that if mom and dad are not happy and stable, then the kids and whole family will suffer. It is easy to focus onlhy on the sick child, but this is really bad for the marriage and family, as well as the individuals who make up the family.</p><p> </p><p>Sending hugs,</p><p> </p><p>Susie</p><p> </p><p>ps. I am NOT a doctor, so my advice is simply advice from a parent. don't change medications with-o talking Occupational Therapist (OT) the doctor. It is also good to make 1 medication change at a time, not a bunch of changes at once. IT can take 6 weeks to see if a medication will work.</p></blockquote><p></p>
[QUOTE="susiestar, post: 145216, member: 1233"] First of all, welcome. This is a hard situation for your family. Your son is sick. It is NOT something tough love will fix. NO amount of spanking or beating will change this. Many of us have learned that physical discipline like spanking makes our difficult kids worse, NOT better. Breaking his spirit will not help. I strongly advice that you remember he is actually more fragile than most children, emotionally. Have you read The Bipolar Child by papalous? It is a wonderful resource. We also recommend The Explosive Child by Ross Greene. It is very very helpful, no matter what diagnosis you have. You say your child is on prozac, lithium, focalin and another medication? First off, if he is bipolar the moods should be stabilized BEFORE anything else is treated. It is a long road, and a tough one. Prozac is an SSRI antidepressant. It makes many children manic, and tends to make those with bipolar cycle even more rapidly. Lithium is a mood stabilizer. This is going to make the moods more even, and cycle less. This is the "gold standard" of mood stabilizers. Focalin is for ADHD. this is another medication that can make those with bipolar worse. Many with bipolar say they need time on a mood stabilizer only, or even 2 mood stabilizers and an antipsychotic (risperdal, geodon, trileptal, zyprexa) to make them have stable moods. All of htese medications are serious, and you should read as much as you can on them. Another thing that is important is to check to see if seizures can be part of the mix. You need a neurologist to do a sleep deprived EEG. This iwll let htem see how his brain is working, if it is seizing. Seizures can cause many types of behaviors, and many medications can make seizures worse. Is it possible to ask the psychiatrist to wean your child off hte prozac and focalin to see if the lithium will work? You can't just stop these medications, and most docs taper them off much faster than many of us find successful. I tend to taper medications off much slower than the doctor says. This IS a disability. You MUST work for his rights, and protect him while setting appropriate limits and keeping him from hurting others. It is hard to do. Please get your 14yo some counselling. This is going to be hard on her, and on your marriage. It is important to remember that if mom and dad are not happy and stable, then the kids and whole family will suffer. It is easy to focus onlhy on the sick child, but this is really bad for the marriage and family, as well as the individuals who make up the family. Sending hugs, Susie ps. I am NOT a doctor, so my advice is simply advice from a parent. don't change medications with-o talking Occupational Therapist (OT) the doctor. It is also good to make 1 medication change at a time, not a bunch of changes at once. IT can take 6 weeks to see if a medication will work. [/QUOTE]
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