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psychiatrist just added an AD
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<blockquote data-quote="klmno" data-source="post: 215390" data-attributes="member: 3699"><p>I think psychiatrist raised the depakote because it had been below theraputic range and to try to ward off potential mania from the celexa. Basicly, the depakote would have been raised a few months ago to keep up with difficult child's growth/weight gain, but I didn't want to due to cognitive dulling. The blood test came back real low for depakote. I'm comfortable that the depakote increase would not have helped with depression- at least, it didn't last year. It has been what helped with cycling into hypomania in the past. I'll keep an eye out, but I think this one will be ok.</p><p></p><p>psychiatrist also mentioned lamps since difficult child's cycling is so related to seasons- I'm thinking difficult child is on the line for a SAD (I think is what it is called) diagnosis. Anyway, psychiatrist also mentioned the risk of using a lamp with BiPolar (BP) and said he didn't really think it would be worth it to try.</p><p></p><p>As far as the dr, he said difficult child's allergies are out of control. (difficult child has been refusing to use his nasal spray). So, the dr said this is causing disruptive sleep, headaches, fever, earache, and sore throat. I believe that- when I started taking a scripted allergy medication daily, I slept better and felt better after one week. I felt like a new person. The dr I had seen before had wanted to put me on AD's for telling them the exact same thing. I didn't take the AD's because I didn't believe it was depression. </p><p></p><p>Now, my biggest concern is what if this whole phase of difficult child's cycling was really started by untreated allergies and he shouldn't have the AD added? Ok, thinking more, even if that's what started the cycling, I kind of doubt that getting the allergies under control would necessarily mean that the cycling would stop, but I don't know. I'm a little tempted to make sure difficult child uses the nasal spray and not make any changes to BiPolar (BP) medications or use the AD until after one week. But then, that's risky too since the cycling can get worse and go into full blown mania at a second's notice.</p><p></p><p>We see psychiatrist again in 3 weeks- I'll discuss it with him then.</p></blockquote><p></p>
[QUOTE="klmno, post: 215390, member: 3699"] I think psychiatrist raised the depakote because it had been below theraputic range and to try to ward off potential mania from the celexa. Basicly, the depakote would have been raised a few months ago to keep up with difficult child's growth/weight gain, but I didn't want to due to cognitive dulling. The blood test came back real low for depakote. I'm comfortable that the depakote increase would not have helped with depression- at least, it didn't last year. It has been what helped with cycling into hypomania in the past. I'll keep an eye out, but I think this one will be ok. psychiatrist also mentioned lamps since difficult child's cycling is so related to seasons- I'm thinking difficult child is on the line for a SAD (I think is what it is called) diagnosis. Anyway, psychiatrist also mentioned the risk of using a lamp with BiPolar (BP) and said he didn't really think it would be worth it to try. As far as the dr, he said difficult child's allergies are out of control. (difficult child has been refusing to use his nasal spray). So, the dr said this is causing disruptive sleep, headaches, fever, earache, and sore throat. I believe that- when I started taking a scripted allergy medication daily, I slept better and felt better after one week. I felt like a new person. The dr I had seen before had wanted to put me on AD's for telling them the exact same thing. I didn't take the AD's because I didn't believe it was depression. Now, my biggest concern is what if this whole phase of difficult child's cycling was really started by untreated allergies and he shouldn't have the AD added? Ok, thinking more, even if that's what started the cycling, I kind of doubt that getting the allergies under control would necessarily mean that the cycling would stop, but I don't know. I'm a little tempted to make sure difficult child uses the nasal spray and not make any changes to BiPolar (BP) medications or use the AD until after one week. But then, that's risky too since the cycling can get worse and go into full blown mania at a second's notice. We see psychiatrist again in 3 weeks- I'll discuss it with him then. [/QUOTE]
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