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Prep For psychiatrist Meeting Next Week
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<blockquote data-quote="smallworld" data-source="post: 331731" data-attributes="member: 2423"><p>When was Zoloft added? Zoloft is VERY activating for a kid with a mood disorder. While it can seem to help in some areas, it can also hurt in others. I'd take a close look at it to see if it's destabilizing your son.</p><p> </p><p>Lamictal is not dosed by weight, but rather by clinical response. My daughter A weighs all of 77 pounds, and both her neuro and psychiatrist say we can go up to 400 mg if we need to as long as her gait and balance are not affected. Our neuro gives her brief neurological tests every 3 months in his office to make sure she's OK (she's only up to 250 mg and stable so we're no where near 400 mg, but my son J was at 400 mg until his Residential Treatment Center (RTC) began to wean him down recently).</p><p> </p><p>When was Intuniv added? Do you think it's helping or hurting? There have been a lot of mixed reports on parent message boards about its effectiveness, particularly in the aggressive, agitation and hyperactivity departments.</p><p> </p><p>Geodon is not considered one of the better atypical antipsychotics for tamping down manic or anxiety symptoms. Risperdal, Zyprexa and Seroquel are considered more effective in clinical trials. Zyprexa has been shown in a few clinical studies to be helpful for eating disorders. It helped my younger daughter with her severe choking phobia and distorted thinking about eating at age 8 (she was so phobic that she wouldn't eat at all). It's something you might want to consider for your son.</p><p> </p><p>Wellbutrin is considered to be the AD least likely to cause mania in kids with BiPolar (BP) (because it doesn't boost Serotonin the way SSRIs do). It is also helpful for ADHD symptoms. Wellbutrin has helped my son tremendously. Again, something to consider for your difficult child. </p><p> </p><p>One more thought: medications will not solve all the problems. These kids need intensive therapeutic interventions as well. Sometimes that means a 24/7 program. You may need to be open to that down the road.</p><p> </p><p>Good luck.</p></blockquote><p></p>
[QUOTE="smallworld, post: 331731, member: 2423"] When was Zoloft added? Zoloft is VERY activating for a kid with a mood disorder. While it can seem to help in some areas, it can also hurt in others. I'd take a close look at it to see if it's destabilizing your son. Lamictal is not dosed by weight, but rather by clinical response. My daughter A weighs all of 77 pounds, and both her neuro and psychiatrist say we can go up to 400 mg if we need to as long as her gait and balance are not affected. Our neuro gives her brief neurological tests every 3 months in his office to make sure she's OK (she's only up to 250 mg and stable so we're no where near 400 mg, but my son J was at 400 mg until his Residential Treatment Center (RTC) began to wean him down recently). When was Intuniv added? Do you think it's helping or hurting? There have been a lot of mixed reports on parent message boards about its effectiveness, particularly in the aggressive, agitation and hyperactivity departments. Geodon is not considered one of the better atypical antipsychotics for tamping down manic or anxiety symptoms. Risperdal, Zyprexa and Seroquel are considered more effective in clinical trials. Zyprexa has been shown in a few clinical studies to be helpful for eating disorders. It helped my younger daughter with her severe choking phobia and distorted thinking about eating at age 8 (she was so phobic that she wouldn't eat at all). It's something you might want to consider for your son. Wellbutrin is considered to be the AD least likely to cause mania in kids with BiPolar (BP) (because it doesn't boost Serotonin the way SSRIs do). It is also helpful for ADHD symptoms. Wellbutrin has helped my son tremendously. Again, something to consider for your difficult child. One more thought: medications will not solve all the problems. These kids need intensive therapeutic interventions as well. Sometimes that means a 24/7 program. You may need to be open to that down the road. Good luck. [/QUOTE]
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