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General Parenting
New psychiatrist visit and diagnosis
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<blockquote data-quote="susiestar" data-source="post: 77385" data-attributes="member: 1233"><p>Umm, I hate to be dense, but...</p><p></p><p>If HE has read The Bipolar Child why is he encouraging you to try an antipsychotic with little PROVEN track record as a mood stabilizer when there are several mood stabilizers to choose from? Some children (and adults) even need 2 mood stabilizers at the right levels to stabilize thier moods?</p><p></p><p>Bipolar Child does advise ruling bipolar out BEFORE trialing any ADHD or SSRI/SNRI medications. But the book very clearly stated that mood stabilizers are not antipsychotics, or the version I read made that point.</p><p></p><p>Can you ask him for a trial of a mood stabilizre for a month or so BEFORE any antipsychotics? Ripserdal requires a baseline EKG, or a blood draw, not sure which, before starting. OR at least I was told that eons ago. Blood draws are not fun, but get him to prescribe EMLA cream if your kids can tolerate lidocaine cream on their arm or wherever. Put it on 15 minutes before the blood draw and it will take lots of the awfulness away.</p><p></p><p>I would be asking him soem careful questions and for some well respected sources naming seroquel or risperdal as also being used to stabilize moods before I gave the medications to my kids. (all medications are serious, but if the mood stabilizers are not FIRST you may never get a clear picture. OR at least not without the agony of coming completely off all medications to try it.)</p><p></p><p>Hugs,</p><p></p><p>Susie</p></blockquote><p></p>
[QUOTE="susiestar, post: 77385, member: 1233"] Umm, I hate to be dense, but... If HE has read The Bipolar Child why is he encouraging you to try an antipsychotic with little PROVEN track record as a mood stabilizer when there are several mood stabilizers to choose from? Some children (and adults) even need 2 mood stabilizers at the right levels to stabilize thier moods? Bipolar Child does advise ruling bipolar out BEFORE trialing any ADHD or SSRI/SNRI medications. But the book very clearly stated that mood stabilizers are not antipsychotics, or the version I read made that point. Can you ask him for a trial of a mood stabilizre for a month or so BEFORE any antipsychotics? Ripserdal requires a baseline EKG, or a blood draw, not sure which, before starting. OR at least I was told that eons ago. Blood draws are not fun, but get him to prescribe EMLA cream if your kids can tolerate lidocaine cream on their arm or wherever. Put it on 15 minutes before the blood draw and it will take lots of the awfulness away. I would be asking him soem careful questions and for some well respected sources naming seroquel or risperdal as also being used to stabilize moods before I gave the medications to my kids. (all medications are serious, but if the mood stabilizers are not FIRST you may never get a clear picture. OR at least not without the agony of coming completely off all medications to try it.) Hugs, Susie [/QUOTE]
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