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How quickly could an SSRI trigger mania?
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<blockquote data-quote="smallworld" data-source="post: 50528" data-attributes="member: 2423"><p>Alison, I recently had the opportunity to talk with a child pschiatrist who does research at NIMH (Bethesda, MD) on childhood anxiety and bipolar disorder. I asked him specifically about SSRI reactions given that we've had quite a few with our kids. He said there are generally three types of reactions: 1) impulsivity, which shows up in the first few days of taking the medication and is related to dose/medication (stopping the medication stops the reaction); 2) hallucinations/delusions, which are not a result of having bipolar disorder or schizophrenia (again, stopping the medication stops the reaction); and 3) true manic reaction, which generally occurs at the 3-week mark and persists even when the medication is discontinued. The latter reaction is the type this psychiatrist treats for bipolar disorder (and this is the type of reaction my son experienced on Zoloft).</p><p></p><p>How much Celexa did the psychiatrist start M on? My uneducated guess is that this is medication or dose related, as SRL suggested. You might want to give it a few days to see if the reaction stops on its own (I know that every time we raise my easy child/difficult child 3's Prozac dose, she gets silly for a few days and then settles down). If the reaction continues, I'd ask about discontinuing it.</p></blockquote><p></p>
[QUOTE="smallworld, post: 50528, member: 2423"] Alison, I recently had the opportunity to talk with a child pschiatrist who does research at NIMH (Bethesda, MD) on childhood anxiety and bipolar disorder. I asked him specifically about SSRI reactions given that we've had quite a few with our kids. He said there are generally three types of reactions: 1) impulsivity, which shows up in the first few days of taking the medication and is related to dose/medication (stopping the medication stops the reaction); 2) hallucinations/delusions, which are not a result of having bipolar disorder or schizophrenia (again, stopping the medication stops the reaction); and 3) true manic reaction, which generally occurs at the 3-week mark and persists even when the medication is discontinued. The latter reaction is the type this psychiatrist treats for bipolar disorder (and this is the type of reaction my son experienced on Zoloft). How much Celexa did the psychiatrist start M on? My uneducated guess is that this is medication or dose related, as SRL suggested. You might want to give it a few days to see if the reaction stops on its own (I know that every time we raise my easy child/difficult child 3's Prozac dose, she gets silly for a few days and then settles down). If the reaction continues, I'd ask about discontinuing it. [/QUOTE]
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