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psychiatrist called back... hohum...
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<blockquote data-quote="pepperidge" data-source="post: 51003" data-attributes="member: 2322"><p>HI </p><p></p><p>sorry it is so difficult. Your psychiatrist doesn't seem to have a clear treatment plan so I hope the new one comes through. I would want a plan that had would trial different mood stabiliers + AP in a way that was clear what was and what wasn't working, No way would I go for stims, anti-depressants or anti-anziety medications at this point, if I were in your shoes. That's a mother speaking, not a doctor, who has done a lot of the same reading that we all have. </p><p></p><p>On the Lamictal, it is worth trying to get up to a therapeutic dose--it may well not be the best mood stabilizer for her, but if y ou get up to a higher dose at least you will have given it a run for the money.</p><p></p><p>Topamax has helped my son with no apparent side effects so I would not discount it, but he isn't a classic BiPolar (BP) case. I would want to try to something else first maybe if I were in your shoes (maybe Lithium?). LIke everything else, we titrated up slowly.</p><p></p><p>Too bad so much of this is experimental in the sense that they are no clear dosages etc. I would think that it would be useful to try to increase the Abilify to see if it would do any good. Given the difficulties with your psychiatrist, I wouldn't hesitate to titrate back down if you see anything similar to what you saw on Risperdal. </p><p></p><p>sorry that you have gone through so much--when you do find the right medications it will be better, I promise...</p></blockquote><p></p>
[QUOTE="pepperidge, post: 51003, member: 2322"] HI sorry it is so difficult. Your psychiatrist doesn't seem to have a clear treatment plan so I hope the new one comes through. I would want a plan that had would trial different mood stabiliers + AP in a way that was clear what was and what wasn't working, No way would I go for stims, anti-depressants or anti-anziety medications at this point, if I were in your shoes. That's a mother speaking, not a doctor, who has done a lot of the same reading that we all have. On the Lamictal, it is worth trying to get up to a therapeutic dose--it may well not be the best mood stabilizer for her, but if y ou get up to a higher dose at least you will have given it a run for the money. Topamax has helped my son with no apparent side effects so I would not discount it, but he isn't a classic BiPolar (BP) case. I would want to try to something else first maybe if I were in your shoes (maybe Lithium?). LIke everything else, we titrated up slowly. Too bad so much of this is experimental in the sense that they are no clear dosages etc. I would think that it would be useful to try to increase the Abilify to see if it would do any good. Given the difficulties with your psychiatrist, I wouldn't hesitate to titrate back down if you see anything similar to what you saw on Risperdal. sorry that you have gone through so much--when you do find the right medications it will be better, I promise... [/QUOTE]
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