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Failed medications, starting from scratch...
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<blockquote data-quote="SRL" data-source="post: 52895" data-attributes="member: 701"><p>When nothing has worked for years, my first thought is to do a total reevaluation with a team that hasn't laid eyes on the child before. We've seen way too many missed or parital diagnoses come through the forums.</p><p></p><p>I have a kiddo with Autism Spectrum Disorders (ASD) traits who needed medications for anxiety and while the first trial worked for a time, side effects became unbearable so we had to discontinue. The second time we used Zoloft and it was a total disaster by day 6. As smallworld mentioned, we did see manic behavior throughout the very heightened anxiety episode but when we added zoloft it went so far over the top that it made me start questioning whether he had BiPolar (BP). Once the medication reaction wore off and he was stabilized from anxiety and all of the negative effects from the downward spiral were gone (I'm sorry to say but it took a year) all thoughts of BiPolar (BP) left my mind. medications were such a failure and so disruptive to our familylife (the sibs begged us not to go there again) that we went to extreme measures on other interventions and it's been very successful. But our original diagnosis was right on target so we had a good grasp of the issues at the time.</p><p></p><p>I'd also mention that sometimes manic looking behavior is a sensory seeking behavior--what kids with this issue need isn't the proper medication but to have a designated plan for handling their unique sensory needs. This direction gives more options, for instance, the most hyperactive child I've ever seen (even while on full dose of Ritalin) was able to sit in the desk at school by having a gel ball that he squeezed nearly all the time.</p><p></p><p>If this were me I would want the works on a child with this history and no progress: pediatric neuropsychologist to do a full battery, neurologist, occupational therapy, speech to see if there are social issues getting in the way of his forming friendships, at minimum. in my opinion, any child who hasn't responded to medications after this long deserves the benefit of the doubt that maybe doctors have been barking up the wrong tree.</p></blockquote><p></p>
[QUOTE="SRL, post: 52895, member: 701"] When nothing has worked for years, my first thought is to do a total reevaluation with a team that hasn't laid eyes on the child before. We've seen way too many missed or parital diagnoses come through the forums. I have a kiddo with Autism Spectrum Disorders (ASD) traits who needed medications for anxiety and while the first trial worked for a time, side effects became unbearable so we had to discontinue. The second time we used Zoloft and it was a total disaster by day 6. As smallworld mentioned, we did see manic behavior throughout the very heightened anxiety episode but when we added zoloft it went so far over the top that it made me start questioning whether he had BiPolar (BP). Once the medication reaction wore off and he was stabilized from anxiety and all of the negative effects from the downward spiral were gone (I'm sorry to say but it took a year) all thoughts of BiPolar (BP) left my mind. medications were such a failure and so disruptive to our familylife (the sibs begged us not to go there again) that we went to extreme measures on other interventions and it's been very successful. But our original diagnosis was right on target so we had a good grasp of the issues at the time. I'd also mention that sometimes manic looking behavior is a sensory seeking behavior--what kids with this issue need isn't the proper medication but to have a designated plan for handling their unique sensory needs. This direction gives more options, for instance, the most hyperactive child I've ever seen (even while on full dose of Ritalin) was able to sit in the desk at school by having a gel ball that he squeezed nearly all the time. If this were me I would want the works on a child with this history and no progress: pediatric neuropsychologist to do a full battery, neurologist, occupational therapy, speech to see if there are social issues getting in the way of his forming friendships, at minimum. in my opinion, any child who hasn't responded to medications after this long deserves the benefit of the doubt that maybe doctors have been barking up the wrong tree. [/QUOTE]
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