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<blockquote data-quote="smallworld" data-source="post: 316032" data-attributes="member: 2423"><p>About the medications: You really need to know for sure if bipolar is at work here. Both stimulants (like Concerta) and SSRI antidepressants (like Fluoxetine) can make kids with BiPolar (BP) much worse, in fact create the disrespectful behavior you're describing. Lithium can't work its magic as a mood stabilizer with medications like Concerta and Fluoxetine destabilizing the BiPolar (BP) child. You might want to seek a second opinion with a child/adolescent psychiatrist skilled in treating BiPolar (BP). You might also want to have your child evaluated by a neuropsychologist to see what is really at work here.</p><p></p><p>Neuropsychologists can be at children's and university teaching hospitals. Your pediatrician, current psychiatrist or therapist may also have some recommendations for you.</p><p></p><p>I also recommend checking out the Treatment Guidelines for treating children for bipolar disorder on the Child and Adolescent Bipolar Foundation website at this link:</p><p></p><p><a href="http://www.thebalancedmind.org/sites/default/files/treatment_guidelines.pdf" target="_blank">http://www.thebalancedmind.org/sites/default/files/treatment_guidelines.pdf</a></p><p></p><p>Welcome! I hope you find a lot of support here.</p></blockquote><p></p>
[QUOTE="smallworld, post: 316032, member: 2423"] About the medications: You really need to know for sure if bipolar is at work here. Both stimulants (like Concerta) and SSRI antidepressants (like Fluoxetine) can make kids with BiPolar (BP) much worse, in fact create the disrespectful behavior you're describing. Lithium can't work its magic as a mood stabilizer with medications like Concerta and Fluoxetine destabilizing the BiPolar (BP) child. You might want to seek a second opinion with a child/adolescent psychiatrist skilled in treating BiPolar (BP). You might also want to have your child evaluated by a neuropsychologist to see what is really at work here. Neuropsychologists can be at children's and university teaching hospitals. Your pediatrician, current psychiatrist or therapist may also have some recommendations for you. I also recommend checking out the Treatment Guidelines for treating children for bipolar disorder on the Child and Adolescent Bipolar Foundation website at this link: [url]http://www.thebalancedmind.org/sites/default/files/treatment_guidelines.pdf[/url] Welcome! I hope you find a lot of support here. [/QUOTE]
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