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<blockquote data-quote="Steely" data-source="post: 229707" data-attributes="member: 3301"><p>I have to chime in and say that my difficult child has been on Lithobid since he was 12 and never had thyroid problems.</p><p></p><p>As you know my difficult children medications are unbelievably tricky as it sounds like your son is. Tripletal, Depakote, made him worse and aggressive as well. I think it is wise to lower the Depakote.</p><p></p><p>However, if you lower the Depakote he still may need 2 mood stabilizers. Has the psychiatrist suggested another one possibly? Or does the 500 of Depakote work for him?</p><p></p><p>My difficult child has always needed an AD in the mix. He is on Paxil, which every dr in the world will tell you is the least effective AD - however - for difficult child it is the only one that really works and takes away the anxiety. I think MWM is the same way.</p><p></p><p>I guess, in my opinion, I would try the AD, in very, <em>very</em> small doses and just see what it does for him. Half the smallest dose, and start there?</p><p></p><p>However, I might suggest to psychiatrist to start a SSRNI instead of a SSRI? SSRNIs are in a slightly different class, and are supposedly not supposed to aggravate mania as much. Effexor, and Cymbalta are in this class. Then there is Wellbutrin which is in it's own class all together.</p><p></p><p>difficult children current psychiatrist says that he rarely see kids as severely bi-polar as difficult child without the add on of an AP. We have been through them all, and their side effects stink! However psychiatrist has added just 10mg of Zyprexa (which is a low dose) at night, and it has really seemed to even everything out without terrible side effects. This is the other thing that you can consider for the future that would really help not only with his mood, possibly, but help him sleep which I know is another concern for you.</p><p></p><p>FWIW, at your difficult children age, mine started cutting as well. It lasted maybe 6 months? And then he got sick of wearing long sleeves, and covering it up, and he stopped. I think it was a release he had for a time, then like you said, became a habit - but then when the medications were right and he was stable he was able to drop it like a hot potato.</p><p></p><p>Hugs.</p></blockquote><p></p>
[QUOTE="Steely, post: 229707, member: 3301"] I have to chime in and say that my difficult child has been on Lithobid since he was 12 and never had thyroid problems. As you know my difficult children medications are unbelievably tricky as it sounds like your son is. Tripletal, Depakote, made him worse and aggressive as well. I think it is wise to lower the Depakote. However, if you lower the Depakote he still may need 2 mood stabilizers. Has the psychiatrist suggested another one possibly? Or does the 500 of Depakote work for him? My difficult child has always needed an AD in the mix. He is on Paxil, which every dr in the world will tell you is the least effective AD - however - for difficult child it is the only one that really works and takes away the anxiety. I think MWM is the same way. I guess, in my opinion, I would try the AD, in very, [I]very[/I] small doses and just see what it does for him. Half the smallest dose, and start there? However, I might suggest to psychiatrist to start a SSRNI instead of a SSRI? SSRNIs are in a slightly different class, and are supposedly not supposed to aggravate mania as much. Effexor, and Cymbalta are in this class. Then there is Wellbutrin which is in it's own class all together. difficult children current psychiatrist says that he rarely see kids as severely bi-polar as difficult child without the add on of an AP. We have been through them all, and their side effects stink! However psychiatrist has added just 10mg of Zyprexa (which is a low dose) at night, and it has really seemed to even everything out without terrible side effects. This is the other thing that you can consider for the future that would really help not only with his mood, possibly, but help him sleep which I know is another concern for you. FWIW, at your difficult children age, mine started cutting as well. It lasted maybe 6 months? And then he got sick of wearing long sleeves, and covering it up, and he stopped. I think it was a release he had for a time, then like you said, became a habit - but then when the medications were right and he was stable he was able to drop it like a hot potato. Hugs. [/QUOTE]
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