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Lithium?
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<blockquote data-quote="Steely" data-source="post: 427600" data-attributes="member: 3301"><p>First of all, I am glad you are seeing a new psychiatrist. I would immediately ask p-doctor to request a neuro-psychiatric exam/test so that you have more clarity on his diagnosis.</p><p></p><p>It will also help if you know the medication classes, and what these doctors are throwing at your kid. Many times, I have said - oh no - we are not doing THAT.</p><p></p><p>Geodone is an anti-pyschotic which can help with severe mood swings, aggression, and some schizo-affective disorders. Other medications in this family are Seroquel, Risperdal, Abilify and Zyprexa.</p><p></p><p>Both Daytrana and Concerta are stimulants used to help kids with ADD or ADHD. However, if the kid is mood liable, and/or not ADD than these medications can increase aggression, depression and impulsiveness. Other medications in this category are Rhitalin, etc. (Can't think of them all right now, but they are lots.) For your Dr to have him on TWO sounds over the top. I might be pulling my hair out if I was him, even if I DID have ADD.</p><p></p><p>Zoloft is an SSRI anti-depressant. Again this class works great if a kid/person is truly JUST depressed. If not, again it can be activating, and you can see signs of aggression, impulsiveness and suicidal ideation. Other medications in this category are Prozac, LexaPro, Celexa and Paxil. There are also SNRIs which are also anti -depressants but they work on both Serotonin and Norepinephrine. These are medications like Effexor, Cymbalta, etc.</p><p></p><p>The last group is huge, and that is the class of mood stabilizers. For kids like mine, and possibly yours, this is the class you need to be in. Often psychiatrists will say a child like this needs 2 mood stabs, and one Anti-Pyschotic, and I agree. For years that is how Matt did best. Mood stabilizers start with the tried and true Lithium, which has been around for a long time, and helped many people. Others include medications that are also anti seizure medications, like Depakote, Tegretol, Trileptal. Topomax, etc., there is also Lamictal which seems to have proven very successful for many of our board kids, including mine. </p><p></p><p>Start to research all of this and become the expert. Unfortunately the psychiatrists out there are not always the ones who know best. </p><p>Hugs.and the best of luck.</p></blockquote><p></p>
[QUOTE="Steely, post: 427600, member: 3301"] First of all, I am glad you are seeing a new psychiatrist. I would immediately ask p-doctor to request a neuro-psychiatric exam/test so that you have more clarity on his diagnosis. It will also help if you know the medication classes, and what these doctors are throwing at your kid. Many times, I have said - oh no - we are not doing THAT. Geodone is an anti-pyschotic which can help with severe mood swings, aggression, and some schizo-affective disorders. Other medications in this family are Seroquel, Risperdal, Abilify and Zyprexa. Both Daytrana and Concerta are stimulants used to help kids with ADD or ADHD. However, if the kid is mood liable, and/or not ADD than these medications can increase aggression, depression and impulsiveness. Other medications in this category are Rhitalin, etc. (Can't think of them all right now, but they are lots.) For your Dr to have him on TWO sounds over the top. I might be pulling my hair out if I was him, even if I DID have ADD. Zoloft is an SSRI anti-depressant. Again this class works great if a kid/person is truly JUST depressed. If not, again it can be activating, and you can see signs of aggression, impulsiveness and suicidal ideation. Other medications in this category are Prozac, LexaPro, Celexa and Paxil. There are also SNRIs which are also anti -depressants but they work on both Serotonin and Norepinephrine. These are medications like Effexor, Cymbalta, etc. The last group is huge, and that is the class of mood stabilizers. For kids like mine, and possibly yours, this is the class you need to be in. Often psychiatrists will say a child like this needs 2 mood stabs, and one Anti-Pyschotic, and I agree. For years that is how Matt did best. Mood stabilizers start with the tried and true Lithium, which has been around for a long time, and helped many people. Others include medications that are also anti seizure medications, like Depakote, Tegretol, Trileptal. Topomax, etc., there is also Lamictal which seems to have proven very successful for many of our board kids, including mine. Start to research all of this and become the expert. Unfortunately the psychiatrists out there are not always the ones who know best. Hugs.and the best of luck. [/QUOTE]
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