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Update, answers to questions, medication cocktail
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<blockquote data-quote="mindinggaps" data-source="post: 763923" data-attributes="member: 29823"><p>Dear [USER=18958]@Copabanana[/USER] - welcome back to the forum. I'm very glad we've been able to resolve the issues with being locked out. I am hopeful that my experiences may provide some insight or information which is useful to those dealing with children suffering from various conduct, mental health and/or behavior issues.</p><p></p><p>Firstly, indeed you are remembering correctly - when I originally came to the forum, in an act which can only be looked upon in hindsight as defiance, I decided to stop medications. I have been on medications since I was very young and for the most part have remained compliant, which has been a very important factor in my ability to live a stable life. However, there have been times when I have stopped medication, usually (not always) against recommendation. The recent decision to do caused great concern for my parents and rightfully so. Shortly after stopping the medication, things deteriorated quickly - I became volatile, angry, irritable, highly anxious with immediate disruptions to my ability to work. Fortunately, I was able to sense things spiraling out of control and received intervention before permanent damage was done. </p><p></p><p>One key takeaway from this experience, which I believe is true for many is that psychiatric treatment is mandatory. It does not guarantee success, but without it, there is little chance of living a stable life. For many people in challenging circumstances, step one simply must be ensuring medication compliance because without this, no progress can be made. This is easier said than done since access to quality care can be very hard. I have been fortunate to have had world leading care and feel very lucky for this. </p><p></p><p>With regards to my current cocktail, it has taken a while to build out successfully, but it is working very well. The components are:</p><ul> <li data-xf-list-type="ul"><strong>Prozac</strong> 60mg (SSRI) - I have been on this most of my life and continue to rely upon it. It reduces anxiety and depression but also lowers irritability, improves mood and helps with emotional regulation. This is the primary component of the cocktail and other add-ons support its main functioning. </li> <li data-xf-list-type="ul"><strong>Abilify</strong> 5mg (atypical antipsychotic) - This is a small dose <em>add-on</em> to reduce anxiety and boost the effects of the Prozac. However, the main target is to reduce rage outbursts, anger and aggression.</li> <li data-xf-list-type="ul"><strong>Lamictal </strong>100mg (mood stabilizer) - This is a fairly low dose which reduces low mood, stabilizes emotions, reduces impulsive behavior. It also offers added anger control and reduces agitation to help with compliance on the rest of the cocktail.</li> <li data-xf-list-type="ul"><strong>Effexor </strong>75mg (SNRI) - The most unusual element, this is an auxiliary antidepressant. It's main goal is to reduce obsessive and compulsive behaviors but it also provides a low level boost to mood and energy levels.</li> <li data-xf-list-type="ul"><strong>Vyvanse </strong>(stimulant) - General behavior control with a specific target on impulse control</li> </ul><p>The reality is for those with severe behavior and conduct struggles, many medications which target the various symptoms are required. Please let me know if you have any questions - I am happy to provide additional details and some context on how this cocktail was built.</p></blockquote><p></p>
[QUOTE="mindinggaps, post: 763923, member: 29823"] Dear [USER=18958]@Copabanana[/USER] - welcome back to the forum. I'm very glad we've been able to resolve the issues with being locked out. I am hopeful that my experiences may provide some insight or information which is useful to those dealing with children suffering from various conduct, mental health and/or behavior issues. Firstly, indeed you are remembering correctly - when I originally came to the forum, in an act which can only be looked upon in hindsight as defiance, I decided to stop medications. I have been on medications since I was very young and for the most part have remained compliant, which has been a very important factor in my ability to live a stable life. However, there have been times when I have stopped medication, usually (not always) against recommendation. The recent decision to do caused great concern for my parents and rightfully so. Shortly after stopping the medication, things deteriorated quickly - I became volatile, angry, irritable, highly anxious with immediate disruptions to my ability to work. Fortunately, I was able to sense things spiraling out of control and received intervention before permanent damage was done. One key takeaway from this experience, which I believe is true for many is that psychiatric treatment is mandatory. It does not guarantee success, but without it, there is little chance of living a stable life. For many people in challenging circumstances, step one simply must be ensuring medication compliance because without this, no progress can be made. This is easier said than done since access to quality care can be very hard. I have been fortunate to have had world leading care and feel very lucky for this. With regards to my current cocktail, it has taken a while to build out successfully, but it is working very well. The components are: [LIST] [*][B]Prozac[/B] 60mg (SSRI) - I have been on this most of my life and continue to rely upon it. It reduces anxiety and depression but also lowers irritability, improves mood and helps with emotional regulation. This is the primary component of the cocktail and other add-ons support its main functioning. [*][B]Abilify[/B] 5mg (atypical antipsychotic) - This is a small dose [I]add-on[/I] to reduce anxiety and boost the effects of the Prozac. However, the main target is to reduce rage outbursts, anger and aggression. [*][B]Lamictal [/B]100mg (mood stabilizer) - This is a fairly low dose which reduces low mood, stabilizes emotions, reduces impulsive behavior. It also offers added anger control and reduces agitation to help with compliance on the rest of the cocktail. [*][B]Effexor [/B]75mg (SNRI) - The most unusual element, this is an auxiliary antidepressant. It's main goal is to reduce obsessive and compulsive behaviors but it also provides a low level boost to mood and energy levels. [*][B]Vyvanse [/B](stimulant) - General behavior control with a specific target on impulse control [/LIST] The reality is for those with severe behavior and conduct struggles, many medications which target the various symptoms are required. Please let me know if you have any questions - I am happy to provide additional details and some context on how this cocktail was built. [/QUOTE]
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