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New Here - 6yo with Dual Personalities
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<blockquote data-quote="susiestar" data-source="post: 360256" data-attributes="member: 1233"><p>Welcome back! It is nice to hear from you again!</p><p></p><p>I am a little confused. You have her medications different in the post and in your signature. Is she taking just abilify? Is she taking it or are you unable to afford it? In your sig you say no medications because you can't afford them, So I am not sure.</p><p></p><p>If $ is a problem, be sure to tell the doctor. Often there are older medications that are in generic that can be at least tried. It is better to try an older medication that you can afford than to get prescriptions for newer medications that you cannot afford to give as prescribed. If you don't tell the doctor they won't know. Docs get a LOT of pressure from drug reps to rx the latest and greatest new thang, whether it works or not. I have to keep riding my daughter's neurologist because he either wants to rx the most expensive new drug or an old drug no one makes and costs more than the new drug. He drives me nuts that way!</p><p></p><p>You have Tuna's diagnosis's listed ans Anxiety not otherwise specified and Mood Disorder. Has she ever been on a mood stabilizer? If she is thought to have a mood disorder I would want her on a mood stabilizer first to see if that would help. If the first one doesn't help I would try another couple of them. If she has early onset bipolar and you put her on a medication like prozac she is NOT going to do well. It will make things much worse. She may do poorly on prozac anyway. Many of the ssri/snri medications do NOT work properly in kids. My daughter is NOT bipolar in any way, shape or form. She is a very even tempered child. We put her on prozac to help with PTSD years ago when my difficult child was at his worst. It made her high. As a kite. My sweet little rule follower who NEVER got into trouble because the teacher would be disappointed with her broke into song when the teacher tried to start a lesson after lunch and led her classmates in a conga line type dance. TOTALLY not in character for her! It stopped a few days after we stopped the prozac. Zoloft did very similar things though she was a bit more belligerent.</p><p></p><p>If your daughter's mood disorder is actually bipolar (many docs do not want to "label" a kid with this for some reason) it likely will take a lot longer to get over the effects of the medication. Some docs will tell you that this is the right medication to start treatment for bipolar if the patient is depressed. It is not. The guidelines for rx'ing to treat bipolar say to start with 1 mood stabilizer and then a 2nd may be needed, and an antipsychotic can be added next. Once the patients mood is stable, stimulants or antidepressants can be added slowly and cautiously if symptoms are still present.</p><p></p><p>For many medications it takes 6-8 weeks at the therapeutic dose to see the full effect. So it is a real juggling act. Someone will be able to give you a link to the prescribing guidelines for bipolar, or they are in the book, "The Bipolar Child" by Papalous. I recommend reading this book. It has a lot of info that can be useful even if your child is not bipolar (or it was useful to me.). Bipolar is not just 'up' and 'down' moods. Some people with bipolar get stuck in a mixed state that is some of both. It can be really hard to see if that is what you are dealing with.</p><p></p><p>Has Tuna ever been to a neuropsychologist for testing? They do extremely in depth testing, 10-12 hours worth over several sessions if they are being really thorough, and can often really pinpoint the proper diagnosis. Or had a multidisciplinary evaluation (docs from several specialties each examine and test her and work together to figure out what is going on)? You can find either of these at major children's hospitals or university hospitals usually. in my opinion you should probably try to find one of these as soon as you can. It will make treating her more effective because you and the doctor won't be guessing what you are dealing with.</p><p></p><p>I know I am writing a book here, but I have just a couple more things. Have you read "The Explosive Child" by Ross Greene and "What Your Explosive Child Is Trying To Tell You" by Dr. Douglas Riley? Many of us highly recommend them. The Explosive Child is kind of our "bible" around here. It works on kids regardless of their diagnosis (and on husbands. shhh! Don't tell my husband!). Dr. Riley's book helps a lot also. He pops in here sometimes and has great ideas and info.</p><p></p><p>I also recommend that you write a Parent Report. There is an outline that moms who were here before I came created. It helps you keep ALL the info about your child in one place and lets you give the professionals you work with info on your difficult child and family in a clear document. The outline is in the FAQ/Board Help section under the title "Multidisciplinary Evaluation/Parent Input". This is an invaluable tool. Just don't try to do it all in one sitting!</p><p></p><p>My last idea is to have Tuna evaluated for sensory integration problems. Sometimes our brains don't process input from our senses properly. It can cause all kinds of problems. A private Occupational Therapist (OT) can evaluate this and teach you how to help. It can make HUGE improvements, sometimes very dramatically. Treatment for this does not involve medication or anything invasive. Schools do have Occupational Therapist (OT)'s, but they only look for how sensory problems impact school, not how they impact her entire life. So seeing a private Occupational Therapist (OT) is important. One primary therapy is brushing. It is fairly easy but MUST be taught by an Occupational Therapist (OT). IF done wrong it can cause real problems.</p><p></p><p>(((hugs))) It is good to see you again. don't be such a stranger!</p></blockquote><p></p>
