I'm sorry I don't remember more of the specifics. It was several years ago, and so much has happened since.... What I do remember is overall, gradual improvement, though not a time frame. The lactation did not begin immediately, and I don't remember how long she was on it, what dose, or whether we had to go through the gradual increase in dosage. I remember an improvement in the oppositional behavior, which in turn decreased the rages. She was overall a happier person and therefore more successful at home and at school. Not that all problems were magically solved, but it sure was an improvement.
I remember the psychiatrist talking with me about it being a shame she couldn't stay on it because overall the older class antipsychotics were more effective with the types of symptoms she was having. I think I'm remembering that he suspected any other drug of that class would be likely to cause the same side effect, but I am not sure. I know we moved on immediately to trials of the new generation antipsychotics, with no positive result. difficult child adamantly refused to try ANY drug that had a reputation for causing weight gain, and so that limited our choices too.
I definitely remember having the impression that a prolactin elevation significant enough to cause lactation is not common. The gynecologist has never seen the situation before.
From my observation, her anxiety issues were a result of the consequences of behaving badly, rather than being a cause of bad behavior.