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difficult child forced to SSRIs, he is quite upset
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<blockquote data-quote="SuZir" data-source="post: 589063" data-attributes="member: 14557"><p>This far difficult child has done rather well in being objective with medications he has tried. With BuSpar he hasn't had much of the feeling that it would had done anything, but he is willing to believe his own and others notes that clearly showed it did help. Just now it just not doing enough and that is why sertraline (MWM, I think the well known brand name is Zoloft also in USA) was added. His psychiatrist is certainly following a treatment protocol, can't fault her for that. Though she apparently said she would not like to prescribe difficult child paroxetine because her experience is that especially young men tend to hate it and it is hard to get off from. And she had also said difficult child that it wouldn't be the best fit with difficult child's lifestyle, apparently for example many have to take it very same time every day etc. If sertraline isn't a match she wants to try some other SSRI instead even though sertraline and paroxetine are best studied for difficult child's condition. As you notice difficult child was much more talkative when he came home yesterday evening. frustrated and moody, but talking, so that is certainly better than just 'same old #@¤§!" from earlier.</p><p></p><p>MWM: While those depersonalization and derealization symptoms are extremely freaky, for difficult child they are considered to be just symptoms of his main condition, PTSD. If you have a nail in your head, you don't just take Tylenol even though headache may be your most aggravating symptom, you have to do something to a nail. Same here. The main problem is PTSD and that is what is mainly treated. With PTSD therapy (trauma centric CBT's being the number one option) is first line of treatment. If that is not enough or working fast enough, first line drug treatment are SSRIs (sertraline and paroxetine being most studied and approved for PTSD) and BuSpar. As you likely notice <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite2" alt=";)" title="Wink ;)" loading="lazy" data-shortname=";)" /> I have been reading a lot about the topic. It seems difficult child's psychiatrist is certainly going by the book with difficult child.</p><p></p><p>If difficult child is to sabotage this medication trial he is likely to do it with not taking his medication (and lying about it) or taking it every now and then and 'forgetting' it rest of the time. That is very much of his usual MO. If he actually takes it diligently, his way of thinking is more on the lines that it better also work, so I don't think he would undermine possible positive effects purposely. And the anxiety and sleeping diaries, heart rate monitoring etc. are probably likely to make unconscious psychosomatic sabotage little less likely. Of course he could also fake side effects, but that would just move him to next SSRI and he knows that.</p><p></p><p>He did have his therapist appointment yesterday after psychiatrist appointment and from what difficult child said I do believe he made some kind of a deal with therapist about the medications. Hopefully he does honour that.</p></blockquote><p></p>
[QUOTE="SuZir, post: 589063, member: 14557"] This far difficult child has done rather well in being objective with medications he has tried. With BuSpar he hasn't had much of the feeling that it would had done anything, but he is willing to believe his own and others notes that clearly showed it did help. Just now it just not doing enough and that is why sertraline (MWM, I think the well known brand name is Zoloft also in USA) was added. His psychiatrist is certainly following a treatment protocol, can't fault her for that. Though she apparently said she would not like to prescribe difficult child paroxetine because her experience is that especially young men tend to hate it and it is hard to get off from. And she had also said difficult child that it wouldn't be the best fit with difficult child's lifestyle, apparently for example many have to take it very same time every day etc. If sertraline isn't a match she wants to try some other SSRI instead even though sertraline and paroxetine are best studied for difficult child's condition. As you notice difficult child was much more talkative when he came home yesterday evening. frustrated and moody, but talking, so that is certainly better than just 'same old #@¤§!" from earlier. MWM: While those depersonalization and derealization symptoms are extremely freaky, for difficult child they are considered to be just symptoms of his main condition, PTSD. If you have a nail in your head, you don't just take Tylenol even though headache may be your most aggravating symptom, you have to do something to a nail. Same here. The main problem is PTSD and that is what is mainly treated. With PTSD therapy (trauma centric CBT's being the number one option) is first line of treatment. If that is not enough or working fast enough, first line drug treatment are SSRIs (sertraline and paroxetine being most studied and approved for PTSD) and BuSpar. As you likely notice :winking: I have been reading a lot about the topic. It seems difficult child's psychiatrist is certainly going by the book with difficult child. If difficult child is to sabotage this medication trial he is likely to do it with not taking his medication (and lying about it) or taking it every now and then and 'forgetting' it rest of the time. That is very much of his usual MO. If he actually takes it diligently, his way of thinking is more on the lines that it better also work, so I don't think he would undermine possible positive effects purposely. And the anxiety and sleeping diaries, heart rate monitoring etc. are probably likely to make unconscious psychosomatic sabotage little less likely. Of course he could also fake side effects, but that would just move him to next SSRI and he knows that. He did have his therapist appointment yesterday after psychiatrist appointment and from what difficult child said I do believe he made some kind of a deal with therapist about the medications. Hopefully he does honour that. [/QUOTE]
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