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Help with 9 year old daugher
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<blockquote data-quote="addie" data-source="post: 515871" data-attributes="member: 140"><p>Hi! I am just curious about the suggested use of Prozac. Of course i would never presume to question a psychiatrist (well, not in your case) but I have parented children like yours for years, and never come across Prozac being the medication of choice.</p><p>she certainly sounds ODD, very similar to my two girls but identical to neither. Mine presented differently though both suffered from ODD; one is developmentally delayed, the other normal to high intelligence. Sadly, in my experience of my girls and the many others I have fostered, the more intelligent they are, the more difficult it is to control their behaviour.</p><p>I am possibly a bit out of touch with medications being used today, since my current two fosters have been with us for years and are under control, but one of them has a 3 yr old sib (living with bio-mom) who has just been put on risperdal for ODD. Yes, it is shocking at 3 yrs old, but has been done by a highly respected pediatrician, even though in my humble opinion pediatricians tend to be more conservative in the use of psychotropic medications than psychiatrists. But I have to say the child is extremely difficult, very similar to her sib who is in my care, and risperdal worked for mine, though she no longer needs it.</p><p>I wonder why Prozac instead of risperdal or Seroquel, which are both highly effective for ODD behaviors. I have never used Prozac for children, but IF it was risperdal or Seroquel then I would suggest giving it a try as although some say it has to build up in the system, in my experience you would know pretty quickly if it was working.</p><p>If ODD is the correct diagnosis, I would suggest that the sooner it is brought under control the better, as she will soon be entering adolescence. That is a signifant time in her development.</p><p>i guess no harm in trying the Prozac. I mean, if it is not working, or just making her dopey, you will soon know and can discontinue. It sounds like you have tried everything else and it's not working, so time to try something different.</p><p>I have read all those books, and love Transforming ... Also a newer book by Ross Greene called Treating the Explosive Child. </p><p>My opinion about the use of medications is that if they work, they give you a window of opportunity in which to work, to do all the behaviour management that you can/is required, and then to wean the child off if possible, which again, in my experience of this type of explosive and violent child, often can happen. It depends on the cause of the behaviors.</p><p></p><p>Oh, how well I remember the times spent huddled as a tear soaked wreck not having a CLUE how to get help, what help I needed, driving north, south, east and west to various professionals none of whom were much help, until I came across an ad for a drug trial and my dev. delayed daughter met the criteria. It was at a well known psychiatric hospital, and I was ready to try ANYTHING other than put her in an institution, which would have happened if we revoked the adoption. She was unmanageable. The difference when she went from the placebo to the risperdal was miraculous, but if given th choice I prefer to use Seroquel (I work closely with the same psychiatrist for all my kids) as I find there is less weight gain and less susceptibility to rhinitis.</p><p></p><p>One thing I find very interesting about your daughter is her self awareness, her reluctance to act out at school or in public. But is there a lot of passive aggression? I never thought my youngest (and eventually the most difficult one) was ODD at all, never crossed my mind. She did not rage (till much older). But she refused to go to school or do anything SHE did not want to do, even at 2 which is when we adopted her. I thought it was funny that I had to build in extra Jess-time before going anywhere as if there was mud, for example, she would appear to accidentally fall into it, requiring going back to change. I coped. But the passive aggression got worse, and worse, and worse, creeping up over the years.</p><p></p><p>Having said that, I stil think that self awareness, that unwillingness to draw attention to herself, is a really good sign and if you can get the right treatment for her now (which might well mean medications, even if only short term) well, there is clearly something there to build on.</p><p></p><p>Good luck! Let us know how it goes.</p></blockquote><p></p>
[QUOTE="addie, post: 515871, member: 140"] Hi! I am just curious about the suggested use of Prozac. Of course i would never presume to question a psychiatrist (well, not in your case) but I have parented children like yours for years, and never come across Prozac being the medication of choice. she certainly sounds ODD, very similar to my two girls but identical to neither. Mine presented differently though both suffered from ODD; one is developmentally delayed, the other normal to high intelligence. Sadly, in my experience of my girls and the many others I have fostered, the more intelligent they are, the more difficult it is to control their behaviour. I am possibly a bit out of touch with medications being used today, since my current two fosters have been with us for years and are under control, but one of them has a 3 yr old sib (living with bio-mom) who has just been put on risperdal for ODD. Yes, it is shocking at 3 yrs old, but has been done by a highly respected pediatrician, even though in my humble opinion pediatricians tend to be more conservative in the use of psychotropic medications than psychiatrists. But I have to say the child is extremely difficult, very similar to her sib who is in my care, and risperdal worked for mine, though she no longer needs it. I wonder why Prozac instead of risperdal or Seroquel, which are both highly effective for ODD behaviors. I have never used Prozac for children, but IF it was risperdal or Seroquel then I would suggest giving it a try as although some say it has to build up in the system, in my experience you would know pretty quickly if it was working. If ODD is the correct diagnosis, I would suggest that the sooner it is brought under control the better, as she will soon be entering adolescence. That is a signifant time in her development. i guess no harm in trying the Prozac. I mean, if it is not working, or just making her dopey, you will soon know and can discontinue. It sounds like you have tried everything else and it's not working, so time to try something different. I have read all those books, and love Transforming ... Also a newer book by Ross Greene called Treating the Explosive Child. My opinion about the use of medications is that if they work, they give you a window of opportunity in which to work, to do all the behaviour management that you can/is required, and then to wean the child off if possible, which again, in my experience of this type of explosive and violent child, often can happen. It depends on the cause of the behaviors. Oh, how well I remember the times spent huddled as a tear soaked wreck not having a CLUE how to get help, what help I needed, driving north, south, east and west to various professionals none of whom were much help, until I came across an ad for a drug trial and my dev. delayed daughter met the criteria. It was at a well known psychiatric hospital, and I was ready to try ANYTHING other than put her in an institution, which would have happened if we revoked the adoption. She was unmanageable. The difference when she went from the placebo to the risperdal was miraculous, but if given th choice I prefer to use Seroquel (I work closely with the same psychiatrist for all my kids) as I find there is less weight gain and less susceptibility to rhinitis. One thing I find very interesting about your daughter is her self awareness, her reluctance to act out at school or in public. But is there a lot of passive aggression? I never thought my youngest (and eventually the most difficult one) was ODD at all, never crossed my mind. She did not rage (till much older). But she refused to go to school or do anything SHE did not want to do, even at 2 which is when we adopted her. I thought it was funny that I had to build in extra Jess-time before going anywhere as if there was mud, for example, she would appear to accidentally fall into it, requiring going back to change. I coped. But the passive aggression got worse, and worse, and worse, creeping up over the years. Having said that, I stil think that self awareness, that unwillingness to draw attention to herself, is a really good sign and if you can get the right treatment for her now (which might well mean medications, even if only short term) well, there is clearly something there to build on. Good luck! Let us know how it goes. [/QUOTE]
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