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So Tell Me About The Uncommon medications
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<blockquote data-quote="smallworld" data-source="post: 112640" data-attributes="member: 2423"><p>Janna, I think I posted this a couple of weeks back, but you may not have seen it. My son J has been in a day treatment program at a local psychiatric hospital since mid-December. He is being observed 6.5 hours a day. On the third day of the program, his attending psychiatrist said J was experiencing mania. The psychiatrist was seeing mania in two ways: decreased need for sleep (which is a hallmark sx of mania) and a smirk that appears subconsciously when J is being defiant. I have to say husband and I were surpised at the attending psychiatrist's pronouncement. J's outside psychiatrist had just told us the month before that he thought J was suffering from an atypical depression that didn't respond to traditional medications. He said he didn't think J had BiPolar (BP) because he never saw mania in J. </p><p></p><p>I don't totally "blame" our outside psychiatrist for not seeing the mania because he meets with J an hour weekly and most of the time J isn't particularly cooperative. Although J hasn't been all that cooperative at the day treatment program either, he is being observed closely by psychiatric staff day in and day out. And they're able to evaluate sx that would go unnoticed by lay people like school officials and husband and me. In addition, J's attending psychiatrist at the day treatment program has lots of experience with kids with significant mood disorders and is reputed to be one of the best psychopharmacologists in the Difficult Child metro area.</p><p></p><p>This is all my long way of saying that I do think it matters how closely your difficult child is being observed (and certainly Dylan in an Residential Treatment Facility (RTF) has 24/7 evaluation) and how skilled a psychiatrist you're working with. While formal diagnosis of BiPolar (BP) doesn't matter, it helps to know whether you're dealing with straight ADHD, unipolar depression or a mood disorder along the BiPolar (BP) spectrum. Clearly, the medications for ADHD and unipolar depression can make the child with BiPolar (BP) much, much worse. That's where many kids get into trouble with medications, and that's where a differential diagnosis really makes a difference.</p><p></p><p>Janna, I can understand your frustration. I do hope you get some answers soon.</p></blockquote><p></p>
[QUOTE="smallworld, post: 112640, member: 2423"] Janna, I think I posted this a couple of weeks back, but you may not have seen it. My son J has been in a day treatment program at a local psychiatric hospital since mid-December. He is being observed 6.5 hours a day. On the third day of the program, his attending psychiatrist said J was experiencing mania. The psychiatrist was seeing mania in two ways: decreased need for sleep (which is a hallmark sx of mania) and a smirk that appears subconsciously when J is being defiant. I have to say husband and I were surpised at the attending psychiatrist's pronouncement. J's outside psychiatrist had just told us the month before that he thought J was suffering from an atypical depression that didn't respond to traditional medications. He said he didn't think J had BiPolar (BP) because he never saw mania in J. I don't totally "blame" our outside psychiatrist for not seeing the mania because he meets with J an hour weekly and most of the time J isn't particularly cooperative. Although J hasn't been all that cooperative at the day treatment program either, he is being observed closely by psychiatric staff day in and day out. And they're able to evaluate sx that would go unnoticed by lay people like school officials and husband and me. In addition, J's attending psychiatrist at the day treatment program has lots of experience with kids with significant mood disorders and is reputed to be one of the best psychopharmacologists in the Difficult Child metro area. This is all my long way of saying that I do think it matters how closely your difficult child is being observed (and certainly Dylan in an Residential Treatment Facility (RTF) has 24/7 evaluation) and how skilled a psychiatrist you're working with. While formal diagnosis of BiPolar (BP) doesn't matter, it helps to know whether you're dealing with straight ADHD, unipolar depression or a mood disorder along the BiPolar (BP) spectrum. Clearly, the medications for ADHD and unipolar depression can make the child with BiPolar (BP) much, much worse. That's where many kids get into trouble with medications, and that's where a differential diagnosis really makes a difference. Janna, I can understand your frustration. I do hope you get some answers soon. [/QUOTE]
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