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Update, answers to questions, medication cocktail
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<blockquote data-quote="mindinggaps" data-source="post: 763926" data-attributes="member: 29823"><p>Dear [USER=3305]@lovemysons[/USER] - thank you for sharing. I'm sorry to hear about your negative experiences with Abilify and Vyvanse. However, I am happy to hear you have a medication combination now which is working for you. Finding the right balance is always a struggle and is a continual process of fine adjustments.</p><p></p><p>While side effects are always a concern and something which must be mitigated, I personally have not had any negative issues with Abilify, Vyvanse, or any current components of the cocktail - it is working well and having the desired effects. It's also worth mentioning that my Abilify, Lamictal and Vyvanse dosages are relatively low and this is because they are add-ons targeting specific effects. For additional context here it is probably helpful to understand my clinical diagnoses. As a child I was diagnosed with anxiety, depression, Obsessive Compulsive Disorder (OCD) and ODD/conduct disorder. As an adult much of this is the same, however things are a bit more clear now: Generalized Anxiety Disorder (GAD), major depressive disorder, Obsessive Compulsive Disorder (OCD) and intermittent explosive disorder (Intermittent Explosive Disorder (IED)). Adjustment disorder (sub-type disturbance of conduct) has also been posited, but it is difficult to untangle comorbidities. </p><p></p><p>Based on this, some medications are not used for their main indication. For example, Abilify is an atypical antipsychotic, but in my case it used because in small dosages it boosts treatment of depression and Obsessive Compulsive Disorder (OCD) while also reducing anger and aggression. Likewise, while Lamictal is primarily used as a mood stabilizer, it is extremely useful for Intermittent Explosive Disorder (IED) treatment and effectively neutralizes angry and aggressive outbursts. We've worked hard on finding methods to eliminate dangerous or violent outbursts of anger and a large dose of Prozac with small additions of Abilify and Lamictal has worked amazingly well.</p><p></p><p>With regards to side effects and taking as prescribed - yes, you are correct, this is extremely important. Fortunately, I have lots of experience and first started psychiatric medications as a small child. I dealt with managing them my whole life. In fact one thing which I think has helped me a lot is that I was medicated young and developed an understanding of the importance of medication. I think for extreme cases of conduct disorder or similar issues in young children early intervention and medication are crucial.</p></blockquote><p></p>
[QUOTE="mindinggaps, post: 763926, member: 29823"] Dear [USER=3305]@lovemysons[/USER] - thank you for sharing. I'm sorry to hear about your negative experiences with Abilify and Vyvanse. However, I am happy to hear you have a medication combination now which is working for you. Finding the right balance is always a struggle and is a continual process of fine adjustments. While side effects are always a concern and something which must be mitigated, I personally have not had any negative issues with Abilify, Vyvanse, or any current components of the cocktail - it is working well and having the desired effects. It's also worth mentioning that my Abilify, Lamictal and Vyvanse dosages are relatively low and this is because they are add-ons targeting specific effects. For additional context here it is probably helpful to understand my clinical diagnoses. As a child I was diagnosed with anxiety, depression, Obsessive Compulsive Disorder (OCD) and ODD/conduct disorder. As an adult much of this is the same, however things are a bit more clear now: Generalized Anxiety Disorder (GAD), major depressive disorder, Obsessive Compulsive Disorder (OCD) and intermittent explosive disorder (Intermittent Explosive Disorder (IED)). Adjustment disorder (sub-type disturbance of conduct) has also been posited, but it is difficult to untangle comorbidities. Based on this, some medications are not used for their main indication. For example, Abilify is an atypical antipsychotic, but in my case it used because in small dosages it boosts treatment of depression and Obsessive Compulsive Disorder (OCD) while also reducing anger and aggression. Likewise, while Lamictal is primarily used as a mood stabilizer, it is extremely useful for Intermittent Explosive Disorder (IED) treatment and effectively neutralizes angry and aggressive outbursts. We've worked hard on finding methods to eliminate dangerous or violent outbursts of anger and a large dose of Prozac with small additions of Abilify and Lamictal has worked amazingly well. With regards to side effects and taking as prescribed - yes, you are correct, this is extremely important. Fortunately, I have lots of experience and first started psychiatric medications as a small child. I dealt with managing them my whole life. In fact one thing which I think has helped me a lot is that I was medicated young and developed an understanding of the importance of medication. I think for extreme cases of conduct disorder or similar issues in young children early intervention and medication are crucial. [/QUOTE]
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