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<blockquote data-quote="susiestar" data-source="post: 236913" data-attributes="member: 1233"><p>You say he has NEVER had an EEG? I would STRONGLY push for a SLEEP DEPRIVED EEG, not just a regular EEG. If the patient is sleep deprived it helps make certain things show up on the EEG. It used to be that before a person was put on medications for ADHD they HAD to have the EEG done. </p><p></p><p>In my case I pushed for the EEG for my son. Then a teacher tried to insist my daughter was ADHD inattentive type. But in my mommy gut I knew there was more going on than ADHD. so I took her to the same pediatrician neuro and got the same test run on her. And then they asked us to come in to get the results.</p><p></p><p>A phrase that strikes terror in the heart of any parent!</p><p></p><p>Turns out Jessie WAS missing the instructions and WAS not paying attention. But it was because she was having Absence seizures. No one else can see these seizures, but her mind just "goes blank" or as she says, she "blanks out" and it can happen very frequently and not be caught by anyone. So she ended up on seizure medications and has no NEED for ADHD medications.</p><p></p><p>When you describe your son throwing chairs, cursing at people, etc... has anyone suggested Tourette's as a possible problem? A good pediatrician neuro would check for that also, esp when a child behaves the way your son does. </p><p></p><p>I hope you can get out of the "blame Mom for everything" game so many "experts" play. And if the doctor thinks your child is bipolar or has a mood disorder, then WHY does she have him on a stimulant? Stims can keep a child cycling, or even make their cycling worse. There actually is a protocol docs are supposed to follow with a patient with a mood disorder. First is to start one mood stabilizer. IF that does not work, you may need a change or to add a 2nd mood stabilizer. Once these medications have been at therapeautic levels for 6 weeks or so then you evaluate the behaviors you see. If there are still problems, then you add treatment for those, including stims or anti-depressants very very slowly. You keep a close eye on your child, and a mood journal through all of this. Many people with bipolar cannot take stims or anti-depressants because it makes them cycle. </p><p></p><p>This is not a protocol I made up. it is on the website for the Amer Academy of Child and Adolescent psychiatrists, AND is the same protocol for the adults. I don't know the exact name of the group, but it is something like that.</p><p></p><p>If you read The Bipolar Child it will give a LOT of info. It also has this medication protocol in it.</p><p></p><p>I would push for new evaluations, and for a trial with-o the Vyvanse. Stims can REALLY make a person edgy and angry feeling. esp when combined with other medications.</p><p></p><p>Hang in there. Know that WE know it is not your fault. We know your son is mentally ill and often meltsdown because that illness. Yes, your son has to work on some things toget better. But he should get some breaks because he may not really understand why things are right in one situation and wrong in another.</p><p></p><p>Gentle hugs!</p></blockquote><p></p>
[QUOTE="susiestar, post: 236913, member: 1233"] You say he has NEVER had an EEG? I would STRONGLY push for a SLEEP DEPRIVED EEG, not just a regular EEG. If the patient is sleep deprived it helps make certain things show up on the EEG. It used to be that before a person was put on medications for ADHD they HAD to have the EEG done. In my case I pushed for the EEG for my son. Then a teacher tried to insist my daughter was ADHD inattentive type. But in my mommy gut I knew there was more going on than ADHD. so I took her to the same pediatrician neuro and got the same test run on her. And then they asked us to come in to get the results. A phrase that strikes terror in the heart of any parent! Turns out Jessie WAS missing the instructions and WAS not paying attention. But it was because she was having Absence seizures. No one else can see these seizures, but her mind just "goes blank" or as she says, she "blanks out" and it can happen very frequently and not be caught by anyone. So she ended up on seizure medications and has no NEED for ADHD medications. When you describe your son throwing chairs, cursing at people, etc... has anyone suggested Tourette's as a possible problem? A good pediatrician neuro would check for that also, esp when a child behaves the way your son does. I hope you can get out of the "blame Mom for everything" game so many "experts" play. And if the doctor thinks your child is bipolar or has a mood disorder, then WHY does she have him on a stimulant? Stims can keep a child cycling, or even make their cycling worse. There actually is a protocol docs are supposed to follow with a patient with a mood disorder. First is to start one mood stabilizer. IF that does not work, you may need a change or to add a 2nd mood stabilizer. Once these medications have been at therapeautic levels for 6 weeks or so then you evaluate the behaviors you see. If there are still problems, then you add treatment for those, including stims or anti-depressants very very slowly. You keep a close eye on your child, and a mood journal through all of this. Many people with bipolar cannot take stims or anti-depressants because it makes them cycle. This is not a protocol I made up. it is on the website for the Amer Academy of Child and Adolescent psychiatrists, AND is the same protocol for the adults. I don't know the exact name of the group, but it is something like that. If you read The Bipolar Child it will give a LOT of info. It also has this medication protocol in it. I would push for new evaluations, and for a trial with-o the Vyvanse. Stims can REALLY make a person edgy and angry feeling. esp when combined with other medications. Hang in there. Know that WE know it is not your fault. We know your son is mentally ill and often meltsdown because that illness. Yes, your son has to work on some things toget better. But he should get some breaks because he may not really understand why things are right in one situation and wrong in another. Gentle hugs! [/QUOTE]
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