Got a call from the psychiatrist today. She and her team (including the education specialist who was very impressed with the iep the school wrote {well I helped}) had reviewed all the testing done by the school and their notes and tests as well.
She recommended he stay on the adderall since we were/are having such success on that (as oppossed to the concerta). He is totally off the remeron and only taking 12.5 mg of the seroquel. She asked how he was doing, side effects, etc. I told her he and I had noticed two. The first being his now "typical" appetite. He doesn't seem to be as hungry in the evenings and is eating much healthier these last several weeks. The other thing we've noticed is that he is having a harder (longer) time going to sleep in the evenings. His regular psychiatrist actually warned us of this.
She told me that she sees no signs of BiPolar (BP) or mood disorder with difficult child. She does understand that he does have a shorter than average fuse, but says that there are some that behave this way with no mental illness indications. He could benefit from quality mentoring and should continue with his regular therapist regarding solutions and alternatives to anger and closing down.
She feels his maturity level has improved greatly from all the "current level of performace" pages she read on his ieps (I supplied copies of all of those pages in the pack I presented her upon our first visit).
She had a suggestion and will be sending that along with her results to his psychiatrist. She felt that he would probably benefit from wellbutrin (which oddly enough I got an rx for today from my doctor to help me quit smoking) as it is a second line adhd medication that she often uses with adhd kids, especially boys with the ahdh/highly impulsive combined type diagnosis that difficult child has.
She does not feel that he is currently depressed but has seen much success in overal temprement with low doses in other cases.
So, I will go by tomorrow and pick up the report to hand deliver to regular psychiatrist with whom we have an appointment next monday. I felt really good about the overall results and her competence. She is the head of the pysc dept at our local teaching university and specializes in children.
We'll see how his regular psychiatrist feels about her recomendations especially in light of the fact that we have just finished trialing him off the remeron.
Thanks for reading this novel!
Sharon
