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Hypomania?
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<blockquote data-quote="rlsnights" data-source="post: 303006" data-attributes="member: 7948"><p>you might take a look at the NIMH website especially if you are open to participating in research and travelling to NIMH in Bethesda. I have talked to them in the past and they were willing to pay for travel from California and lodging while there if I was able to bring my son for assessment and/or treatment.</p><p></p><p>Here's a link to the patient recruitment page at NIMH.</p><p></p><p><a href="http://patientinfo.nimh.nih.gov/" target="_blank">http://patientinfo.nimh.nih.gov/</a></p><p></p><p>i thought of this because your child is a complex case due to his multiple neurological and psychiatric conditions. you will not get a better assessment and treatment process anywhere and may get the fastest and most definitive (if there is one) answer going that route.</p><p></p><p>otherwise i would to talk to all the docs about the pros and cons of a trial of mood stabilizer. depending on outcome, then gradually wean imipramine, then the zoloft. if it's bipolar, the AD's are much more likely to be triggering increased severity than not particularly without a mood stabilizer on board. while I am an adult etc. imipramine (unopposed by a mood stabilizer) provoked mania with psychosis for me but it took a long time to build up to therapeutic levels and thus to mania. i knew I was getting worse but my then psychiatrist wouldn't listen until i flipped out - at which point i went off it cold turkey.</p><p></p><p>a website I have found helpful (though oriented toward adults) is</p><p></p><p><a href="http://www.psycheducation.org/" target="_blank">http://www.psycheducation.org/</a></p><p></p><p>lots of good info about different ways to think about bipolar; social rhythm therapy; light and dark therapy as treatment; and he generally keeps up with the most current research and findings. in particular you may find his page about mixed states and rapid cycling helpful.</p><p></p><p><a href="http://www.psycheducation.org/depression/Waves.htm" target="_blank">http://www.psycheducation.org/depression/Waves.htm</a></p></blockquote><p></p>
[QUOTE="rlsnights, post: 303006, member: 7948"] you might take a look at the NIMH website especially if you are open to participating in research and travelling to NIMH in Bethesda. I have talked to them in the past and they were willing to pay for travel from California and lodging while there if I was able to bring my son for assessment and/or treatment. Here's a link to the patient recruitment page at NIMH. [url]http://patientinfo.nimh.nih.gov/[/url] i thought of this because your child is a complex case due to his multiple neurological and psychiatric conditions. you will not get a better assessment and treatment process anywhere and may get the fastest and most definitive (if there is one) answer going that route. otherwise i would to talk to all the docs about the pros and cons of a trial of mood stabilizer. depending on outcome, then gradually wean imipramine, then the zoloft. if it's bipolar, the AD's are much more likely to be triggering increased severity than not particularly without a mood stabilizer on board. while I am an adult etc. imipramine (unopposed by a mood stabilizer) provoked mania with psychosis for me but it took a long time to build up to therapeutic levels and thus to mania. i knew I was getting worse but my then psychiatrist wouldn't listen until i flipped out - at which point i went off it cold turkey. a website I have found helpful (though oriented toward adults) is [url]http://www.psycheducation.org/[/url] lots of good info about different ways to think about bipolar; social rhythm therapy; light and dark therapy as treatment; and he generally keeps up with the most current research and findings. in particular you may find his page about mixed states and rapid cycling helpful. [url]http://www.psycheducation.org/depression/Waves.htm[/url] [/QUOTE]
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