[QUOTE="susiestar, post: 360256, member: 1233"] Welcome back! It is nice to hear from you again! I am a little confused. You have her medications different in the post and in your signature. Is she taking just abilify? Is she taking it or are you unable to afford it? In your sig you say no medications because you can't afford them, So I am not sure. If $ is a problem, be sure to tell the doctor. Often there are older medications that are in generic that can be at least tried. It is better to try an older medication that you can afford than to get prescriptions for newer medications that you cannot afford to give as prescribed. If you don't tell the doctor they won't know. Docs get a LOT of pressure from drug reps to rx the latest and greatest new thang, whether it works or not. I have to keep riding my daughter's neurologist because he either wants to rx the most expensive new drug or an old drug no one makes and costs more than the new drug. He drives me nuts that way! You have Tuna's diagnosis's listed ans Anxiety not otherwise specified and Mood Disorder. Has she ever been on a mood stabilizer? If she is thought to have a mood disorder I would want her on a mood stabilizer first to see if that would help. If the first one doesn't help I would try another couple of them. If she has early onset bipolar and you put her on a medication like prozac she is NOT going to do well. It will make things much worse. She may do poorly on prozac anyway. Many of the ssri/snri medications do NOT work properly in kids. My daughter is NOT bipolar in any way, shape or form. She is a very even tempered child. We put her on prozac to help with PTSD years ago when my difficult child was at his worst. It made her high. As a kite. My sweet little rule follower who NEVER got into trouble because the teacher would be disappointed with her broke into song when the teacher tried to start a lesson after lunch and led her classmates in a conga line type dance. TOTALLY not in character for her! It stopped a few days after we stopped the prozac. Zoloft did very similar things though she was a bit more belligerent. If your daughter's mood disorder is actually bipolar (many docs do not want to "label" a kid with this for some reason) it likely will take a lot longer to get over the effects of the medication. Some docs will tell you that this is the right medication to start treatment for bipolar if the patient is depressed. It is not. The guidelines for rx'ing to treat bipolar say to start with 1 mood stabilizer and then a 2nd may be needed, and an antipsychotic can be added next. Once the patients mood is stable, stimulants or antidepressants can be added slowly and cautiously if symptoms are still present. For many medications it takes 6-8 weeks at the therapeutic dose to see the full effect. So it is a real juggling act. Someone will be able to give you a link to the prescribing guidelines for bipolar, or they are in the book, "The Bipolar Child" by Papalous. I recommend reading this book. It has a lot of info that can be useful even if your child is not bipolar (or it was useful to me.). Bipolar is not just 'up' and 'down' moods. Some people with bipolar get stuck in a mixed state that is some of both. It can be really hard to see if that is what you are dealing with. Has Tuna ever been to a neuropsychologist for testing? They do extremely in depth testing, 10-12 hours worth over several sessions if they are being really thorough, and can often really pinpoint the proper diagnosis. Or had a multidisciplinary evaluation (docs from several specialties each examine and test her and work together to figure out what is going on)? You can find either of these at major children's hospitals or university hospitals usually. in my opinion you should probably try to find one of these as soon as you can. It will make treating her more effective because you and the doctor won't be guessing what you are dealing with. I know I am writing a book here, but I have just a couple more things. Have you read "The Explosive Child" by Ross Greene and "What Your Explosive Child Is Trying To Tell You" by Dr. Douglas Riley? Many of us highly recommend them. The Explosive Child is kind of our "bible" around here. It works on kids regardless of their diagnosis (and on husbands. shhh! Don't tell my husband!). Dr. Riley's book helps a lot also. He pops in here sometimes and has great ideas and info. I also recommend that you write a Parent Report. There is an outline that moms who were here before I came created. It helps you keep ALL the info about your child in one place and lets you give the professionals you work with info on your difficult child and family in a clear document. The outline is in the FAQ/Board Help section under the title "Multidisciplinary Evaluation/Parent Input". This is an invaluable tool. Just don't try to do it all in one sitting! My last idea is to have Tuna evaluated for sensory integration problems. Sometimes our brains don't process input from our senses properly. It can cause all kinds of problems. A private Occupational Therapist (OT) can evaluate this and teach you how to help. It can make HUGE improvements, sometimes very dramatically. Treatment for this does not involve medication or anything invasive. Schools do have Occupational Therapist (OT)'s, but they only look for how sensory problems impact school, not how they impact her entire life. So seeing a private Occupational Therapist (OT) is important. One primary therapy is brushing. It is fairly easy but MUST be taught by an Occupational Therapist (OT). IF done wrong it can cause real problems. (((hugs))) It is good to see you again. don't be such a stranger! [/QUOTE]
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