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@paperblue I'm not a parent, but rather an adult living with ODD who displayed similar issues as a child. It is an extremely challenging situation but there is hope. I am living a high quality of life right now so please continue to do the best for your son since a positive outcome is still...

I wanted to chime in here as someone who is highly dependent on medications to function and has stopped medications both in collaboration with health care providers and through defiant refusal. The caveat here is that my mental health conditions are very different from SageAngel's niece and I...

Thank you @Copabanana! I haven't posted much on here as of late, but I do check in from time to time just to see if there are any topics which I may be able to provide some insight into. Perhaps I will post an update on how things have been with me, but overall life has been fairly positive and...

Good point - quality psychiatrist care is essential here. Hopefully she can get some help through the local mental health authority. I'd be shocked if she wasn't medicated already, but it may not be the right mix. Given the diagnosis set, it may be tricky to get the cocktail right and it will...

@cpardue Do you know what medications she is currently on. For an extreme situation like this, the only hope of getting control is figuring out the right cocktail of medications. It will likely take a mix of antidepressants, antipsychotics, mood stabilizers and potentially stimulants to even begin to...

@Lollypopgirl17 You've received some excellent advice here, but I'd second the suggestion that a child psychiatrist is the best option here. It can be difficult to get access to these specialized services, but they will be the best positioned to provide a comprehensive assessment. As @Copabanana...

@Copabanana As always, I find your posts deeply insightful and I just wanted to chime in to say that I fully agree with the advice you've provided. Of course, I say this from the other side of the equation, as someone formerly diagnosed with ODD who needs ongoing treatment to remain healthy. The...

@MandaC This is an incredibly difficult situation which is very hard to deal with. On some level, I believe there is little you can do. Your son is an adult and is ultimately responsible to making his own decisions. You can encourage him to seek treatment and support the process, but you...

@MandaC I think the advice and guidance you have received from both @Deni D and @laugh is superb. In particular, this analysis is very interesting. However, one thing that I think must be emphasized is regardless of the background, his behaviour is certainly consistent with some untreated...

@Nandina Thanks for sharing. It seems Trileptal is more common that I was aware of for aggression and anger. I am very sorry to hear that your son stopped his medications. It is extremely challenging because as a parent, there is little you can do in this situation. Unfortunately I think this...

@Deni D Agreed - it's always interesting to find publicly available case studies presented in a manner which can be easily understood by those outside of the medical community. As you say, everyone is able to understand the behaviors and how they are impacted by the medication, but the research...

Hello all, in case it is of interest to any parents, I wanted to share an interesting case study I came across - Intermittent Explosive Disorder in an Adolescent Treated... : Journal of Psychiatry Spectrum Here a teen with severe conduct issues, formally diagnosed with Intermittent Explosive Disorder (IED) was treated with...

@Nomad Was your daugther ever able to find a suitable replacement for the Abilify? I have not faced this issue, but unfortunately weight gain is a common side effect and was something I was warned about. It's certainly a very helpful medication for me and one of the most important components of...

@dandelion It sounds like you've really done the best you possibly can for you son and you should not fault yourself for his challenges. Likewise, since you don't have contact with your grandchild, there is only so much you can do. As others have mentioned, it is important that you take care of...

@dandelion - Thank you for sharing your story. You have come to a good place - the people here are very kind and understanding and can relate to your situation with empathy and helpful thoughts. I wanted to chime in with a couple of comments, but from a slightly different angle. I was diagnosed...

@WorriedGrandma Thanks so much for taking the time to provide this update. It does sound like things are trending in the right direction. It is very good to hear he is being properly treated and taking medications to manage the outbursts - this is very important. His parents do sound like they...

@WorriedGrandma Do you have an update? I have been wondering about your situation.

Dear @Copabanana - I always find your words extremely prescient and reading this I just wanted to say that while it can be hard to hear for parents, based on my own experiences this is completely accurate.

Dear @WorriedGrandma - Thanks for sharing. It's good to hear that he is seeing someone experienced treating children with similar issues. There are many psychiatrists who are not well versed in managing complex cases in children and finding a good specialist can make a huge difference in...

@Crayola13 - I think you are exactly right here and this is consistent with my experience. I've tried Seroquel and it is remarkably effective for aggression and anger management, particularly when paired with my Prozac. However, the side effects were pretty much unbearable for me. One major...