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<blockquote data-quote="FredGeorge" data-source="post: 441842" data-attributes="member: 12301"><p>It's hard for me to answer this question. In general, he has tolerated any of the medications we've tried well--we were told which side effects to be watchful for, and haven't seen him have a negative reaction. He's been on Zoloft for 2 years, and it's either been effective (less aggression) or after a period of time seems less so, at which point we've upped the dose at intervals (several months or close to a year at each level). Each time, there's been an initial improvement that seems to offer diminished returns over that several month period. Kinda the same story with the Concerta and Vyvanse. The Vyvanse seems to have worked better than Concerta. The aggressive/impulsive behavior I described began to worsen about a month ago, so when we had a recent checkup, we decided that, since it had been quite a while since we'd upped the Zoloft, that we'd try that. We didn't really see any improvement, and his level of activity seemed to increase, which we knew could be a side effect, but as I'm sure you can appreciate, how do you judge? Normal doesn't seem to really exist in our house, so I don't always know what to attribute symptoms to.</p><p></p><p>difficult child's main symptoms that we've been trying to address through medications are ADHD (Vyvanse), Aggression (Zoloft), and Impulsivity ( ? ). Because we were told that the Vyvanse and Zoloft can help with impulsivity but that it's not their strong suit, we're at the point of either trying to add something like Guanfacine to specifically address impulsivity, or to switch to Abilify, with the hope that it could address all 3 needs. I can't say his behavior has worsened in the week we've been on Abilify, but it hasn't improved, either.</p><p></p><p>We don't have a specialist in Fetal Alcohol Syndrome (FAS)/Fetal Alcohol Effects (FAE) where we live, and from what we've learned over the years, we wouldn't be able to get a definitive diagnosis without an admission of use by the BM, who's long been out of the picture. Two of our other kids (different BM, similar prenatal scenario) also have Fetal Alcohol Syndrome (FAS)/Fetal Alcohol Effects (FAE) symptoms, and also wouldn't be able to be diagnosed as such, so we've just operated on the premise that they do have it to some degree and have educated ourselves accordingly.</p></blockquote><p></p>
[QUOTE="FredGeorge, post: 441842, member: 12301"] It's hard for me to answer this question. In general, he has tolerated any of the medications we've tried well--we were told which side effects to be watchful for, and haven't seen him have a negative reaction. He's been on Zoloft for 2 years, and it's either been effective (less aggression) or after a period of time seems less so, at which point we've upped the dose at intervals (several months or close to a year at each level). Each time, there's been an initial improvement that seems to offer diminished returns over that several month period. Kinda the same story with the Concerta and Vyvanse. The Vyvanse seems to have worked better than Concerta. The aggressive/impulsive behavior I described began to worsen about a month ago, so when we had a recent checkup, we decided that, since it had been quite a while since we'd upped the Zoloft, that we'd try that. We didn't really see any improvement, and his level of activity seemed to increase, which we knew could be a side effect, but as I'm sure you can appreciate, how do you judge? Normal doesn't seem to really exist in our house, so I don't always know what to attribute symptoms to. difficult child's main symptoms that we've been trying to address through medications are ADHD (Vyvanse), Aggression (Zoloft), and Impulsivity ( ? ). Because we were told that the Vyvanse and Zoloft can help with impulsivity but that it's not their strong suit, we're at the point of either trying to add something like Guanfacine to specifically address impulsivity, or to switch to Abilify, with the hope that it could address all 3 needs. I can't say his behavior has worsened in the week we've been on Abilify, but it hasn't improved, either. We don't have a specialist in Fetal Alcohol Syndrome (FAS)/Fetal Alcohol Effects (FAE) where we live, and from what we've learned over the years, we wouldn't be able to get a definitive diagnosis without an admission of use by the BM, who's long been out of the picture. Two of our other kids (different BM, similar prenatal scenario) also have Fetal Alcohol Syndrome (FAS)/Fetal Alcohol Effects (FAE) symptoms, and also wouldn't be able to be diagnosed as such, so we've just operated on the premise that they do have it to some degree and have educated ourselves accordingly. [/QUOTE]
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