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medications question
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<blockquote data-quote="smallworld" data-source="post: 160140" data-attributes="member: 2423"><p>About a year ago, I had the opportunity to ask Dr. Daniel Pine, an NIMH psychiatrist who specializes in childhood anxiety, about bad reactions to SSRIs (which are the treatment of choice for anxiety). He said there are three types of reactions: 1) disinhibition, which is related to medication and dose and goes away when the medication is discontinued; 2) hallucinations, which again are related to medication and dose and go away when the medication is discontinued; and 3) mania, which is related to a mood disorder and does not go away when the medication is discontinued. In the first two cases, Dr. Pine prefers to trial a second SSRI before he rules the entire class of medications out.</p><p> </p><p>My son experienced the third type of SSRI reaction so he needed to be put on mood stabilizers and an atypical antipsychotic. Same with my daughter A. But my daughter M experienced the first type of SSRI reaction. Even though her psychiatrist wanted us to trial another SSRI before ruling out the medication class, we declined because of the family history and instead are trialing Remeron, which is in a different class of antidepressants. Like pepperidge, I am extremely gun-shy about SSRIs.</p><p> </p><p>Clearly, medication reactions, both positive and negative, vary widely by child. The only advice I can offer is to find a competent psychiatrist who will work closely with you and your child to find the best combo of medications for him.</p></blockquote><p></p>
[QUOTE="smallworld, post: 160140, member: 2423"] About a year ago, I had the opportunity to ask Dr. Daniel Pine, an NIMH psychiatrist who specializes in childhood anxiety, about bad reactions to SSRIs (which are the treatment of choice for anxiety). He said there are three types of reactions: 1) disinhibition, which is related to medication and dose and goes away when the medication is discontinued; 2) hallucinations, which again are related to medication and dose and go away when the medication is discontinued; and 3) mania, which is related to a mood disorder and does not go away when the medication is discontinued. In the first two cases, Dr. Pine prefers to trial a second SSRI before he rules the entire class of medications out. My son experienced the third type of SSRI reaction so he needed to be put on mood stabilizers and an atypical antipsychotic. Same with my daughter A. But my daughter M experienced the first type of SSRI reaction. Even though her psychiatrist wanted us to trial another SSRI before ruling out the medication class, we declined because of the family history and instead are trialing Remeron, which is in a different class of antidepressants. Like pepperidge, I am extremely gun-shy about SSRIs. Clearly, medication reactions, both positive and negative, vary widely by child. The only advice I can offer is to find a competent psychiatrist who will work closely with you and your child to find the best combo of medications for him. [/QUOTE]
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