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What to Make of Recent Meltdown
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<blockquote data-quote="smallworld" data-source="post: 189832" data-attributes="member: 2423"><p>Hi, whenever one of my kids is coming down with something or is indeed sick, I don't judge behaviors for diagnostic or medication purposes but instead attribute them to illness. The only way you can truly know if the behaviors are "off" is observing them when the child is well and in his own environment (home, neighborhood, school, after care, etc).</p><p> </p><p>Having said that, my youngest daughter M exhibits the same kind of frequent meltdowns related to frustration intolerance. She has recently had a neuropsychological evaluation, and her diagnosis is severe anxiety (with "stuck" thinking and Obsessive Compulsive Disorder (OCD) tendencies), ADHD, executive function disorder and mood dysregulation. This should not come as a huge surprise since her siblings have similar dxes. M does not have Autism Spectrum Disorders (ASD).</p><p> </p><p>We are medicating her anxiety because it became life-threatening 2 summers ago when she developed a choking phobia and refused to eat. Zyprexa has helped her eating issues, but she was still anxious so Prozac was added. She became giddy, disinhibited and explosive on Prozac so it was discontinued and Remeron, an older AD, was started. It has helped, but M is still having meltdowns. Her psychiatrist wants to raise her Remeron dose after she talks with M on Wednesday. If this doesn't work, we will be considering a mood stabilizer.</p><p> </p><p>It is my understanding that Tenex does not help anxiety at all. It can help with attentional difficulties. But the side-effect profile includes irritability, fatigue, confusion at higher doses and rarely agitation. Because its cousin Clonidine can cause mood swings in children with BiPolar (BP), there is speculation that Tenex can as well.</p><p> </p><p>You should also be aware that kids with Autism Spectrum Disorders (ASD) can have emotional dysregulation as part of their symptom complex. Since dxes became clearer as children age, I'd strongly recommend another diagnostic evaluation (with a neuropsychologist, a multidisciplinary team or a developmental pediatrician) to see if you can nail down whether your difficult child has Autism Spectrum Disorders (ASD) or not. It would be extremely important to know for all facets of his treatment -- therapy (like Occupational Therapist (OT) or speech), school interventions, social skills and medications if necessary.</p><p> </p><p>Hang in there.</p></blockquote><p></p>
[QUOTE="smallworld, post: 189832, member: 2423"] Hi, whenever one of my kids is coming down with something or is indeed sick, I don't judge behaviors for diagnostic or medication purposes but instead attribute them to illness. The only way you can truly know if the behaviors are "off" is observing them when the child is well and in his own environment (home, neighborhood, school, after care, etc). Having said that, my youngest daughter M exhibits the same kind of frequent meltdowns related to frustration intolerance. She has recently had a neuropsychological evaluation, and her diagnosis is severe anxiety (with "stuck" thinking and Obsessive Compulsive Disorder (OCD) tendencies), ADHD, executive function disorder and mood dysregulation. This should not come as a huge surprise since her siblings have similar dxes. M does not have Autism Spectrum Disorders (ASD). We are medicating her anxiety because it became life-threatening 2 summers ago when she developed a choking phobia and refused to eat. Zyprexa has helped her eating issues, but she was still anxious so Prozac was added. She became giddy, disinhibited and explosive on Prozac so it was discontinued and Remeron, an older AD, was started. It has helped, but M is still having meltdowns. Her psychiatrist wants to raise her Remeron dose after she talks with M on Wednesday. If this doesn't work, we will be considering a mood stabilizer. It is my understanding that Tenex does not help anxiety at all. It can help with attentional difficulties. But the side-effect profile includes irritability, fatigue, confusion at higher doses and rarely agitation. Because its cousin Clonidine can cause mood swings in children with BiPolar (BP), there is speculation that Tenex can as well. You should also be aware that kids with Autism Spectrum Disorders (ASD) can have emotional dysregulation as part of their symptom complex. Since dxes became clearer as children age, I'd strongly recommend another diagnostic evaluation (with a neuropsychologist, a multidisciplinary team or a developmental pediatrician) to see if you can nail down whether your difficult child has Autism Spectrum Disorders (ASD) or not. It would be extremely important to know for all facets of his treatment -- therapy (like Occupational Therapist (OT) or speech), school interventions, social skills and medications if necessary. Hang in there. [/QUOTE]
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