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<blockquote data-quote="smallworld" data-source="post: 153972" data-attributes="member: 2423"><p>Welcome. I'm glad you found us, but sorry you needed to.</p><p></p><p>You are not alone. Many of us, including me, have walked in your shoes. It is not just OK, but imperative, that you replenish yourself while your son is safe and in treatment.</p><p></p><p>My just-turned-15-year-old son spent 6 weeks in a day treatment program at a local psychiatric hospital in December and January. His medications were completely overhauled, and he's doing a lot better at home, although it looks as if we will need to find a new school situation for the fall (we're just starting the IEP process in our county SD because he has attended a small private school for the last 3 years).</p><p></p><p>If your son has BiPolar (BP), it is all important to get his medications straightened out. Once the medications stabilize him, he will be able to access therapy. To understand the theories behind medicating kids with BiPolar (BP), you might want to read the informative treatment guidelines at this link:</p><p><a href="http://www.thebalancedmind.org/sites/default/files/treatment_guidelines.pdf" target="_blank">http://www.thebalancedmind.org/sites/default/files/treatment_guidelines.pdf</a></p><p></p><p>While every child is different in terms of what medications will work, I will share my son's experience because his BiPolar (BP) illness lies more on the depressive end of the mood spectrum (like those with BPII). Depakote stopped his manic reaction to Zoloft, but plunged him deep into depression. We then switched over to Lamictal, which works well for depression, and added on various combos of ADs and stimulants. All destabilized his mood. When he went into day treatment, his attending psychiatrist discontinued Lexapro and Focalin XR and instead put him on a second mood stabilizer (Zonegran). Because my son was still depressed but also staying up all night, the psychiatrist added a hefty dose of Seroquel. My son is the most stable he's been in years.</p><p></p><p>While Wellbutrin is the least likely of all ADs to induce mania, it still can happen and I'd seriously consider whether it is destabilizing your son's mood. You might instead want to think about Lamictal as a second mood stabilizer or look at upping his Seroquel for depression. What doses is he taking of all his medications?</p><p></p><p>Again, welcome. I know you will find a lot of support here.</p></blockquote><p></p>
[QUOTE="smallworld, post: 153972, member: 2423"] Welcome. I'm glad you found us, but sorry you needed to. You are not alone. Many of us, including me, have walked in your shoes. It is not just OK, but imperative, that you replenish yourself while your son is safe and in treatment. My just-turned-15-year-old son spent 6 weeks in a day treatment program at a local psychiatric hospital in December and January. His medications were completely overhauled, and he's doing a lot better at home, although it looks as if we will need to find a new school situation for the fall (we're just starting the IEP process in our county SD because he has attended a small private school for the last 3 years). If your son has BiPolar (BP), it is all important to get his medications straightened out. Once the medications stabilize him, he will be able to access therapy. To understand the theories behind medicating kids with BiPolar (BP), you might want to read the informative treatment guidelines at this link: [url]http://www.thebalancedmind.org/sites/default/files/treatment_guidelines.pdf[/url] While every child is different in terms of what medications will work, I will share my son's experience because his BiPolar (BP) illness lies more on the depressive end of the mood spectrum (like those with BPII). Depakote stopped his manic reaction to Zoloft, but plunged him deep into depression. We then switched over to Lamictal, which works well for depression, and added on various combos of ADs and stimulants. All destabilized his mood. When he went into day treatment, his attending psychiatrist discontinued Lexapro and Focalin XR and instead put him on a second mood stabilizer (Zonegran). Because my son was still depressed but also staying up all night, the psychiatrist added a hefty dose of Seroquel. My son is the most stable he's been in years. While Wellbutrin is the least likely of all ADs to induce mania, it still can happen and I'd seriously consider whether it is destabilizing your son's mood. You might instead want to think about Lamictal as a second mood stabilizer or look at upping his Seroquel for depression. What doses is he taking of all his medications? Again, welcome. I know you will find a lot of support here. [/QUOTE]
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