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<blockquote data-quote="pepperidge" data-source="post: 32767" data-attributes="member: 2322"><p>Totoro,</p><p></p><p>It is not uncommon I think for psychiatrists to give parents some leeway in raising their medications. (not to defend your psychiatrist for not calling back). I like the idea of monthly appointment's. If you are still going up on abilify, then I owuld try to clarify with her, how often you should raise the dose and by how much. We worked with a psychiatrist at some distance. We had a schedule we were following. The idea was to keep raising the dose of whatever until we reached the agreed on limit as long as we saw positive improvement. We saw negative reaction we titrated back down. I felt comfortable doing that knowing what I was looking for in terms of negative and positive symptoms. Of course, I also did a lot of reading up on medications too on my own. </p><p></p><p>So I think your best bet for now is to try to work out a systematic plan for what you are doing in terms of medications--and then doing that between visits. You have your pediatrician for emergencies in between times (and I bet she would answer your pediatrician's call). So what to work on in the visit is what your overall plan is re the Abilify and whatever else for the following month. </p><p></p><p>For me, having a psychiatrist that had some confidence in my ability to follow an agreed on plan and to allow me to make some small judgements on moving up or down doses was a real blessing. I documented and we discussed. </p><p></p><p>With so many of these medications, there is no one right dose; so much of it is trial and error anyway. Part of the battle is being systematic and trying one thing at a time to try to isolate whether something is helping. </p><p></p><p>I think as you gain more experience you will feel more confident in your abilities. I might tell your psychiatrist that putting your young child on medications makes your very nervous and is there a way to check in with her via telephone or email briefly bewteen app'Tourette's Syndrome and see what she says. </p><p></p><p>Not again to excuse her, but if the psychiatrist situation is that dire, the poor doctor is probably totally overworked etc. You might ask if there a pediatric nurse practioner who specializes in pyschiatric issues that she works with for you to have telephone consults with between times when she is hard to reach. </p><p></p><p>It will be hard to let go of your anger etc before the appointment but it probably isn't going to accomplish too much. AT least, focus on what you want out of her before you unleash the anger!</p><p></p><p>I agree, it really stinks. good luck</p></blockquote><p></p>
[QUOTE="pepperidge, post: 32767, member: 2322"] Totoro, It is not uncommon I think for psychiatrists to give parents some leeway in raising their medications. (not to defend your psychiatrist for not calling back). I like the idea of monthly appointment's. If you are still going up on abilify, then I owuld try to clarify with her, how often you should raise the dose and by how much. We worked with a psychiatrist at some distance. We had a schedule we were following. The idea was to keep raising the dose of whatever until we reached the agreed on limit as long as we saw positive improvement. We saw negative reaction we titrated back down. I felt comfortable doing that knowing what I was looking for in terms of negative and positive symptoms. Of course, I also did a lot of reading up on medications too on my own. So I think your best bet for now is to try to work out a systematic plan for what you are doing in terms of medications--and then doing that between visits. You have your pediatrician for emergencies in between times (and I bet she would answer your pediatrician's call). So what to work on in the visit is what your overall plan is re the Abilify and whatever else for the following month. For me, having a psychiatrist that had some confidence in my ability to follow an agreed on plan and to allow me to make some small judgements on moving up or down doses was a real blessing. I documented and we discussed. With so many of these medications, there is no one right dose; so much of it is trial and error anyway. Part of the battle is being systematic and trying one thing at a time to try to isolate whether something is helping. I think as you gain more experience you will feel more confident in your abilities. I might tell your psychiatrist that putting your young child on medications makes your very nervous and is there a way to check in with her via telephone or email briefly bewteen app'Tourette's Syndrome and see what she says. Not again to excuse her, but if the psychiatrist situation is that dire, the poor doctor is probably totally overworked etc. You might ask if there a pediatric nurse practioner who specializes in pyschiatric issues that she works with for you to have telephone consults with between times when she is hard to reach. It will be hard to let go of your anger etc before the appointment but it probably isn't going to accomplish too much. AT least, focus on what you want out of her before you unleash the anger! I agree, it really stinks. good luck [/QUOTE]
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