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taking difficult child off ritalin, little nervous?
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<blockquote data-quote="susiestar" data-source="post: 129117" data-attributes="member: 1233"><p>Do you have a plan for other medications? Keeping or stopping his other medications? I just wondered if psychiatrist will be willing to help if you "refuse" the medication? Some are, some are not.</p><p> </p><p>I see mood disorder not otherwise specified in the diagnosis. There ARE guidleing for treating this, and generally they say to start with mood stabilizers BEFORE medications like stimulants or SSRI's (prozac) are used. Those medications can make mood disorders much worse. </p><p> </p><p>Prozac IS harder to stop, and you DO generally need help from the doctor to stop. There can be big painful issues in ssri discontinueing, though very few docs will acknowledge it. Do a google search on prozac withdrawal, it is enlightening. on the other hand, for those it helps it is a miracle (I am one of those! and have taken it for many years. No other SSRI works nearly as well for me.)</p><p> </p><p>Is there any discussion of a mood stabilizer for your difficult child? If not, do they have a reason? Abilify is effective for treatment of mania and mixed states, but not depression. There are other mood stabilizers, but many docs don't want to deal with the blood tests. Lithium is the gold standard for treatment of bipolar and other mood disorders. Others here can give you more info.</p><p> </p><p>I do know that often 2 mood stabilizers are needed, often with an atypical antipsychotic. It is a heavy duty set of medications, but often our kiddoes have heavy duty problems.</p><p> </p><p>It might be a good thing, with the "refusal" note in the chart, to look for another psychiatrist and make an appointment, esp BEFORE you stop seeing this one.</p><p> </p><p>I hope things work out soon. It is good you are following your instincts. WE are the experts in our kids, not the docs. We need help, but we really DO have instincts that are critical in raising kids. It's a MOM thing.</p><p> </p><p>Have you looked at the Parent Report format? It is good to start now, and work on it in small chunks. Way too much to do in 1 sitting. It is a report of ALL the info you have about your child. Taking this to the docs, and to other professionals, can be critical in getting the proper care. You will want to have copies on hand to give to the docs, but be careful with what you give to the school. It can be used to cause problems, or at least some of us have been there done that when someone with a grudge or bias uses it wrongly.</p><p> </p><p>The parent REport format is in the General Archives. You need to go to the LAST page, then all the way to the bottom. It was the 1st thing put in there, so it is the very bottom thing.</p><p> </p><p>PErsonally, I have found it incredibly useful, and having a photo of your child on the front helps remind the docs who he is and that he is a PERSON. I even have smaller pics at the beginning of each section, just to make sure they keep in mind who he is.</p><p> </p><p>Sending hugs,</p><p> </p><p>Susie</p></blockquote><p></p>
[QUOTE="susiestar, post: 129117, member: 1233"] Do you have a plan for other medications? Keeping or stopping his other medications? I just wondered if psychiatrist will be willing to help if you "refuse" the medication? Some are, some are not. I see mood disorder not otherwise specified in the diagnosis. There ARE guidleing for treating this, and generally they say to start with mood stabilizers BEFORE medications like stimulants or SSRI's (prozac) are used. Those medications can make mood disorders much worse. Prozac IS harder to stop, and you DO generally need help from the doctor to stop. There can be big painful issues in ssri discontinueing, though very few docs will acknowledge it. Do a google search on prozac withdrawal, it is enlightening. on the other hand, for those it helps it is a miracle (I am one of those! and have taken it for many years. No other SSRI works nearly as well for me.) Is there any discussion of a mood stabilizer for your difficult child? If not, do they have a reason? Abilify is effective for treatment of mania and mixed states, but not depression. There are other mood stabilizers, but many docs don't want to deal with the blood tests. Lithium is the gold standard for treatment of bipolar and other mood disorders. Others here can give you more info. I do know that often 2 mood stabilizers are needed, often with an atypical antipsychotic. It is a heavy duty set of medications, but often our kiddoes have heavy duty problems. It might be a good thing, with the "refusal" note in the chart, to look for another psychiatrist and make an appointment, esp BEFORE you stop seeing this one. I hope things work out soon. It is good you are following your instincts. WE are the experts in our kids, not the docs. We need help, but we really DO have instincts that are critical in raising kids. It's a MOM thing. Have you looked at the Parent Report format? It is good to start now, and work on it in small chunks. Way too much to do in 1 sitting. It is a report of ALL the info you have about your child. Taking this to the docs, and to other professionals, can be critical in getting the proper care. You will want to have copies on hand to give to the docs, but be careful with what you give to the school. It can be used to cause problems, or at least some of us have been there done that when someone with a grudge or bias uses it wrongly. The parent REport format is in the General Archives. You need to go to the LAST page, then all the way to the bottom. It was the 1st thing put in there, so it is the very bottom thing. PErsonally, I have found it incredibly useful, and having a photo of your child on the front helps remind the docs who he is and that he is a PERSON. I even have smaller pics at the beginning of each section, just to make sure they keep in mind who he is. Sending hugs, Susie [/QUOTE]
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