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First appointment and frustrated
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<blockquote data-quote="tictoc" data-source="post: 319901" data-attributes="member: 7916"><p>Hi,</p><p>My 7 yo son has Tourette Syndrome, ADHD, and Obsessive Compulsive Disorder (OCD) (among other things). I understand your frustration, but I do think it is great that your doctor wants to rule out other causes for the tics before prescribing a medication. Even with a Tourette's Syndrome diagnosis, we have been to hell and back several times with bad medications.</p><p> </p><p>As for the tics, someone already mentioned the need to separate true tics from stims. It is also helpful to try to separate Obsessive Compulsive Disorder (OCD) traits from tics. That can be very hard to do in a young child, but that does have some impact on what medications to use. I don't think my son can tell the difference, but I hope that some day he will. </p><p> </p><p>And, yes, it is so hard to watch your child tic constantly. At one point, my son had eight separte tics going on almost constantly. His body never stopped and he cried because he couldn't stop. His tics are now well controlled with medications, but we still struggle with Obsessive Compulsive Disorder (OCD) and ADHD.</p><p> </p><p>Your dr. might have ordered an EKG if he is considering stimulants for the ADHD. If this is what your dr is thinking, I would urge you to get a second opinion. For kids with both Tourette's Syndrome and ADHD, Strattera is usually the first medication choice, followed by clonidine or Tenex. </p><p> </p><p>Tourette's Syndrome can be very hard to medicate effectively when there are co-morbid conditions. Medications that are effective for ADHD (ie, stimulants) can make tics, Obsessive Compulsive Disorder (OCD), and generalized anxiety much worse. So, I think it is good that the psychiatrist is taking his time to figure things out. </p><p> </p><p>At this point, I'll recommend two books (I have a whole list, if you want more): "Children with Tourette Syndrome: A Parents' Guide," by Tracy Lynne Marsh," and "Straight Talk about Psychiatric Medications for Kids," by Timothy Wilens. Also, visit the Tourette Syndrome Association website at <a href="http://www.tsa-usa.org" target="_blank">www.tsa-usa.org</a>. It has a number of articles you can download about tics and other conditions commonly associated with Tourette's Syndrome.</p><p> </p><p>And, finally, how is your son doing in school? Does he have a 504 or IEP? </p><p> </p><p>Good luck and please post again to ask questions and let us know how you are doing. My son was diagnosed about a year ago and it has been the hardest year of our lives, but it is beginning to get better.</p></blockquote><p></p>
[QUOTE="tictoc, post: 319901, member: 7916"] Hi, My 7 yo son has Tourette Syndrome, ADHD, and Obsessive Compulsive Disorder (OCD) (among other things). I understand your frustration, but I do think it is great that your doctor wants to rule out other causes for the tics before prescribing a medication. Even with a Tourette's Syndrome diagnosis, we have been to hell and back several times with bad medications. As for the tics, someone already mentioned the need to separate true tics from stims. It is also helpful to try to separate Obsessive Compulsive Disorder (OCD) traits from tics. That can be very hard to do in a young child, but that does have some impact on what medications to use. I don't think my son can tell the difference, but I hope that some day he will. And, yes, it is so hard to watch your child tic constantly. At one point, my son had eight separte tics going on almost constantly. His body never stopped and he cried because he couldn't stop. His tics are now well controlled with medications, but we still struggle with Obsessive Compulsive Disorder (OCD) and ADHD. Your dr. might have ordered an EKG if he is considering stimulants for the ADHD. If this is what your dr is thinking, I would urge you to get a second opinion. For kids with both Tourette's Syndrome and ADHD, Strattera is usually the first medication choice, followed by clonidine or Tenex. Tourette's Syndrome can be very hard to medicate effectively when there are co-morbid conditions. Medications that are effective for ADHD (ie, stimulants) can make tics, Obsessive Compulsive Disorder (OCD), and generalized anxiety much worse. So, I think it is good that the psychiatrist is taking his time to figure things out. At this point, I'll recommend two books (I have a whole list, if you want more): "Children with Tourette Syndrome: A Parents' Guide," by Tracy Lynne Marsh," and "Straight Talk about Psychiatric Medications for Kids," by Timothy Wilens. Also, visit the Tourette Syndrome Association website at [URL="http://www.tsa-usa.org"]www.tsa-usa.org[/URL]. It has a number of articles you can download about tics and other conditions commonly associated with Tourette's Syndrome. And, finally, how is your son doing in school? Does he have a 504 or IEP? Good luck and please post again to ask questions and let us know how you are doing. My son was diagnosed about a year ago and it has been the hardest year of our lives, but it is beginning to get better. [/QUOTE]
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