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<blockquote data-quote="smallworld" data-source="post: 143819" data-attributes="member: 2423"><p>If your son truly has bipolar disorder, it's important to treat him with mood stabilizers and sometimes an atypical antipsychotic. Both stimulants like Focalin XR and SSRIs like Prozac (and I suspect you mean 5 mg because it's almost impossible to make a dose of 0.5 mg even with liquid Prozac) can make kids with BiPolar (BP) much worse. Lithium is a mood stabilizer, but it can't always work its magic against the bad side effects of Focalin and Prozac. </p><p> </p><p>You won't really know how Lithium is working unless you ditch the Focalin and Prozac plus get a blood test to see if he's in the therapeutic window to treat BiPolar (BP). Furthermore, kids with BiPolar (BP) frequently need to be stabilized with two mood stabilizers plus an atypical antipsychotic. It's a very hard balancing act to get the medications right.</p><p> </p><p>Has your difficult child undergone any neuropsychological testing? Can you get a second opinion with a psychiatrist who is experienced with treating pediatric bipolar disorder? Without an accurate diagnosis and the proper interventions, you're going to continue to spin your wheels in the sand.</p></blockquote><p></p>
[QUOTE="smallworld, post: 143819, member: 2423"] If your son truly has bipolar disorder, it's important to treat him with mood stabilizers and sometimes an atypical antipsychotic. Both stimulants like Focalin XR and SSRIs like Prozac (and I suspect you mean 5 mg because it's almost impossible to make a dose of 0.5 mg even with liquid Prozac) can make kids with BiPolar (BP) much worse. Lithium is a mood stabilizer, but it can't always work its magic against the bad side effects of Focalin and Prozac. You won't really know how Lithium is working unless you ditch the Focalin and Prozac plus get a blood test to see if he's in the therapeutic window to treat BiPolar (BP). Furthermore, kids with BiPolar (BP) frequently need to be stabilized with two mood stabilizers plus an atypical antipsychotic. It's a very hard balancing act to get the medications right. Has your difficult child undergone any neuropsychological testing? Can you get a second opinion with a psychiatrist who is experienced with treating pediatric bipolar disorder? Without an accurate diagnosis and the proper interventions, you're going to continue to spin your wheels in the sand. [/QUOTE]
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