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<blockquote data-quote="confuzzled" data-source="post: 377533" data-attributes="member: 8831"><p>i'll say it...</p><p> </p><p>pardon me for saying so, no offense meant, and i surely dont mean to patronize you....</p><p> </p><p>but you are playing fast and loose with serious psychiatric medications in an 11 year old child and i'm <em>appalled</em> that any doctor would start writing you random rx's so you can play around.</p><p> </p><p>i wont even go to whats right or wrong for your child based on your current diagnosis's as i'm NOT a doctor, but most of these medications take time to work, and very many of them need to be titrated up slowly over time, and just about <em>all</em> of them come with serious side effects (and withdrawls from many of them are a btich, or rebound sx's, or whatever...).</p><p> </p><p>i would not give that child another thing, RX or herbal (again, no offense, but herbal preparations ARE medications, and unsupervised can create serious issues even tho they are "natural") until she is seen by a comptetent psychiatrist who can make appropriate treatment decisions and perhaps either revisit your working diagnosis's or prescribe accordingly based on current treatment guidelines.</p><p> </p><p>and maybe this is oversimplifying your issues, but it seems to me that her general sleep hygiene is off and that you need to go back to basics and get on a better schedule. sounds like she gets an adequate amount of sleep, its just that the hours during which she does so are not in accordance to real life. i probably would be anxious and exhausted if i was up til 3am as well. i'm certainly not saying her sleep issues arent very real, and may well be a very real sx of a serious diagnosis, but thats where i'd start....it costs nothing, its non toxic, and if it works, at least you'll all get some sleep.</p><p> </p><p>i also think i'd call my local mental health dept ASAP to see if you can get a current list of psychiatrists and call each one to see how soon you could get an appointment. if i were in your shoes, i dont even think i'd care if they took my insurance....i'd rob peter to pay paul and worry about the details later. i also would (and DID) take the first available appointment with each and every psychiatrist you call, and not cancel ANY of them until 48 hours before so that you have multiple backups in case you dont like your first, or 12th choice of psychiatrists....i'm actually shocked you are having so much difficulty finding a dr, and is yet one more way in which your pediatrician is amiss---*he* should be on the phone begging them for appts for this child.</p><p> </p><p>but until then, i'd stop playing around with medications.</p></blockquote><p></p>
[QUOTE="confuzzled, post: 377533, member: 8831"] i'll say it... pardon me for saying so, no offense meant, and i surely dont mean to patronize you.... but you are playing fast and loose with serious psychiatric medications in an 11 year old child and i'm [I]appalled[/I] that any doctor would start writing you random rx's so you can play around. i wont even go to whats right or wrong for your child based on your current diagnosis's as i'm NOT a doctor, but most of these medications take time to work, and very many of them need to be titrated up slowly over time, and just about [I]all[/I] of them come with serious side effects (and withdrawls from many of them are a btich, or rebound sx's, or whatever...). i would not give that child another thing, RX or herbal (again, no offense, but herbal preparations ARE medications, and unsupervised can create serious issues even tho they are "natural") until she is seen by a comptetent psychiatrist who can make appropriate treatment decisions and perhaps either revisit your working diagnosis's or prescribe accordingly based on current treatment guidelines. and maybe this is oversimplifying your issues, but it seems to me that her general sleep hygiene is off and that you need to go back to basics and get on a better schedule. sounds like she gets an adequate amount of sleep, its just that the hours during which she does so are not in accordance to real life. i probably would be anxious and exhausted if i was up til 3am as well. i'm certainly not saying her sleep issues arent very real, and may well be a very real sx of a serious diagnosis, but thats where i'd start....it costs nothing, its non toxic, and if it works, at least you'll all get some sleep. i also think i'd call my local mental health dept ASAP to see if you can get a current list of psychiatrists and call each one to see how soon you could get an appointment. if i were in your shoes, i dont even think i'd care if they took my insurance....i'd rob peter to pay paul and worry about the details later. i also would (and DID) take the first available appointment with each and every psychiatrist you call, and not cancel ANY of them until 48 hours before so that you have multiple backups in case you dont like your first, or 12th choice of psychiatrists....i'm actually shocked you are having so much difficulty finding a dr, and is yet one more way in which your pediatrician is amiss---*he* should be on the phone begging them for appts for this child. but until then, i'd stop playing around with medications. [/QUOTE]
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