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Increased Aggression - new medications?
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<blockquote data-quote="ChiefDramatist" data-source="post: 591217" data-attributes="member: 16241"><p>Awaiting the report on the psychiatric evaluation...impatiently waiting!!!</p><p></p><p>difficult child is 9, and in third grade.</p><p></p><p>Background: I had a very healthy pregnancy. Although I had some premature labor, she was delivered full term. She had good APGARs. She was breast fed for three months, but I had to speed wean her due to the discovery of a breast tumor (which turned out to be benign). She ate well, had no food allergies, hit all of her developmental milestones on time or early. She slept through the night at three months, napped perfectly until she was three... She was a textbook baby! I could say the same for early toddlerhood. </p><p></p><p>When little sister came along at 22 months, my difficult child changed personality 180 degrees. If one could label a toddler as resentful, I would. She wasn't just confused by the appearance of her sister, she truly acted like she hated her. They still have a very stormy relationship. difficult child was suddenly very defiant with us, too. Before sister came along, she was cheerful, funny, playful... After, she stopped listening to us, was willfully disobedient, a right terror. </p><p></p><p>I remember a specific incident when she was 3. It was Easter morning, and we were visiting my parents. It was very cold, and I wanted her to wear tights with her dress. She refused to let me put them on her. Long story short, it was a very difficult day, one of the worst I can remember.</p><p></p><p>Of course, PPs gave us a ton of advice, as they observed our difficult child... "You aren't disciplining her enough, she is strong willed, you need to get that under control or you will have a problem on your hands..." We read book after book, tried so many discipline methods from the lightest touch to the most strict. Nothing helped her behavior. </p><p></p><p>Shoe shopping became a dreaded event... She wouldn't wear anything with buttons.... She started washing her hands too much... Socks...tights...leggings, all had to be perfect. Now I know these are all behaviors were the Obsessive Compulsive Disorder (OCD), but NO ONE in our circle of acquaintances ever said anything other than it was a discipline issue.</p><p></p><p>She was in public for first, homeschooled for second due to what we thought were behavioral issues stemming from very bad influences in her first grade class. Had she not been homeschooled, I don't know that we would have recognized that her difficulties were not simply behavioral...there was something much bigger going on. </p><p></p><p>February of last year, her cognition simply shut off. She stopped writing, could not add two plus two (or refused to), and stopped reading (she is a voracious reader... Learned to read when she was five, and we had just given her a Kindle for her 8th birthday). She refused to change her clothing, lost interest in activities, in her friends, stopped sleeping, began throwing away, or giving away her toys to her little sister's friends. She started pacing in her room, developing counting rituals, couldn't come down the stairs because "the voice in her head" told her that she wasn't doing it right. There were other rituals too, and she stopped caring about personal hygiene. She had always been very particular about her hair especially. (Had to be perfect...part had to be in a specific spot, no tangles, etc...) She had been very clothing conscious. She is a physically stunning girl, with naturally curly, striking hair of an unusually beautiful color, and she KNOWS it, but refuses to believe it. (That sounds contradictory, I know, but somehow, that is her.)</p><p></p><p>Last February, we ended up in the ER after she had a complete breakdown the Saturday after her birthday. She was immediatley referred to pediatric psychiatry. After two months of sessions with two psychiatrists, she was diagnosed with Obsessive Compulsive Disorder (OCD) and Mood Disorder. PANDAS was ruled out, even though she had had strep. We began family therapy at a medical center which is world renowned. Our sessions were videotaped, and monitored by a group of psychiatrists because they considered her case to be unusual. They floated the idea of Pre-schizophrenia, but that was eventually ruled out.</p><p></p><p>She was put on Risperdone and Prozac in April of 2012, and the medications made a big difference rather quickly. She started changing her clothing within a few months, the counting stopped, she began to sleep again, and our lives settled down a bit.</p><p></p><p>In October, a new psychiatrist added ODD to the diagnosis. She was referred to a new therapist for weekly sessions, which began in January.</p><p></p><p>School has been a challenge, but not a complete disaster. She does not like her teacher, and TBH, either do we. She is very harsh, says she understands the diagnosis, but certainly doesn't act like it. She has had a tough time making and keeping friends, and is desperate to have people like her. Unfortunately, this means she will do things to try and please people...wrong things. She is very peer-driven.</p></blockquote><p></p>
