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Ok, I'm thinking Bipolar - difficult child 1 headed to psychiatric hospital. AGAIN!
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<blockquote data-quote="smallworld" data-source="post: 404191" data-attributes="member: 2423"><p>Beth, whether he has bipolar disorder or not is kind of a moot point at this point. His medication combo is clearly not working, and something drastic needs to change.</p><p></p><p>A couple things you need to know to help you make some decisions:</p><p>There's a side effect to APs like Risperdal called akathisia that some mistake for anxiety or agitation or increasing aggressiveness rather than a side effect of the medication. Akathisia is a feeling of internal and external restlessness. A child may be incapable of sitting still and may feel a sensation of discomfort akin to anxiety or agitation. If your son has akathisia from Risperdal, he needs to be weaned down from Risperdal. My son experienced akathisia on Risperdal, and I can't tell you how unnerving it was. He's a really gentle kid, and we couldn't even look at him without him yelling at us to leave him alone. It was truly frightening. Just wanted to mention it in case it's going on with your son.</p><p></p><p>In terms of Trileptal, you need to find out the dose. Trileptal is used all the time with positive results by the psychiatrists at Meridell Achievement Center in Texas (many CABF families go there). It has a good side effect profile (weight neutral, no blood draws) and is tolerated well. But it has to be used at a high enough level to be effective. Some children do fine on 900 to 1200 mg, but others require as much as 1500 to 2400 mg for full symptom relief. My understanding is that Trileptal is particularly helpful for rage behavior.</p><p></p><p>Hang in there, Beth. We're here for you every step of the way. Hugs.</p></blockquote><p></p>
[QUOTE="smallworld, post: 404191, member: 2423"] Beth, whether he has bipolar disorder or not is kind of a moot point at this point. His medication combo is clearly not working, and something drastic needs to change. A couple things you need to know to help you make some decisions: There's a side effect to APs like Risperdal called akathisia that some mistake for anxiety or agitation or increasing aggressiveness rather than a side effect of the medication. Akathisia is a feeling of internal and external restlessness. A child may be incapable of sitting still and may feel a sensation of discomfort akin to anxiety or agitation. If your son has akathisia from Risperdal, he needs to be weaned down from Risperdal. My son experienced akathisia on Risperdal, and I can't tell you how unnerving it was. He's a really gentle kid, and we couldn't even look at him without him yelling at us to leave him alone. It was truly frightening. Just wanted to mention it in case it's going on with your son. In terms of Trileptal, you need to find out the dose. Trileptal is used all the time with positive results by the psychiatrists at Meridell Achievement Center in Texas (many CABF families go there). It has a good side effect profile (weight neutral, no blood draws) and is tolerated well. But it has to be used at a high enough level to be effective. Some children do fine on 900 to 1200 mg, but others require as much as 1500 to 2400 mg for full symptom relief. My understanding is that Trileptal is particularly helpful for rage behavior. Hang in there, Beth. We're here for you every step of the way. Hugs. [/QUOTE]
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Ok, I'm thinking Bipolar - difficult child 1 headed to psychiatric hospital. AGAIN!
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