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What would you do??
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<blockquote data-quote="smallworld" data-source="post: 229573" data-attributes="member: 2423"><p>What is his Lithium blood level?</p><p> </p><p>When was he last tested for thyroid function? Your difficult child is practically the only one I know who hasn't had thyroid function affected by Lithium. Hypothyroidism can cause depression. Most kids on Lithium end up on Synthroid or a similar medication. </p><p> </p><p>While I can't speak to your difficult child, I know that my two older kids became irritable and depressed on high doses of Depakote (1000-plus mg). They do better on Lamictal.</p><p> </p><p>Your difficult child needs something to address his anxiety, which I believe is fueling his cutting. Has he ever been on Seroquel daily (not PRN)? It can cause a lot of sedation at the beginning, but that does resolve. It will address anxiety and depression without inducing mania.</p></blockquote><p></p>
[QUOTE="smallworld, post: 229573, member: 2423"] What is his Lithium blood level? When was he last tested for thyroid function? Your difficult child is practically the only one I know who hasn't had thyroid function affected by Lithium. Hypothyroidism can cause depression. Most kids on Lithium end up on Synthroid or a similar medication. While I can't speak to your difficult child, I know that my two older kids became irritable and depressed on high doses of Depakote (1000-plus mg). They do better on Lamictal. Your difficult child needs something to address his anxiety, which I believe is fueling his cutting. Has he ever been on Seroquel daily (not PRN)? It can cause a lot of sedation at the beginning, but that does resolve. It will address anxiety and depression without inducing mania. [/QUOTE]
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