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Oh my! I just witnessed a full on RAGE...
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<blockquote data-quote="seriously" data-source="post: 465977" data-attributes="member: 11920"><p>OK. Given what you have said, I would take him off the AD if it were me and call psychiatrist, tell him why I am stopping the medication and get an ASAP appointment if that's possible.</p><p></p><p>Frankly, you should not be alone in the house with 7 kids if one of them is having these kinds of issues. I think it's obvious to you why. You need help in the form of at least one other competent adult if you are going to be supervising all of them. Or the other kids need to be somewhere else because it is NOT safe. Especially the 6 year old. He is not going to understand the concept of personal space, let alone how to stay out of his brother's. Can he go to stay at a grandparent's or aunts/uncles/close family friend for a week? Can the step-kids stay home temporarily? If your son was seriously physically ill I would think that kind of arrangement could be made. This is the same kind of thing. You could explain it as a medication reaction that is being addressed. If there's a good relationship with ex you could even mention safety but, if there's a chance CPS will be down on your heads if you do then you probably don't want to present it that way.</p><p></p><p>Are you (in your spare time LOL) doing any mood or behavior charting? If not, I strongly suggest you do that. I suggest each day you rate his mood in 2 dimensions - up/active/agitated and down/sad/fearful/self-critical (whatever signs and symptoms you think match hypomanic/manic and depression for HIM). It's helpful in kids who develop bipolar disorder or severe mood dysregulation to chart both dimensions every day because their mood can change within a single day.</p><p></p><p>If you are able to also note how long he slept each night, whether he took medications that day, if he was sick - at the minimum those things will give you and psychiatrist a lot of info to help guide his treatment and figure out when something is likely a medication side effect and when it's not. If you can do it for at least a month or as long as there are major medication changes happening it may give you the big picture in a way that shows patterns (or lack of patterns).</p><p></p><p>Does your psychiatrists office let you book 2 or 3 appts in advance? Is it easy for you to get in quickly on cancellations? You might ask psychiatrist about seeing him in 2 weeks after changing medications given the severity of difficult child's reactions. I have learned to book my once a month appts out 2 or 3 months and leave them on the books even if I have to go in on an urgent basis between appts. That way I almost always have an appointment within 2 weeks if I have serious problems. If I don't need the appointment it's much easier to cancel than to get in at the last minute.</p></blockquote><p></p>
[QUOTE="seriously, post: 465977, member: 11920"] OK. Given what you have said, I would take him off the AD if it were me and call psychiatrist, tell him why I am stopping the medication and get an ASAP appointment if that's possible. Frankly, you should not be alone in the house with 7 kids if one of them is having these kinds of issues. I think it's obvious to you why. You need help in the form of at least one other competent adult if you are going to be supervising all of them. Or the other kids need to be somewhere else because it is NOT safe. Especially the 6 year old. He is not going to understand the concept of personal space, let alone how to stay out of his brother's. Can he go to stay at a grandparent's or aunts/uncles/close family friend for a week? Can the step-kids stay home temporarily? If your son was seriously physically ill I would think that kind of arrangement could be made. This is the same kind of thing. You could explain it as a medication reaction that is being addressed. If there's a good relationship with ex you could even mention safety but, if there's a chance CPS will be down on your heads if you do then you probably don't want to present it that way. Are you (in your spare time LOL) doing any mood or behavior charting? If not, I strongly suggest you do that. I suggest each day you rate his mood in 2 dimensions - up/active/agitated and down/sad/fearful/self-critical (whatever signs and symptoms you think match hypomanic/manic and depression for HIM). It's helpful in kids who develop bipolar disorder or severe mood dysregulation to chart both dimensions every day because their mood can change within a single day. If you are able to also note how long he slept each night, whether he took medications that day, if he was sick - at the minimum those things will give you and psychiatrist a lot of info to help guide his treatment and figure out when something is likely a medication side effect and when it's not. If you can do it for at least a month or as long as there are major medication changes happening it may give you the big picture in a way that shows patterns (or lack of patterns). Does your psychiatrists office let you book 2 or 3 appts in advance? Is it easy for you to get in quickly on cancellations? You might ask psychiatrist about seeing him in 2 weeks after changing medications given the severity of difficult child's reactions. I have learned to book my once a month appts out 2 or 3 months and leave them on the books even if I have to go in on an urgent basis between appts. That way I almost always have an appointment within 2 weeks if I have serious problems. If I don't need the appointment it's much easier to cancel than to get in at the last minute. [/QUOTE]
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Oh my! I just witnessed a full on RAGE...
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