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<blockquote data-quote="smallworld" data-source="post: 274723" data-attributes="member: 2423"><p>Welcome! I'm glad you found us, but sorry you needed to.</p><p></p><p>The problem could be the Strattera. Side effects include irritability, anger and aggression. In addition, Strattera is an antidepressant (that is used for ADHD), and kids with bipolar disorder frequently can't handle antidepressants, even with mood-stabilizing medications (Depakote and Risperdal) on board. Finally, ADHD-like symptoms in kids with bipolar disorder freqently disappear when their mood symptoms are treated appropriately (but not with stimulants or Strattera).</p><p></p><p>To that end, has the psychiatrist (psychiatrist) ordered a blood draw recently to test your son's Depakote blood level? Is he at a therapeutic level? How much Risperdal is he taking?</p><p></p><p>So you understand how the medications work in pediatric bipolar disorder, you might want to familiarize yourself with the treatment guidelines found on the Child and Adolescent Bipolar Foundation website:</p><p></p><p><a href="http://www.thebalancedmind.org/sites/default/files/treatment_guidelines.pdf" target="_blank">http://www.thebalancedmind.org/sites/default/files/treatment_guidelines.pdf</a></p><p></p><p>Since he's not stable and engaging in dangerous behavior, have you considered a hospital stay, either inpatient or in a day treatment program? Kids can often be stabilized more quickly when they're under constant observation.</p><p></p><p>Again, welcome. You will find a lot of support here.</p></blockquote><p></p>
[QUOTE="smallworld, post: 274723, member: 2423"] Welcome! I'm glad you found us, but sorry you needed to. The problem could be the Strattera. Side effects include irritability, anger and aggression. In addition, Strattera is an antidepressant (that is used for ADHD), and kids with bipolar disorder frequently can't handle antidepressants, even with mood-stabilizing medications (Depakote and Risperdal) on board. Finally, ADHD-like symptoms in kids with bipolar disorder freqently disappear when their mood symptoms are treated appropriately (but not with stimulants or Strattera). To that end, has the psychiatrist (psychiatrist) ordered a blood draw recently to test your son's Depakote blood level? Is he at a therapeutic level? How much Risperdal is he taking? So you understand how the medications work in pediatric bipolar disorder, you might want to familiarize yourself with the treatment guidelines found on the Child and Adolescent Bipolar Foundation website: [url]http://www.thebalancedmind.org/sites/default/files/treatment_guidelines.pdf[/url] Since he's not stable and engaging in dangerous behavior, have you considered a hospital stay, either inpatient or in a day treatment program? Kids can often be stabilized more quickly when they're under constant observation. Again, welcome. You will find a lot of support here. [/QUOTE]
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