[QUOTE="ChiefDramatist, post: 591217, member: 16241"] Awaiting the report on the psychiatric evaluation...impatiently waiting!!! difficult child is 9, and in third grade. Background: I had a very healthy pregnancy. Although I had some premature labor, she was delivered full term. She had good APGARs. She was breast fed for three months, but I had to speed wean her due to the discovery of a breast tumor (which turned out to be benign). She ate well, had no food allergies, hit all of her developmental milestones on time or early. She slept through the night at three months, napped perfectly until she was three... She was a textbook baby! I could say the same for early toddlerhood. When little sister came along at 22 months, my difficult child changed personality 180 degrees. If one could label a toddler as resentful, I would. She wasn't just confused by the appearance of her sister, she truly acted like she hated her. They still have a very stormy relationship. difficult child was suddenly very defiant with us, too. Before sister came along, she was cheerful, funny, playful... After, she stopped listening to us, was willfully disobedient, a right terror. I remember a specific incident when she was 3. It was Easter morning, and we were visiting my parents. It was very cold, and I wanted her to wear tights with her dress. She refused to let me put them on her. Long story short, it was a very difficult day, one of the worst I can remember. Of course, PPs gave us a ton of advice, as they observed our difficult child... "You aren't disciplining her enough, she is strong willed, you need to get that under control or you will have a problem on your hands..." We read book after book, tried so many discipline methods from the lightest touch to the most strict. Nothing helped her behavior. Shoe shopping became a dreaded event... She wouldn't wear anything with buttons.... She started washing her hands too much... Socks...tights...leggings, all had to be perfect. Now I know these are all behaviors were the Obsessive Compulsive Disorder (OCD), but NO ONE in our circle of acquaintances ever said anything other than it was a discipline issue. She was in public for first, homeschooled for second due to what we thought were behavioral issues stemming from very bad influences in her first grade class. Had she not been homeschooled, I don't know that we would have recognized that her difficulties were not simply behavioral...there was something much bigger going on. February of last year, her cognition simply shut off. She stopped writing, could not add two plus two (or refused to), and stopped reading (she is a voracious reader... Learned to read when she was five, and we had just given her a Kindle for her 8th birthday). She refused to change her clothing, lost interest in activities, in her friends, stopped sleeping, began throwing away, or giving away her toys to her little sister's friends. She started pacing in her room, developing counting rituals, couldn't come down the stairs because "the voice in her head" told her that she wasn't doing it right. There were other rituals too, and she stopped caring about personal hygiene. She had always been very particular about her hair especially. (Had to be perfect...part had to be in a specific spot, no tangles, etc...) She had been very clothing conscious. She is a physically stunning girl, with naturally curly, striking hair of an unusually beautiful color, and she KNOWS it, but refuses to believe it. (That sounds contradictory, I know, but somehow, that is her.) Last February, we ended up in the ER after she had a complete breakdown the Saturday after her birthday. She was immediatley referred to pediatric psychiatry. After two months of sessions with two psychiatrists, she was diagnosed with Obsessive Compulsive Disorder (OCD) and Mood Disorder. PANDAS was ruled out, even though she had had strep. We began family therapy at a medical center which is world renowned. Our sessions were videotaped, and monitored by a group of psychiatrists because they considered her case to be unusual. They floated the idea of Pre-schizophrenia, but that was eventually ruled out. She was put on Risperdone and Prozac in April of 2012, and the medications made a big difference rather quickly. She started changing her clothing within a few months, the counting stopped, she began to sleep again, and our lives settled down a bit. In October, a new psychiatrist added ODD to the diagnosis. She was referred to a new therapist for weekly sessions, which began in January. School has been a challenge, but not a complete disaster. She does not like her teacher, and TBH, either do we. She is very harsh, says she understands the diagnosis, but certainly doesn't act like it. She has had a tough time making and keeping friends, and is desperate to have people like her. Unfortunately, this means she will do things to try and please people...wrong things. She is very peer-driven. [/QUOTE]
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