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Failed medications, starting from scratch...
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<blockquote data-quote="smallworld" data-source="post: 52892" data-attributes="member: 2423"><p>gvcmom, your experience sounds similar to what we've gone through with our difficult child 1.</p><p></p><p>A few questions: When your difficult child 2 had his recent "beehive buzzing" episode, what medications/doses was he taking? I ask because high doses of stimulants can cause this type of reaction, even if the child does not have bipolar disorder.</p><p>When he had his reaction to Zoloft, what specifically did you observe? How much Zoloft was he taking? How long had he been taking Zoloft before the reaction occurred? I ask because I recently had the opportunity to talk with a child psychiatrist who researches childhood anxiety and bipolar disorder at NIMH in Bethesda, MD. He said some reactions to SSRIs are not true mania but rather related to the specific medication or dose prescribed. </p><p>Has he ever been evaluated for an Autistic Spectrum Disorder? I ask because you mention he has no friends and he gets "stuck" or "obsessive" thoughts. These symptoms can indicate Autism Spectrum Disorders (ASD). And some kids with Autism Spectrum Disorders (ASD) are very difficult to medicate, and instead do better with intensive therapeutic and school-based interventions.</p><p></p><p>A few thoughts for you:</p><p>When a child undergoes a medication wash, there is frequently a period when the child's behavior seems worse. After a few weeks, things tend to settle down and you are able to get a true read on baseline behavior.</p><p>Anxiety can frequently be confused with ADHD. You are right in observing that stimulants exacerbate pre-exisiting anxiety. In some cases, long-term use of stimulants can lead to depression.</p><p>When you struggle with the medication roller-coaster for five years, it's time to get a new evaluation (probably with a neuropsychologist or a multidisciplinary team at a university or children's hospital) to make certain you know what you're dealing with. And it's probably wise to get a second psychiatric opinion as well.</p><p></p><p>In terms of my own son, he did have a prolonged intense manic reaction to Zoloft after taking it for three weeks. Even after discontinuing Zoloft, his nightly raging, violence and aggression toward family members continued for two months until his psychiatrist prescribed Depakote. After taking Depakote for six weeks at a therapeutic level, the reaction stopped dead in its tracks. My son has been able to tolerate low doses of stimulants for inattention at school, but his tics and anxiety increase with higher doses.</p><p></p><p>You have a lot on your plate. I hope you get some answers soon.</p></blockquote><p></p>
[QUOTE="smallworld, post: 52892, member: 2423"] gvcmom, your experience sounds similar to what we've gone through with our difficult child 1. A few questions: When your difficult child 2 had his recent "beehive buzzing" episode, what medications/doses was he taking? I ask because high doses of stimulants can cause this type of reaction, even if the child does not have bipolar disorder. When he had his reaction to Zoloft, what specifically did you observe? How much Zoloft was he taking? How long had he been taking Zoloft before the reaction occurred? I ask because I recently had the opportunity to talk with a child psychiatrist who researches childhood anxiety and bipolar disorder at NIMH in Bethesda, MD. He said some reactions to SSRIs are not true mania but rather related to the specific medication or dose prescribed. Has he ever been evaluated for an Autistic Spectrum Disorder? I ask because you mention he has no friends and he gets "stuck" or "obsessive" thoughts. These symptoms can indicate Autism Spectrum Disorders (ASD). And some kids with Autism Spectrum Disorders (ASD) are very difficult to medicate, and instead do better with intensive therapeutic and school-based interventions. A few thoughts for you: When a child undergoes a medication wash, there is frequently a period when the child's behavior seems worse. After a few weeks, things tend to settle down and you are able to get a true read on baseline behavior. Anxiety can frequently be confused with ADHD. You are right in observing that stimulants exacerbate pre-exisiting anxiety. In some cases, long-term use of stimulants can lead to depression. When you struggle with the medication roller-coaster for five years, it's time to get a new evaluation (probably with a neuropsychologist or a multidisciplinary team at a university or children's hospital) to make certain you know what you're dealing with. And it's probably wise to get a second psychiatric opinion as well. In terms of my own son, he did have a prolonged intense manic reaction to Zoloft after taking it for three weeks. Even after discontinuing Zoloft, his nightly raging, violence and aggression toward family members continued for two months until his psychiatrist prescribed Depakote. After taking Depakote for six weeks at a therapeutic level, the reaction stopped dead in its tracks. My son has been able to tolerate low doses of stimulants for inattention at school, but his tics and anxiety increase with higher doses. You have a lot on your plate. I hope you get some answers soon. [/QUOTE]
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