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My Son is still in a manic state after stopping the Zoloft - Dr. suggests Lamactil?
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<blockquote data-quote="rlsnights" data-source="post: 424113" data-attributes="member: 7948"><p>I think I should have been clearer in my earlier post. And mention that these suggestions are based on my personal experiences and may or may not apply to your situation.</p><p></p><p>I am not trying to say that your son is or is not bipolar.</p><p></p><p>The medications I mentioned (you should absolutely be talking to the psychiatrist NOT the pediatrician, in my humble opinion) are often effective in treating agitation and/or the kind of energized behavior (both the "happy" kind and the angry/reckless kind) that comes with imbalances in the neurotransmitters in the brain.</p><p></p><p>It sounds like he has had a reaction to the SSRI and needs his brain "calmed down", for lack of a better analogy.</p><p></p><p>This may be a temporary situation - or not. Only time is likely to tell - and perhaps a long time.</p><p></p><p>The reason I mentioned Lithium is because it usually has a very rapid impact on manic-like behaviors. As with all medications, there are side effects and drawbacks to it's use. Lamictal comes with a risk of rashes that (very rarely) can develop into a serious life threatening infection and typically is not effective until you have reached therapeutic levels - which can take several weeks because dose increases are done relatively slowly. Depakote, another commonly used mood stabilizer, also needs regular blood draws if the psychiatrist is doing things the "right" way and is associated with weight gain.</p><p></p><p>And all of that is without considering the interaction between any other medications he might be on in addition to the psychiatric medications.</p><p></p><p>This is why a psychiatrist, preferably a child psychiatrist, needs to be overseeing your son's care - in my opinion.</p><p></p><p>The one time we got good mental health care for my son at the Kaiser here was when he really deteriorated and had to be hospitalized. When he was released we got intensive services with a social worker/therapist who saw my son at twice a week, saw me at least once a week and was available by phone for support M-F and access to an after hours crisis service. This lasted for about two months. Then we were supposed to go back to the regular services - which meant seeing a therapist once every 3-4 weeks and a 10 minute psychiatrist appointment once a month. An all or nothing approach.</p><p></p><p>So you may want to think about taking him to ER when his behavior is really agitated and energized and dangerous to himself/others. It may get you more intensive support during this period.</p><p></p><p>Patricia</p></blockquote><p></p>
[QUOTE="rlsnights, post: 424113, member: 7948"] I think I should have been clearer in my earlier post. And mention that these suggestions are based on my personal experiences and may or may not apply to your situation. I am not trying to say that your son is or is not bipolar. The medications I mentioned (you should absolutely be talking to the psychiatrist NOT the pediatrician, in my humble opinion) are often effective in treating agitation and/or the kind of energized behavior (both the "happy" kind and the angry/reckless kind) that comes with imbalances in the neurotransmitters in the brain. It sounds like he has had a reaction to the SSRI and needs his brain "calmed down", for lack of a better analogy. This may be a temporary situation - or not. Only time is likely to tell - and perhaps a long time. The reason I mentioned Lithium is because it usually has a very rapid impact on manic-like behaviors. As with all medications, there are side effects and drawbacks to it's use. Lamictal comes with a risk of rashes that (very rarely) can develop into a serious life threatening infection and typically is not effective until you have reached therapeutic levels - which can take several weeks because dose increases are done relatively slowly. Depakote, another commonly used mood stabilizer, also needs regular blood draws if the psychiatrist is doing things the "right" way and is associated with weight gain. And all of that is without considering the interaction between any other medications he might be on in addition to the psychiatric medications. This is why a psychiatrist, preferably a child psychiatrist, needs to be overseeing your son's care - in my opinion. The one time we got good mental health care for my son at the Kaiser here was when he really deteriorated and had to be hospitalized. When he was released we got intensive services with a social worker/therapist who saw my son at twice a week, saw me at least once a week and was available by phone for support M-F and access to an after hours crisis service. This lasted for about two months. Then we were supposed to go back to the regular services - which meant seeing a therapist once every 3-4 weeks and a 10 minute psychiatrist appointment once a month. An all or nothing approach. So you may want to think about taking him to ER when his behavior is really agitated and energized and dangerous to himself/others. It may get you more intensive support during this period. Patricia [/QUOTE]
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My Son is still in a manic state after stopping the Zoloft - Dr. suggests Lamactil?
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