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General Parenting
My child has ADHD, destructive mood, ptsd and bi polar
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<blockquote data-quote="susiestar" data-source="post: 712503" data-attributes="member: 1233"><p>ODD probably does describe your son very well. It described my son perfectly as well. The problem with an ODD diagnosis is that all it does is describe the symptoms. A good diagnosis gives you a roadmap for treatment. Sadly, the ODD diagnosis is so vague that it fits a large percentage of difficult/disturbed/mentally ill children. It stops at describing the symptoms. It does NOT give you any pathways or guidelines for treatment. It just gives you a name for a problem and it stops there. </p><p></p><p>If your son is bipolar, there is a protocol for treatment that is effective. It takes time to find the right medication cocktail, but if you are patient, it really can work for many patients. This is to start with mood stabilizers (1 or 2) and if needed an antipsychotic (like risperidone, often for violent outbursts). Once these medications are at a therapeutic level in the bloodstream, it will take 4 to 6 weeks to know if they are working. This means it will take time because you cannot start them all at one time, and you cannot start at a therapeutic level. You have to start at a lower level and work up to that level. </p><p></p><p>If, after these medications are working, there are still problems with ADHD, a medication for that can be trialed. This is done only if absolutely necessary because these medications often cause mania in people with bipolar, and especially in children with bipolar. Stimulants especially cause mania in people with bipolar. So if they can be avoided, they should.</p><p></p><p>Your son is clearly abusing his medication. Either by selling them or not taking them properly, or someone else in the home is doing this. The doctor's office needs to be notified and the medication must be stopped. You probably signed a medication contract that says you will notify the doctor if this happens, and you need to do this. </p><p></p><p>What reading have you done on understanding bipolar in children? I recommend reading The Bipolar Child by Papalos. It has a great section on medication protocols and why it is so important, and it explains what is going on in the brain of someone who is bipolar. </p><p></p><p>I also recommend reading The Explosive Child. It is a book that a great number of us here find incredibly helpful. </p><p></p><p>Finally, consider creating a Parent Report. It is a document about your child. It contains ALL the information about your child and keeps everything at your fingertips in doctor appointments and IEP meetings. I found it was one of the most powerful tools I had in helping my child. To learn more about it, and to find the outline created by moms who were here on the website before me, go to the link in my signature at the bottom of this post.</p></blockquote><p></p>
[QUOTE="susiestar, post: 712503, member: 1233"] ODD probably does describe your son very well. It described my son perfectly as well. The problem with an ODD diagnosis is that all it does is describe the symptoms. A good diagnosis gives you a roadmap for treatment. Sadly, the ODD diagnosis is so vague that it fits a large percentage of difficult/disturbed/mentally ill children. It stops at describing the symptoms. It does NOT give you any pathways or guidelines for treatment. It just gives you a name for a problem and it stops there. If your son is bipolar, there is a protocol for treatment that is effective. It takes time to find the right medication cocktail, but if you are patient, it really can work for many patients. This is to start with mood stabilizers (1 or 2) and if needed an antipsychotic (like risperidone, often for violent outbursts). Once these medications are at a therapeutic level in the bloodstream, it will take 4 to 6 weeks to know if they are working. This means it will take time because you cannot start them all at one time, and you cannot start at a therapeutic level. You have to start at a lower level and work up to that level. If, after these medications are working, there are still problems with ADHD, a medication for that can be trialed. This is done only if absolutely necessary because these medications often cause mania in people with bipolar, and especially in children with bipolar. Stimulants especially cause mania in people with bipolar. So if they can be avoided, they should. Your son is clearly abusing his medication. Either by selling them or not taking them properly, or someone else in the home is doing this. The doctor's office needs to be notified and the medication must be stopped. You probably signed a medication contract that says you will notify the doctor if this happens, and you need to do this. What reading have you done on understanding bipolar in children? I recommend reading The Bipolar Child by Papalos. It has a great section on medication protocols and why it is so important, and it explains what is going on in the brain of someone who is bipolar. I also recommend reading The Explosive Child. It is a book that a great number of us here find incredibly helpful. Finally, consider creating a Parent Report. It is a document about your child. It contains ALL the information about your child and keeps everything at your fingertips in doctor appointments and IEP meetings. I found it was one of the most powerful tools I had in helping my child. To learn more about it, and to find the outline created by moms who were here on the website before me, go to the link in my signature at the bottom of this post. [/QUOTE]
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My child has ADHD, destructive mood, ptsd and bi polar
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