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What would you do??
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<blockquote data-quote="klmno" data-source="post: 229699" data-attributes="member: 3699"><p>I hope I didn't do anything to cause it. I thought since a raised dose of depkote had caused aggressive thoughts in him before and the AD and albuterol were both high-risk for causing mania, that it was way too much to do all those within a 10-14 day period. Between coming off them and going back to medications as they were and trialing a raised dose of depakote again by itself, he wasn't acting stable, but he wasn't aggressive. He was still emotionally shut down, sleeping way too much and cutting.</p><p></p><p>Now, he's either manic or in a mixed state. Or I don't know- I'm afraid to even start a low dose of any AD as long as he's like this.</p><p></p><p>Every time he's symptommatic like this, psychiatrist adds adhd and odd to his diagnosis, then removes them when difficult child is only depressed and when he's stable. I don't quite get that. If psychiatrist thinks difficult child is either in a depressed state, stable, or in a "phase" of being adhd and odd, then why does he have him on MS's and also diagnosis'ing him with BiPolar (BP)? In a way, I'd like to another psychiatrist and see if they can do something right away, but unless they could hit on the right medication combo the first try, it would still just be more of the same- or potentially worse, right?</p><p></p><p>I'm just frustrated- as I always am when difficult child isn't stable. I dropped the depakote back down about 9 days ago. I'm so hoping this stabilizes a little as a result but I'm starting to have my doubts.</p></blockquote><p></p>
[QUOTE="klmno, post: 229699, member: 3699"] I hope I didn't do anything to cause it. I thought since a raised dose of depkote had caused aggressive thoughts in him before and the AD and albuterol were both high-risk for causing mania, that it was way too much to do all those within a 10-14 day period. Between coming off them and going back to medications as they were and trialing a raised dose of depakote again by itself, he wasn't acting stable, but he wasn't aggressive. He was still emotionally shut down, sleeping way too much and cutting. Now, he's either manic or in a mixed state. Or I don't know- I'm afraid to even start a low dose of any AD as long as he's like this. Every time he's symptommatic like this, psychiatrist adds adhd and odd to his diagnosis, then removes them when difficult child is only depressed and when he's stable. I don't quite get that. If psychiatrist thinks difficult child is either in a depressed state, stable, or in a "phase" of being adhd and odd, then why does he have him on MS's and also diagnosis'ing him with BiPolar (BP)? In a way, I'd like to another psychiatrist and see if they can do something right away, but unless they could hit on the right medication combo the first try, it would still just be more of the same- or potentially worse, right? I'm just frustrated- as I always am when difficult child isn't stable. I dropped the depakote back down about 9 days ago. I'm so hoping this stabilizes a little as a result but I'm starting to have my doubts. [/QUOTE]
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