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<blockquote data-quote="Sara PA" data-source="post: 42297" data-attributes="member: 1498"><p>You don't have to be around here for long before you realize that I am uncomfortable with children and adolescents being on SSRI antidepressants, especially if their behavior isn't getting better or is getting worse. Your daughter's diagnosis is either bipolar or ODD, according to the psychiatrist. Celexa is not recommended or approved for either disorder or for us by children or adolescents. While the side effect of suicidal ideation has gotten most of the attention, hostility under a variety of names is a fairly common side effect for SSRI/SSRI antidepressants. Anger, aggression, agitation, violence, anxiety and akethesia (inner restlessness) can all be adverse reactions to the Celexa.* My son eventually went psychotic on half the dose that your daughter is taking. And finally, there is a disorder called antidepressant induced mania/bipolar. The only appropriate treatment is discontinuation of the antidepressant.</p><p></p><p>The Adderall dose is on the high side of the recommended dose (30 mg) and could be causing rebound aggression when it wears off each day. Adderall would be appropriate only with a diagnosis of ADD. </p><p></p><p>On the other hand, the Trileptal is likely not at a therapeutic dose unless your daughter is an extreemly small (50-60 pound) 13 year old. However no amount of any mood stabilizer will control adverse reactions to antidepressants.</p><p> </p><p></p><p>*On a highly personal level, when my son was suffering from the adverse reactions to the Celexa his perceptions of what people were saying and doing were not based in reality. He <em>totally</em> misread EVERYTHING and EVERYBODY.</p></blockquote><p></p>
[QUOTE="Sara PA, post: 42297, member: 1498"] You don't have to be around here for long before you realize that I am uncomfortable with children and adolescents being on SSRI antidepressants, especially if their behavior isn't getting better or is getting worse. Your daughter's diagnosis is either bipolar or ODD, according to the psychiatrist. Celexa is not recommended or approved for either disorder or for us by children or adolescents. While the side effect of suicidal ideation has gotten most of the attention, hostility under a variety of names is a fairly common side effect for SSRI/SSRI antidepressants. Anger, aggression, agitation, violence, anxiety and akethesia (inner restlessness) can all be adverse reactions to the Celexa.* My son eventually went psychotic on half the dose that your daughter is taking. And finally, there is a disorder called antidepressant induced mania/bipolar. The only appropriate treatment is discontinuation of the antidepressant. The Adderall dose is on the high side of the recommended dose (30 mg) and could be causing rebound aggression when it wears off each day. Adderall would be appropriate only with a diagnosis of ADD. On the other hand, the Trileptal is likely not at a therapeutic dose unless your daughter is an extreemly small (50-60 pound) 13 year old. However no amount of any mood stabilizer will control adverse reactions to antidepressants. *On a highly personal level, when my son was suffering from the adverse reactions to the Celexa his perceptions of what people were saying and doing were not based in reality. He [i]totally[/i] misread EVERYTHING and EVERYBODY. [/QUOTE]
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