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At wits end ...
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<blockquote data-quote="smallworld" data-source="post: 31720" data-attributes="member: 2423"><p>Welcome! I'm glad you found us.</p><p></p><p>What kind of doctor diagnosed your difficult child? What kind of doctor is treating him? Has he ever had a neuropsychological or multidisciplinary evaluation at a children's or university hospital (highly, highly recommended by many on this board)?</p><p></p><p>As the others have mentioned, the bipolar disorder needs to be treated first and foremost, generally with a mood stabilizer and/or an atypical antipsychotic. Both stimulants (Concerta) and antidepressants (Trazadone) can rev a bipolar child up rather than calm him down, especially without the protection of a mood stabilizer. And some kids with BiPolar (BP) can't handle stimulants or antidepressants at all, even with a mood stabilizer.</p><p></p><p>I think you have to remember that your child has a disorder that is making him very unstable. He is not a bad child; he is an ill child that needs proper medical treatment (medication and therapeutic interventions). I'm certain that spanking will not change his behavior for the better and will almost certainly make his anxiety worse.</p><p></p><p>Again, welcome and good luck.</p></blockquote><p></p>
[QUOTE="smallworld, post: 31720, member: 2423"] Welcome! I'm glad you found us. What kind of doctor diagnosed your difficult child? What kind of doctor is treating him? Has he ever had a neuropsychological or multidisciplinary evaluation at a children's or university hospital (highly, highly recommended by many on this board)? As the others have mentioned, the bipolar disorder needs to be treated first and foremost, generally with a mood stabilizer and/or an atypical antipsychotic. Both stimulants (Concerta) and antidepressants (Trazadone) can rev a bipolar child up rather than calm him down, especially without the protection of a mood stabilizer. And some kids with BiPolar (BP) can't handle stimulants or antidepressants at all, even with a mood stabilizer. I think you have to remember that your child has a disorder that is making him very unstable. He is not a bad child; he is an ill child that needs proper medical treatment (medication and therapeutic interventions). I'm certain that spanking will not change his behavior for the better and will almost certainly make his anxiety worse. Again, welcome and good luck. [/QUOTE]
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