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General Parenting
psychiatrist responded...
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<blockquote data-quote="smallworld" data-source="post: 20224" data-attributes="member: 2423"><p>T, this is our experience and may not mirror yours, but I did want to share it with you. My son ended up being diagnosed by a neurologist, a psychiatrist and our pediatrician as having a dystonic reaction. Risperdal actually treats tics, and the movements the docs saw in my son were alarming and uncontrollable (plus he had a serious staph infection all over his lower face that required antibiotic treatment and caused him to miss 4 days of school). Because Risperdal wasn't honestly helping with my son's mania, we decided to d/c Risperdal and go right for a mood stabilizer instead of using Cogentin long term. That's not to say you shouldn't use Cogentin short term to control the symptoms while you decide your next steps. And your docs may decide to try another AP in place of Risperdal instead of a mood stabilizer (because of your difficult child's hallucinations, it's almost certain she will need an AP as part of her medication combo).</p><p></p><p>I know your situation with psychiatrists is difficult at this point, but you are going to have to find regular ongoing psychiatric care for your difficult child. She has significant challenges at a young age that require close monitoring and thoughtful treatment. I have to tell you that I am in contact with my kids' psychiatrists every week (and we're no longer in crisis); without this close communication, my kids would not be making the kind of progress they are. </p><p></p><p>Let us know what the pediatrician says. And definitely call the new psychiatrist to tell her what's going on and let her know you will be available on short notice should an appointment opening occur.</p></blockquote><p></p>
[QUOTE="smallworld, post: 20224, member: 2423"] T, this is our experience and may not mirror yours, but I did want to share it with you. My son ended up being diagnosed by a neurologist, a psychiatrist and our pediatrician as having a dystonic reaction. Risperdal actually treats tics, and the movements the docs saw in my son were alarming and uncontrollable (plus he had a serious staph infection all over his lower face that required antibiotic treatment and caused him to miss 4 days of school). Because Risperdal wasn't honestly helping with my son's mania, we decided to d/c Risperdal and go right for a mood stabilizer instead of using Cogentin long term. That's not to say you shouldn't use Cogentin short term to control the symptoms while you decide your next steps. And your docs may decide to try another AP in place of Risperdal instead of a mood stabilizer (because of your difficult child's hallucinations, it's almost certain she will need an AP as part of her medication combo). I know your situation with psychiatrists is difficult at this point, but you are going to have to find regular ongoing psychiatric care for your difficult child. She has significant challenges at a young age that require close monitoring and thoughtful treatment. I have to tell you that I am in contact with my kids' psychiatrists every week (and we're no longer in crisis); without this close communication, my kids would not be making the kind of progress they are. Let us know what the pediatrician says. And definitely call the new psychiatrist to tell her what's going on and let her know you will be available on short notice should an appointment opening occur. [/QUOTE]
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