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Son in hopsital feel like we're on wrong path
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<blockquote data-quote="JRC" data-source="post: 710697" data-attributes="member: 21147"><p>Hi Mom22-</p><p></p><p>When you say "mood disorder" what specifically is his diagnosis? Treating mood disorders along with comorbid disorders like ADHD (i.e. the hyperactivity you mention) are tricky. Many medications that are used to treat ADHD can induce mania (often looks like aggression) in children with a bipolar mood disorder. So yes it's possible the medications have exacerbated his symptoms or created symptoms.</p><p></p><p>And yeah, sure, doctors treat the symptoms. S/he is right. But understanding the primary diagnosis and comorbid diagnosis are important to careful treatment.</p><p></p><p>I'll give you my son as exhibit A. He has bipolar disorder and ADHD. He'd been off all stimulants since November. We put him back on in March because he couldn't concentrate at school. We knew that it was possible that it could cause hypomania. It did. He's been off the stimulants for weeks now (since March 21st) and he still is having agitated mixed mood states. Slowly decreasing but, man. Mistake. We (doctor and us) knew it could happen and took a risk. But that's the outcome. Now he's out of school until he stabilizes <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite3" alt=":(" title="Frown :(" loading="lazy" data-shortname=":(" /> So, treating the symptoms of ADHD were not a great idea in hindsight. He was better off struggling with the ADHD symptoms and having teacher support than the alternative (not being able to go to school at all because of destabilization).</p><p></p><p>EDITED TO ADD: He takes Lamictal 300mg and Abilify 15mg</p></blockquote><p></p>
[QUOTE="JRC, post: 710697, member: 21147"] Hi Mom22- When you say "mood disorder" what specifically is his diagnosis? Treating mood disorders along with comorbid disorders like ADHD (i.e. the hyperactivity you mention) are tricky. Many medications that are used to treat ADHD can induce mania (often looks like aggression) in children with a bipolar mood disorder. So yes it's possible the medications have exacerbated his symptoms or created symptoms. And yeah, sure, doctors treat the symptoms. S/he is right. But understanding the primary diagnosis and comorbid diagnosis are important to careful treatment. I'll give you my son as exhibit A. He has bipolar disorder and ADHD. He'd been off all stimulants since November. We put him back on in March because he couldn't concentrate at school. We knew that it was possible that it could cause hypomania. It did. He's been off the stimulants for weeks now (since March 21st) and he still is having agitated mixed mood states. Slowly decreasing but, man. Mistake. We (doctor and us) knew it could happen and took a risk. But that's the outcome. Now he's out of school until he stabilizes :( So, treating the symptoms of ADHD were not a great idea in hindsight. He was better off struggling with the ADHD symptoms and having teacher support than the alternative (not being able to go to school at all because of destabilization). EDITED TO ADD: He takes Lamictal 300mg and Abilify 15mg [/QUOTE]
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