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<blockquote data-quote="susiestar" data-source="post: 130426" data-attributes="member: 1233"><p>If they think he may have bipolar, or a mood disorder of any kind, the recommendation by the people who do the board certification of psychiatrists is to get the mood issue stabilized and then treat any ADHD or other illnesses.</p><p> </p><p>Sounds like they started with a stimulant for the ADHD and then have been chasing around to stabilize moods and deal with aggression. Zyprexa is an atypical antipsychotic that is approved to treat mania in patients with bipolar. (from <a href="http://money.cnn.com/2000/03/17/companies/zyprexa/" target="_blank">http://money.cnn.com/2000/03/17/companies/zyprexa/</a> ).</p><p> </p><p>So if your little guy was dealing with MANIA (which can look a whole heck of a lot like ADHD!) and not ADHD, well, then the zyprexa is handling the mood and taming the aggression. </p><p> </p><p>Have you read The Bipolar Child by Papalous? It is a pretty good book (can be tough to get through everything) but they advocate that any child with mania or a suspected mood disorder be treated FIRST as if they had bipolar (with mood stabilizers) adn THEN for any other problems. If mood stabilizers don't work, you have lost several months, but if stimulants can send people with bipolar into cycles that can take a very long time to stop.</p><p> </p><p>There are arguments on both sides of the stimulant or mood stabilizer first argument. Antidepressants like prozac, effexor, zoloft, etc are also thought to send BiPolar (BP) patients into cycling. Some can tolerate antidepressants or stimulants AFTER they are fully stabilized, some cannot. </p><p> </p><p>It can take 2 mood stabilizers, and maybe an atypical antipsychotic to help some patients be fully stable. That is a bunch of medications for anyone of any age or size. So it is good to "start low and go slow".</p><p> </p><p>It will be interesting to hear what the doctor says on the next visit. I strongly recommend reading The Bipolar Child before the next meeting.</p><p> </p><p>I hope things stay on the positive side as they are now.</p><p> </p><p>Susie</p></blockquote><p></p>
[QUOTE="susiestar, post: 130426, member: 1233"] If they think he may have bipolar, or a mood disorder of any kind, the recommendation by the people who do the board certification of psychiatrists is to get the mood issue stabilized and then treat any ADHD or other illnesses. Sounds like they started with a stimulant for the ADHD and then have been chasing around to stabilize moods and deal with aggression. Zyprexa is an atypical antipsychotic that is approved to treat mania in patients with bipolar. (from [URL]http://money.cnn.com/2000/03/17/companies/zyprexa/[/URL] ). So if your little guy was dealing with MANIA (which can look a whole heck of a lot like ADHD!) and not ADHD, well, then the zyprexa is handling the mood and taming the aggression. Have you read The Bipolar Child by Papalous? It is a pretty good book (can be tough to get through everything) but they advocate that any child with mania or a suspected mood disorder be treated FIRST as if they had bipolar (with mood stabilizers) adn THEN for any other problems. If mood stabilizers don't work, you have lost several months, but if stimulants can send people with bipolar into cycles that can take a very long time to stop. There are arguments on both sides of the stimulant or mood stabilizer first argument. Antidepressants like prozac, effexor, zoloft, etc are also thought to send BiPolar (BP) patients into cycling. Some can tolerate antidepressants or stimulants AFTER they are fully stabilized, some cannot. It can take 2 mood stabilizers, and maybe an atypical antipsychotic to help some patients be fully stable. That is a bunch of medications for anyone of any age or size. So it is good to "start low and go slow". It will be interesting to hear what the doctor says on the next visit. I strongly recommend reading The Bipolar Child before the next meeting. I hope things stay on the positive side as they are now. Susie [/QUOTE]
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