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Update, answers to questions, medication cocktail
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<blockquote data-quote="mindinggaps" data-source="post: 763940" data-attributes="member: 29823"><p>Dear [USER=18958]@Copabanana[/USER] - Based on what you say, while the future for your son will be filled with uncertainty and challenge, I do believe you must hold onto a glimmer of hope. Deep down, he may have the capability to tackle his illness <em>if</em> he can somehow implement some initial small positive steps which can serve as building blocks for appropriate treatment.</p><p></p><p>As challenging as it is, you must also be kind to yourself and remember that ultimately initiating medical treatment is <em>his </em>responsibility. He must want to get better and be willing to at least put in effort to become compliant with medications. You can continue to love and support him, but you cannot make him seek medical help. I suspect the best you can do is continue to provide gentle, patient and non-judgemental support while also protecting yourself. With this you can hope that he will one day find what is needed inside himself. Remember that his desire not to seek treatment, his inability to follow through and his previous failures with medication are all underlying symptoms.</p><p></p><p>Your indication that he had a positive relationship with a child psychoanalyst which was long-standing, mutually beneficial and trustworthy is something which can only be looked at as a positive. It indicates that deep down, your son does potentially have the ability to form a beneficial therapeutic relationship. It is not realistic to expect that he will seek help and be given medications which alleviate all symptoms and provide stability. This takes years of effort, but perhaps a small success like establishing trust with a doctor is feasible.</p><p></p><p>I would like to expand upon and provide context for the concept that those suffering from mental illness may enjoy their symptoms. It is very common and I personally have enjoyed wallowing in depression, becoming violent, screaming and yelling and watching those around me suffer as a result of my behavior. As you highlight these are maladjusted motivations, feelings, and thinking stemming from illness. Even now with my current cocktail, urges to stew in chaos can bubble to the surface. Of course, they are not acted upon and now I am able to identify and prevent issues, but we are always working to improve.</p><p></p><p>There have however been points in time where things have become unhinged, typically in my younger years when things were less well controlled. One example which comes to mind is a phase I went through as a pre-teen where I strictly refused my Prozac. Within a few days my rage and aggression became so out of control that I was ejected from classrooms. What is noteworthy here is how much I enjoyed the chaos around me - I loved every second of the mayhem and wanted it to continue. This is <em>very</em> common for ODD and conduct disorders. My parents lost complete control and had to initiate a trip to the hospital where immediate action was taken. My Prozac was increased substantially and Risperidone (which at the time was one of the few options available) was added to both quell aggression and help with compliance. The psychiatrists had a clear hypothesis of what happened here. While Prozac was keeping me under control, I was growing rapidly and thus the medication levels in my body were decreasing. Appropriate adjustments were not made to accommodate and at some point, critically low medication level triggered the emergence of a new <em>symptom</em> - medication refusal. The main point here is that situations can be highly volatile and that medication refusal was clearly seen as a <em>symptom</em> of the illness.</p></blockquote><p></p>
[QUOTE="mindinggaps, post: 763940, member: 29823"] Dear [USER=18958]@Copabanana[/USER] - Based on what you say, while the future for your son will be filled with uncertainty and challenge, I do believe you must hold onto a glimmer of hope. Deep down, he may have the capability to tackle his illness [I]if[/I] he can somehow implement some initial small positive steps which can serve as building blocks for appropriate treatment. As challenging as it is, you must also be kind to yourself and remember that ultimately initiating medical treatment is [I]his [/I]responsibility. He must want to get better and be willing to at least put in effort to become compliant with medications. You can continue to love and support him, but you cannot make him seek medical help. I suspect the best you can do is continue to provide gentle, patient and non-judgemental support while also protecting yourself. With this you can hope that he will one day find what is needed inside himself. Remember that his desire not to seek treatment, his inability to follow through and his previous failures with medication are all underlying symptoms. Your indication that he had a positive relationship with a child psychoanalyst which was long-standing, mutually beneficial and trustworthy is something which can only be looked at as a positive. It indicates that deep down, your son does potentially have the ability to form a beneficial therapeutic relationship. It is not realistic to expect that he will seek help and be given medications which alleviate all symptoms and provide stability. This takes years of effort, but perhaps a small success like establishing trust with a doctor is feasible. I would like to expand upon and provide context for the concept that those suffering from mental illness may enjoy their symptoms. It is very common and I personally have enjoyed wallowing in depression, becoming violent, screaming and yelling and watching those around me suffer as a result of my behavior. As you highlight these are maladjusted motivations, feelings, and thinking stemming from illness. Even now with my current cocktail, urges to stew in chaos can bubble to the surface. Of course, they are not acted upon and now I am able to identify and prevent issues, but we are always working to improve. There have however been points in time where things have become unhinged, typically in my younger years when things were less well controlled. One example which comes to mind is a phase I went through as a pre-teen where I strictly refused my Prozac. Within a few days my rage and aggression became so out of control that I was ejected from classrooms. What is noteworthy here is how much I enjoyed the chaos around me - I loved every second of the mayhem and wanted it to continue. This is [I]very[/I] common for ODD and conduct disorders. My parents lost complete control and had to initiate a trip to the hospital where immediate action was taken. My Prozac was increased substantially and Risperidone (which at the time was one of the few options available) was added to both quell aggression and help with compliance. The psychiatrists had a clear hypothesis of what happened here. While Prozac was keeping me under control, I was growing rapidly and thus the medication levels in my body were decreasing. Appropriate adjustments were not made to accommodate and at some point, critically low medication level triggered the emergence of a new [I]symptom[/I] - medication refusal. The main point here is that situations can be highly volatile and that medication refusal was clearly seen as a [I]symptom[/I] of the illness. [/QUOTE]
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