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<blockquote data-quote="susiestar" data-source="post: 722864" data-attributes="member: 1233"><p>(((((hugs))))) </p><p></p><p>I am sorry the situation is so difficult!!!</p><p></p><p>I don't know what medications she has tried. I do know that if she is bipolar, this isn't going to improve without the right medications. Many people do not know that there is a medication protocol that seems to be very helpful for bipolar. It is slow to go through but very worth it. Many psychiatrists don't want to bother with it because it takes time to get results. They want fast results so they go with medications that give fast but short term results. Their fast results don't give long term stability. They often don't give good results either.</p><p></p><p>The protocol I am talking about was approved by the boards that approve both adult and child/adolescent psychiatrists (I cannot remember the right initials for it). The protocol starts with one mood stabilizer. It can take up to 6 weeks to get this up to the therapeutic level to see if it is working. Another mood stabilizer may need to be added and titrated up to a therapeutic level. Again, it will take about 6 weeks to get to a therapeutic level in your system. Then you add an atypical antipsychotic if needed. It will take 4-6 weeks to titrate up to a therapeutic level. If there are still symptoms of depression or adhd, a very small dose of an antidepressant or stimulant may be given to deal with that. Any other symptoms will be addressed next.</p><p></p><p>The patient will take the antidepressants and stimulants in very small doses later in treatment for a reason. This type of medication will cause an extreme reaction. Patient will need to be monitored closely on these medications. They can cause mania in patients with bipolar, so the patient must be very careful.</p><p></p><p>If you can get your daughter to try this regimen, even though it will be tough to stick to during the beginning parts, it will likely help a lot. I have seen several friends and several difficult children go through this regimen. The initial stages of titrating up on the mood stabilizers are not fun but once the moods are stable, the whole thing is so worth it. It really, truly is. </p><p></p><p>As for how mean she is, that is just bad behavior. Why not just walk away or end the conversation each time she is rude, mean or disrespectful to you? My brother used to be disrespectful to my mother. She started just walking away. She wouldn't say anything to him. At first he suggested that my father have her evaluated for Alzheimers, which made us laugh and laugh. She is sharp as a newly sharpened knife. She deals with my brother's finances! He finally figured out that if he was polite and nice, she stayed around. If he was aggressive and disrespectful, she wandered away. The funny part was that it took him three months!! He is a bit slow sometimes. She never said a single word about his behavior. She simply walked away when he got angry, rude, mean or disrespectful. Give it a try with your daughter. What could it hurt?</p></blockquote><p></p>
[QUOTE="susiestar, post: 722864, member: 1233"] (((((hugs))))) I am sorry the situation is so difficult!!! I don't know what medications she has tried. I do know that if she is bipolar, this isn't going to improve without the right medications. Many people do not know that there is a medication protocol that seems to be very helpful for bipolar. It is slow to go through but very worth it. Many psychiatrists don't want to bother with it because it takes time to get results. They want fast results so they go with medications that give fast but short term results. Their fast results don't give long term stability. They often don't give good results either. The protocol I am talking about was approved by the boards that approve both adult and child/adolescent psychiatrists (I cannot remember the right initials for it). The protocol starts with one mood stabilizer. It can take up to 6 weeks to get this up to the therapeutic level to see if it is working. Another mood stabilizer may need to be added and titrated up to a therapeutic level. Again, it will take about 6 weeks to get to a therapeutic level in your system. Then you add an atypical antipsychotic if needed. It will take 4-6 weeks to titrate up to a therapeutic level. If there are still symptoms of depression or adhd, a very small dose of an antidepressant or stimulant may be given to deal with that. Any other symptoms will be addressed next. The patient will take the antidepressants and stimulants in very small doses later in treatment for a reason. This type of medication will cause an extreme reaction. Patient will need to be monitored closely on these medications. They can cause mania in patients with bipolar, so the patient must be very careful. If you can get your daughter to try this regimen, even though it will be tough to stick to during the beginning parts, it will likely help a lot. I have seen several friends and several difficult children go through this regimen. The initial stages of titrating up on the mood stabilizers are not fun but once the moods are stable, the whole thing is so worth it. It really, truly is. As for how mean she is, that is just bad behavior. Why not just walk away or end the conversation each time she is rude, mean or disrespectful to you? My brother used to be disrespectful to my mother. She started just walking away. She wouldn't say anything to him. At first he suggested that my father have her evaluated for Alzheimers, which made us laugh and laugh. She is sharp as a newly sharpened knife. She deals with my brother's finances! He finally figured out that if he was polite and nice, she stayed around. If he was aggressive and disrespectful, she wandered away. The funny part was that it took him three months!! He is a bit slow sometimes. She never said a single word about his behavior. She simply walked away when he got angry, rude, mean or disrespectful. Give it a try with your daughter. What could it hurt? [/QUOTE]
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