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psychiatrist Apt.
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<blockquote data-quote="pepperidge" data-source="post: 266650" data-attributes="member: 2322"><p>Totoro,\\My oldest has high anxiety, a lot of issues of copying off board etc. combined with what appears to be a strong tendency towards depression, has responded really well to Lamictal. </p><p></p><p>The first medication he was put on (other than Lexapro which was a total disaster immediately) was a small dose of Adderall. It helped both school functioning,compliance and mood. It still has a major impact to this day. However, we found that we really needed to add a small dose of Risperdal to even out some of his mood and anxiety issues.. </p><p></p><p>I don't know if my son truly has ADHD. All I know is that the two medications that have helped him the most have been lamictal and Adderall.</p><p></p><p>My younger son who has more classic type of ADHD symptons did very poorly on Ritalin, Focalin and Adderall. It made him hyper anxious and increased his obsession with things. It was one of those things where we knew within the first day and certainly by the second that these were not the medications for him. Am I sorry we tried? No. He still needs something, but his brain chemistry is just pretty complicated.</p><p></p><p>Since you have abilify in place I would not automatically discount a very short trial (day or two) of a very small dose of Focalin or something similar. You will know I think pretty quickly if it has a bad side effect. You may get no effect, which might be good, might indicate to try a slightly higher dose. </p><p></p><p>I guess a question to ask your psychiatrist is since you have a AP in place, if you try a very small dose for a day or two, whati s the likelihood that there would be an irreversible bad side effect? Also suggest if you try a stimulant, try the short acting kind. If you see good things but a deterioration in behavior as it wears off, you might want then to think about longer acting medications.</p><p></p><p>In any event I would not automatically discount the stimulant. My child would not be getting through school - despite being quite bright--without it.</p><p></p><p>P.</p></blockquote><p></p>
[QUOTE="pepperidge, post: 266650, member: 2322"] Totoro,\\My oldest has high anxiety, a lot of issues of copying off board etc. combined with what appears to be a strong tendency towards depression, has responded really well to Lamictal. The first medication he was put on (other than Lexapro which was a total disaster immediately) was a small dose of Adderall. It helped both school functioning,compliance and mood. It still has a major impact to this day. However, we found that we really needed to add a small dose of Risperdal to even out some of his mood and anxiety issues.. I don't know if my son truly has ADHD. All I know is that the two medications that have helped him the most have been lamictal and Adderall. My younger son who has more classic type of ADHD symptons did very poorly on Ritalin, Focalin and Adderall. It made him hyper anxious and increased his obsession with things. It was one of those things where we knew within the first day and certainly by the second that these were not the medications for him. Am I sorry we tried? No. He still needs something, but his brain chemistry is just pretty complicated. Since you have abilify in place I would not automatically discount a very short trial (day or two) of a very small dose of Focalin or something similar. You will know I think pretty quickly if it has a bad side effect. You may get no effect, which might be good, might indicate to try a slightly higher dose. I guess a question to ask your psychiatrist is since you have a AP in place, if you try a very small dose for a day or two, whati s the likelihood that there would be an irreversible bad side effect? Also suggest if you try a stimulant, try the short acting kind. If you see good things but a deterioration in behavior as it wears off, you might want then to think about longer acting medications. In any event I would not automatically discount the stimulant. My child would not be getting through school - despite being quite bright--without it. P. [/QUOTE]
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