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<blockquote data-quote="tessaturtle" data-source="post: 170963" data-attributes="member: 3510"><p>ML,</p><p>I can say that the therapeutic day school that difficult child has been attending for the past year and a half has been working many wonders! Also, one of the biggest positive changes was the most recent psychiatric hospital stay (occurs pretty much every winter). They were able to hit on the right combo of medications for the first time in a long line of medication trials for difficult child. He is at the highest level of functioning on these medications than he has ever been. Yes, he is still oppositional at times (a behavioral thing) and has started to become a little physical and impulsive and prone to melt down lately, but we have learned very well the signs of when his medications need tweaking. Sometimes, the dosage wears off due to difficult child physically growing, but it was explained to us that their brains get used to the intervention of the medication and start to overcome it, therefor increases might be needed.</p><p></p><p>I would encourage you to think about, instead of switching one medication completely for another, to consider adding a medication or two if need be to the original. In our case, the hospital did try the one medication, and then had to add two more (over time) until it reached the desired help. For difficult child it is guanfacine (tenex) for adhd symptoms, carbamazapine (tegretol) for bipolar symptoms (mood disregulation, mania), and abilify for bipolar symptoms (aggression, anger, irritability).</p><p></p><p>Of course, every child is different, but I just wanted to give you our piece of the pie <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p>Good luck!</p></blockquote><p></p>
[QUOTE="tessaturtle, post: 170963, member: 3510"] ML, I can say that the therapeutic day school that difficult child has been attending for the past year and a half has been working many wonders! Also, one of the biggest positive changes was the most recent psychiatric hospital stay (occurs pretty much every winter). They were able to hit on the right combo of medications for the first time in a long line of medication trials for difficult child. He is at the highest level of functioning on these medications than he has ever been. Yes, he is still oppositional at times (a behavioral thing) and has started to become a little physical and impulsive and prone to melt down lately, but we have learned very well the signs of when his medications need tweaking. Sometimes, the dosage wears off due to difficult child physically growing, but it was explained to us that their brains get used to the intervention of the medication and start to overcome it, therefor increases might be needed. I would encourage you to think about, instead of switching one medication completely for another, to consider adding a medication or two if need be to the original. In our case, the hospital did try the one medication, and then had to add two more (over time) until it reached the desired help. For difficult child it is guanfacine (tenex) for adhd symptoms, carbamazapine (tegretol) for bipolar symptoms (mood disregulation, mania), and abilify for bipolar symptoms (aggression, anger, irritability). Of course, every child is different, but I just wanted to give you our piece of the pie :) Good luck! [/QUOTE]
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