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General Parenting
Hypomania? Intuniv?
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<blockquote data-quote="gcvmom" data-source="post: 326930" data-attributes="member: 3444"><p>I think what he means by ADHD looking more static is that it shouldn't change much in response to the medications over time. There might be a need for slight increases to adjust for growth, but that's it. However, if bipolar is present on top of the ADHD, it's very likely the stimulant will cause more problems than help. Hypomania will essentially look like really bad ADHD and the stimulants will act like water. Resist the temptation to increase the stimulant because you will probably see a WORSENING of the symptoms and you could tip the situation into full-blown mania. Also, I would hesitate adding a new medication at the same time you are increasing another. You have no way of knowing for sure what is affecting your child.</p><p> </p><p>P.S. I'd be inclined to discontinue the stimulant altogether and give a mood stabilizer a try for at least a month or so (maybe longer, depending on the drug's ramp time). </p><p> </p><p>When my difficult child 2 was on a stimulant and still having severe ADHD issues like what you're describing in your daughter, his psychiatrist tried Tenex with him and it absolutely made things worse (we didn't know at the time what we were dealing with). He experienced racing thoughts, pressured speech, very impulsive behavior, not to mention very jittery because of the stimulant. But he was calm and not overly emotional, if that makes sense. I think that was the Tenex working. Tenex is like Intunive I believe.</p></blockquote><p></p>
[QUOTE="gcvmom, post: 326930, member: 3444"] I think what he means by ADHD looking more static is that it shouldn't change much in response to the medications over time. There might be a need for slight increases to adjust for growth, but that's it. However, if bipolar is present on top of the ADHD, it's very likely the stimulant will cause more problems than help. Hypomania will essentially look like really bad ADHD and the stimulants will act like water. Resist the temptation to increase the stimulant because you will probably see a WORSENING of the symptoms and you could tip the situation into full-blown mania. Also, I would hesitate adding a new medication at the same time you are increasing another. You have no way of knowing for sure what is affecting your child. P.S. I'd be inclined to discontinue the stimulant altogether and give a mood stabilizer a try for at least a month or so (maybe longer, depending on the drug's ramp time). When my difficult child 2 was on a stimulant and still having severe ADHD issues like what you're describing in your daughter, his psychiatrist tried Tenex with him and it absolutely made things worse (we didn't know at the time what we were dealing with). He experienced racing thoughts, pressured speech, very impulsive behavior, not to mention very jittery because of the stimulant. But he was calm and not overly emotional, if that makes sense. I think that was the Tenex working. Tenex is like Intunive I believe. [/QUOTE]
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