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Input on Mood Stabilizers
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<blockquote data-quote="Alisonlg" data-source="post: 39850" data-attributes="member: 2894"><p>Ok...so, I'm working on getting an appointment very soon with the psychiatrist to review difficult child and his medications. I really want him OFF the Adderall and I want to discuss alternatives to adding an SSRI (like Zoloft) to his medication plan, which is what they wanted to add early this week.</p><p></p><p>It's pretty obvious that the Seroquel (or the dose he's on, which I don't know what dose he's on) is not enough and that the Adderall has been of no help because A) he's back in the psychiatric hospital and B) he's off and on hyperactive, he's punched a window for no good reason, he's just still totally unstable.</p><p></p><p>My gut says this kid has a Mood Disorder...possibly Early Onset Bi-Polar (EOBP), but I'm no DR. From what the SW says (and again, I want to get some info straight from the psychiatrist), they think he has anxiety issues. They want to add the SSRI with the Seroquel to help with the anxiety. I'm afraid it's going to make him manic. I want to walk in there armed with knowledge and get their opinion on maybe adding a mood stabilizer INSTEAD. What are your thoughts?</p><p></p><p>I did some quick browsing on crazymeds.com and saw that an off-label use of Trileptal is anxeity and it had a low side effect profile, as compared to it's counterparts (i.e. Topamax, which I take for migraines), so maybe they'd consider THAT? Of course, would that be FAR more serious a risk to try than Zoloft? Would they laugh in my face? Is there another class of Mood Stabalizers that should be considered first? I know things like lithium and such are pretty heavy duty.</p><p></p><p>Just looking for your input on the mood stabilizers, as my gut tells me MY KID may function much better with a mood stabilizer with the seroquel than any stimulant or SSRI, but maybe I'm jumping the gun way to early in the game??? Maybe they'll laugh in my face? Maybe they'll think I spend too much time on Google? LOL</p></blockquote><p></p>
[QUOTE="Alisonlg, post: 39850, member: 2894"] Ok...so, I'm working on getting an appointment very soon with the psychiatrist to review difficult child and his medications. I really want him OFF the Adderall and I want to discuss alternatives to adding an SSRI (like Zoloft) to his medication plan, which is what they wanted to add early this week. It's pretty obvious that the Seroquel (or the dose he's on, which I don't know what dose he's on) is not enough and that the Adderall has been of no help because A) he's back in the psychiatric hospital and B) he's off and on hyperactive, he's punched a window for no good reason, he's just still totally unstable. My gut says this kid has a Mood Disorder...possibly Early Onset Bi-Polar (EOBP), but I'm no DR. From what the SW says (and again, I want to get some info straight from the psychiatrist), they think he has anxiety issues. They want to add the SSRI with the Seroquel to help with the anxiety. I'm afraid it's going to make him manic. I want to walk in there armed with knowledge and get their opinion on maybe adding a mood stabilizer INSTEAD. What are your thoughts? I did some quick browsing on crazymeds.com and saw that an off-label use of Trileptal is anxeity and it had a low side effect profile, as compared to it's counterparts (i.e. Topamax, which I take for migraines), so maybe they'd consider THAT? Of course, would that be FAR more serious a risk to try than Zoloft? Would they laugh in my face? Is there another class of Mood Stabalizers that should be considered first? I know things like lithium and such are pretty heavy duty. Just looking for your input on the mood stabilizers, as my gut tells me MY KID may function much better with a mood stabilizer with the seroquel than any stimulant or SSRI, but maybe I'm jumping the gun way to early in the game??? Maybe they'll laugh in my face? Maybe they'll think I spend too much time on Google? LOL [/QUOTE]
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