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Update/Consequences?
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<blockquote data-quote="smallworld" data-source="post: 236922" data-attributes="member: 2423"><p>My son J's psychiatrist doesn't like to classify behavior as "manipulative" or "ODD/CD" because he says it's impossible to tell if the child can or can't control it. He does say that this type of behavior is a maladaptive coping mechanism that needs interventions (in the form of medications, therapy, school accommodations/services, etc).</p><p></p><p>But first you have to know what is fueling the behavior. If it's bipolar disorder, it most certainly needs the right combo of medications to stabilize the mood and then therapy can be helpful. If it's an autistic spectrum disorder, that might need medications (50 percent of kids with autism do take medications), but interventions at school and in the community most assuredly are also needed. Straight behavior modification doesn't always work with these kids because they have cognitive deficits that take them from 0 to 100 in about 2 seconds flat. They first need to <strong>learn</strong> (as in be taught) not to meltdown at the slightest hint of frustration.</p><p></p><p>I went back to your first post and saw that your son is taking Lithium, Abilify and Vyvanse. There have been anecdotal reports about Abilify causing irritability and aggression. In addition, Vyvanse can rev kids up instead of calming them down, particularly if they have a mood component to their symptom complex. I really wonder if your difficult child's medications are causing the behavior instead of treating it. If he seems worse than before he started the medications, I'd recommend asking the psychiatrist to switch medications. If she refuses to revisit the medications, then I definitely think it's time for a second opinion.</p></blockquote><p></p>
[QUOTE="smallworld, post: 236922, member: 2423"] My son J's psychiatrist doesn't like to classify behavior as "manipulative" or "ODD/CD" because he says it's impossible to tell if the child can or can't control it. He does say that this type of behavior is a maladaptive coping mechanism that needs interventions (in the form of medications, therapy, school accommodations/services, etc). But first you have to know what is fueling the behavior. If it's bipolar disorder, it most certainly needs the right combo of medications to stabilize the mood and then therapy can be helpful. If it's an autistic spectrum disorder, that might need medications (50 percent of kids with autism do take medications), but interventions at school and in the community most assuredly are also needed. Straight behavior modification doesn't always work with these kids because they have cognitive deficits that take them from 0 to 100 in about 2 seconds flat. They first need to [B]learn[/B] (as in be taught) not to meltdown at the slightest hint of frustration. I went back to your first post and saw that your son is taking Lithium, Abilify and Vyvanse. There have been anecdotal reports about Abilify causing irritability and aggression. In addition, Vyvanse can rev kids up instead of calming them down, particularly if they have a mood component to their symptom complex. I really wonder if your difficult child's medications are causing the behavior instead of treating it. If he seems worse than before he started the medications, I'd recommend asking the psychiatrist to switch medications. If she refuses to revisit the medications, then I definitely think it's time for a second opinion. [/QUOTE]
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