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Failed medications, starting from scratch...
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<blockquote data-quote="pepperidge" data-source="post: 52943" data-attributes="member: 2322"><p>Ditto everything that has been said above. Your child sounds like a combination of my two. </p><p></p><p>Here's where we have been. difficult child 2 has tried stimulants of all sorts (made him more anxious, irritable, whiny, cried etc), Tenex (provoked manic reaction), various mood stabilizers to little effect, and Abilify. Abilify is the only one that worked at low dose. Too high, too many tics, and other undesirable side effects. He tends to be impulsive, irritable, and to meltdown when he doesn't get way. He also gets very stuck. Has been evaluated up the wazoo, no autistic spectrum stuff. Probably has mild Fetal Alcohol Effects (FAE) and who knows what else. we are entertaining the idea of a medication wash too. only class of medications we haven't tried is SSRI and the psychiatrist doesn't want to go there.</p><p></p><p>difficult child 1 had major anxiety issues, that seemed like ADHD. We had good results with Adderall, but rebound was really bad and didn't deal iwth depressive mood symptoms. Prozac made him too disinhibited, we had to raise Adderall to deal with that, but that provoked too much anger and aggression. Also tried Abilify but didn't help. Finally got a good psychiatrist, and finally got on the right mood stabilizer (Lamictal) and he has turned around. We still find that the low dose of Adderall really improves concentration at school and his general ability to go along with the flow so to speak. </p><p></p><p>Don't know that this helps you. But I was struck reading your medication history that you are seeing the same kind of cycle that we did with stims, SSRIs, Tenex, etc. I think you are right to consider a medication wash, and then I would seriously discuss a trial of a mood stabilizer. Try one medication at a time so you can see. I don't think either of my kids fits the typical profile of BiPolar (BP) at all, yet they clearly have mood issues. </p><p></p><p>There has been some discussion of a new diagnostic category under research called severe mood dysregulation (search in archives) that seems to fit both of my sons better than the BiPolar (BP) label. In any event I wouldn't get too hung up about about the diagnosis at this point (except to rule out autism), but many of our kids exhibit a certain inflexibility shall we say that isn't autism. </p><p></p><p>I guess my question is since your psychiatrist seems to want to go the stimulant-SSRI type route, is he/she comfortable with prescribing mood stabilizers? Does he have lots of experience with them? Is he kind of anti-BiPolar (BP) type diagnosis's?</p></blockquote><p></p>
[QUOTE="pepperidge, post: 52943, member: 2322"] Ditto everything that has been said above. Your child sounds like a combination of my two. Here's where we have been. difficult child 2 has tried stimulants of all sorts (made him more anxious, irritable, whiny, cried etc), Tenex (provoked manic reaction), various mood stabilizers to little effect, and Abilify. Abilify is the only one that worked at low dose. Too high, too many tics, and other undesirable side effects. He tends to be impulsive, irritable, and to meltdown when he doesn't get way. He also gets very stuck. Has been evaluated up the wazoo, no autistic spectrum stuff. Probably has mild Fetal Alcohol Effects (FAE) and who knows what else. we are entertaining the idea of a medication wash too. only class of medications we haven't tried is SSRI and the psychiatrist doesn't want to go there. difficult child 1 had major anxiety issues, that seemed like ADHD. We had good results with Adderall, but rebound was really bad and didn't deal iwth depressive mood symptoms. Prozac made him too disinhibited, we had to raise Adderall to deal with that, but that provoked too much anger and aggression. Also tried Abilify but didn't help. Finally got a good psychiatrist, and finally got on the right mood stabilizer (Lamictal) and he has turned around. We still find that the low dose of Adderall really improves concentration at school and his general ability to go along with the flow so to speak. Don't know that this helps you. But I was struck reading your medication history that you are seeing the same kind of cycle that we did with stims, SSRIs, Tenex, etc. I think you are right to consider a medication wash, and then I would seriously discuss a trial of a mood stabilizer. Try one medication at a time so you can see. I don't think either of my kids fits the typical profile of BiPolar (BP) at all, yet they clearly have mood issues. There has been some discussion of a new diagnostic category under research called severe mood dysregulation (search in archives) that seems to fit both of my sons better than the BiPolar (BP) label. In any event I wouldn't get too hung up about about the diagnosis at this point (except to rule out autism), but many of our kids exhibit a certain inflexibility shall we say that isn't autism. I guess my question is since your psychiatrist seems to want to go the stimulant-SSRI type route, is he/she comfortable with prescribing mood stabilizers? Does he have lots of experience with them? Is he kind of anti-BiPolar (BP) type diagnosis's? [/QUOTE]
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