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General Parenting
Moods up and down, how do you handle it?
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<blockquote data-quote="smallworld" data-source="post: 141255" data-attributes="member: 2423"><p>FlowerGarden, my son was in a partial hospitalization program for 6 weeks in December and January. He was very angry and depressed about going to the program, but as his medications were overhauled, we saw improvement in his behavior and mood at home. As soon as he was released from the program, he began to function just about normally both at home and at school.</p><p> </p><p>I don't think that's the situation with your son. I personally would not accept that this is a good medication combo for two reasons: First, he's aggressive with you. Second, he appears "drugged" to clinicians who have observed him. The goal of medications is to have the patient function as normally as possible with as few side effects as possible. </p><p> </p><p>Changing the medications doesn't need to mean increasing or decreasing what he's already on. It can mean swapping one for another. For example, if he's shaking from Depakote, switch to Lamictal. Or if the Risperdal dose is too sedating, try Seroquel, which is not as "harsh" a medication as Risperdal (according to our neuro). Even though your difficult child says he feels the best he has in two years, you may still need to refine the medication combo. His behavior certainly isn't the best it could be.</p><p> </p><p>In your shoes, I would definitely find a new psychiatrist. You need someone who's going to work with you to help your difficult child be the best he can be.</p><p> </p><p>One other thought: Since he has PANDAs, has a strep test been performed recently to see if that might be a factor in his current mood instability?</p></blockquote><p></p>
[QUOTE="smallworld, post: 141255, member: 2423"] FlowerGarden, my son was in a partial hospitalization program for 6 weeks in December and January. He was very angry and depressed about going to the program, but as his medications were overhauled, we saw improvement in his behavior and mood at home. As soon as he was released from the program, he began to function just about normally both at home and at school. I don't think that's the situation with your son. I personally would not accept that this is a good medication combo for two reasons: First, he's aggressive with you. Second, he appears "drugged" to clinicians who have observed him. The goal of medications is to have the patient function as normally as possible with as few side effects as possible. Changing the medications doesn't need to mean increasing or decreasing what he's already on. It can mean swapping one for another. For example, if he's shaking from Depakote, switch to Lamictal. Or if the Risperdal dose is too sedating, try Seroquel, which is not as "harsh" a medication as Risperdal (according to our neuro). Even though your difficult child says he feels the best he has in two years, you may still need to refine the medication combo. His behavior certainly isn't the best it could be. In your shoes, I would definitely find a new psychiatrist. You need someone who's going to work with you to help your difficult child be the best he can be. One other thought: Since he has PANDAs, has a strep test been performed recently to see if that might be a factor in his current mood instability? [/QUOTE]
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Moods up and down, how do you handle it?
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