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I Don't Know What He Is
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<blockquote data-quote="susiestar" data-source="post: 439247" data-attributes="member: 1233"><p>I am so sorry about all the things you are all enduring. It is SO scary when your child is mentally ill, esp when hallucinations enter into things. There are things like PTSD that can cause hallucinations. My son has asperger's which includes adhd, and also Obsessive Compulsive Disorder (OCD), but had a psychotic break with hallucinations. In his case he lost his grip on the line between fantasy and reality. <strong>I</strong> knew it was always tenuous but no one believed it. Finally at age 12 he believed if he could just find a way to get to Japan he could find a real, live pokemon and/or real demons to do his bidding. Frustration over not being able to get to Japan and over no one believing he was serious and a teacher letting him online unsupervised against written directions that he was to ahve NO online access, well, he tipped into true psychosis. he spent 4 months in a psychiatric hospital and it changed a LOT.</p><p></p><p>SO you are NOT alone. It must be even scarier as he is so young, but other parents here have also experienced this and will add support.</p><p></p><p>Given a mood disorder, I urge you STRONGLY to get a copy of The Bipolar Child and read it. Esp read the medication protocol. There may be autism issues involved also, but that needs to be evaluated AFTER his mooods are stabilized. Soem people with bipolar do well for a period of time on ssri's but when they stop doing well they likely won't ever tolerate them again.</p><p></p><p>Mood disorders need to be medicated and stabilized first, before other problems are addressed. This is because many medications, even OTC cold medications like decongestants, can make their moods cycle. It can take finding the right combination of up to TWO mood stabilizers and an antipsychotic to get the moods stabilized. All of this is in the book. I have no idea why, but MANY psychiatrists do NOT want to follow this protocol. It is set up and approved by the Boards taht certify both child and adolesc psychiatrists and adult psychiatrists, but I have yet to meet a psychiatrist who doesn't want to try SSRI's or anxiety medications or stimulants before them. I also ahve yet to get a good answer telling me WHY they want to not follow the protocol that is approved. NO doctor has even tried to give me any logical reason to not follow the protocol other than that they don't want to do blood work because it is "too hard" on kids. Gee, a ten min blood draw vs weeks/months of mood cycling? Let me think which is worse for the child.</p><p></p><p>Even if your son is unipolar depressed it is a good idea to try the medication protocol first, in my opinion. That is more rare than many people know and often mania is easier to overlook/ignore in a child. esp if you don't live with the child! These are just suggestions, of course. I hope that you get some relief soon.</p></blockquote><p></p>
[QUOTE="susiestar, post: 439247, member: 1233"] I am so sorry about all the things you are all enduring. It is SO scary when your child is mentally ill, esp when hallucinations enter into things. There are things like PTSD that can cause hallucinations. My son has asperger's which includes adhd, and also Obsessive Compulsive Disorder (OCD), but had a psychotic break with hallucinations. In his case he lost his grip on the line between fantasy and reality. [B]I[/B] knew it was always tenuous but no one believed it. Finally at age 12 he believed if he could just find a way to get to Japan he could find a real, live pokemon and/or real demons to do his bidding. Frustration over not being able to get to Japan and over no one believing he was serious and a teacher letting him online unsupervised against written directions that he was to ahve NO online access, well, he tipped into true psychosis. he spent 4 months in a psychiatric hospital and it changed a LOT. SO you are NOT alone. It must be even scarier as he is so young, but other parents here have also experienced this and will add support. Given a mood disorder, I urge you STRONGLY to get a copy of The Bipolar Child and read it. Esp read the medication protocol. There may be autism issues involved also, but that needs to be evaluated AFTER his mooods are stabilized. Soem people with bipolar do well for a period of time on ssri's but when they stop doing well they likely won't ever tolerate them again. Mood disorders need to be medicated and stabilized first, before other problems are addressed. This is because many medications, even OTC cold medications like decongestants, can make their moods cycle. It can take finding the right combination of up to TWO mood stabilizers and an antipsychotic to get the moods stabilized. All of this is in the book. I have no idea why, but MANY psychiatrists do NOT want to follow this protocol. It is set up and approved by the Boards taht certify both child and adolesc psychiatrists and adult psychiatrists, but I have yet to meet a psychiatrist who doesn't want to try SSRI's or anxiety medications or stimulants before them. I also ahve yet to get a good answer telling me WHY they want to not follow the protocol that is approved. NO doctor has even tried to give me any logical reason to not follow the protocol other than that they don't want to do blood work because it is "too hard" on kids. Gee, a ten min blood draw vs weeks/months of mood cycling? Let me think which is worse for the child. Even if your son is unipolar depressed it is a good idea to try the medication protocol first, in my opinion. That is more rare than many people know and often mania is easier to overlook/ignore in a child. esp if you don't live with the child! These are just suggestions, of course. I hope that you get some relief soon. [/QUOTE]
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