It's not uncommon to see a positive initial response and then weeks, sometimes several months later you see the activation.  Actually antidepressant activation is very common with children!  Be sure to chart your son's mood's and behavior's.  Sample mood charts can be found here.

If you see a wosening of behavior's be sure to contact your pdoc right away.

Here is a great article to read about the use of antidepressants in bipolar.

--

Jackie aka mom2one
Forums moderator, FRT
Mom to Mr. 17 (dx'd at age 4), Bipolar, Psychotic Disorder, Anxiety Disorder, PDD, Cognitive Disorder
Meds: Seroquel 900 mg., Risperdal 4.5 mg., Fanapt 12 mg., Lamictal 600 mg., Lithium 1250 mg., DDAVP, and Synthroid .150 mcg
Fish Oil and Vitamin D
IEP, Therapeutic School
Married to my best friend and rock for 21 years!

If CABF has helped you, please consider a donation! https://www.bpkids.org/donate?campaign=forums2010

 How do you know when it is the medication that is activating them if it happens months later? How do you know when it is just them cycling?  I'm so nervous to see him get activated!  Thanks for the info.

--

Donna ~ Wife and Mother of 2.
Matty (5 1/2) Kindergarten - Dx Mood D/O NOS and Anxiety, just diagnosed, no meds
Sarah (4) Nursery School - typically developing, full of personality
DH very supportive of everything!
Long Island, New York

I have seen AD-induced mania 3 times in my boys.  It always happened about 3 - 4 weeks after starting the med.   I am surprised this pdoc thinks it doesn't happen very often in kids.  I have heard about it plenty of times.  Of course that's not scientific, but perhaps it's related to the fact that the younger the onset of depression, the higher the likelihood that the person will ultimately develop some form of BP.

--

Brenda,50, CABF Parent to Parent Volunteer
Mom to A, 16, BP, Tourette's, OCD, ADHD: Eskalith CR, Trilafon, Lamictal, Seroquel, Cytomel
E, 14, BP,AS, hypothyroidism: Seroquel, Eskalith CR, levothyroxin, inositol
B, 13 & H, 10
Married 17 years to DH, 49

If CABF has helped you, please help CABF. Donate today. http://www.bpkids.org/donate?campaign=forums2010

FROM CABF: Do not start, stop, or change medications or other treatments for yourself or your child based on what you read on this Website or elsewhere on the Internet. Information presented here should not replace the considered judgement of a doctor who knows you or your child.

My younger daughter initially responded to Zoloft like a miracle drug! A couple months later it lost it's effectiveness, so the pdoc increased the dose. Again and again. We did not recognize that some of the symptoms we were now treating was actually caused by the Zoloft. And, she was cycling. And some of the symptoms had nothing to do with "depression," but looked like it. It was quite some time that things slowly got worse and worse until she became acutely psychotic and hospitalized.

On the other hand, a niece put on it was hospitalized within days of starting on it.

So, it varies.

--"Naomi"
Older dd: teen-onset bipolar: Off meds and over withdrawal symptoms. After over 13 years - STABLE! Treated: Sleep, Candida, food sensitivities, nutritional needs, extra thyroid meds.
Younger dd: Childhood-onset schizoaffective, with disabling migraines since infancy. Also off antipsychotic and meds for migraines. Stable - no hallucinations. Treated for multiple endocrine problems, food sensitivities, nutritional/mitochondrial needs, gut issues, SLEEP issues.

 Thank you all for your input.  It is all very helpful.  It has been a week and 3 days today and the positive benefits are still there, but i have seen some mild episodes of anger/screaming, but it is so brief and far less than it was, that I am still hopefull.  But now I know to start looking at the 2-3 week range for other symptoms.  he is still very impulsive and not listening to directions.  he continues to do what he wants to do, but hasn't gone out of control when we try to stop him or redirect him.  I'll keep you all posted.  hopefully this med works and doesn't switch him.  fingers are still crossed.  but my eyes are wide open! thanks all!

--

Donna ~ Wife and Mother of 2.
Matty (5 1/2) Kindergarten - Dx Mood D/O NOS and Anxiety, just diagnosed, no meds
Sarah (4) Nursery School - typically developing, full of personality
DH very supportive of everything!
Long Island, New York

 We are about two and a half weeks into the paxil and all of the positive effects have been gone for a week now!  Very disappointing!  I haven't seen him activated but there is no more positive change.  We see the pdoc on Friday night.  Again, very disappointing.  He was awesome for almost an entire week!  Not sure what happens now, whether the pdoc will increase it or try something else?  We have never been through this before.  This was the first med trial.

--

Donna ~ Wife and Mother of 2.
Matty (5 1/2) Kindergarten - Dx Mood D/O NOS and Anxiety, just diagnosed, Paxil 10mg

Sarah (4) Nursery School - typically developing, full of personality
DH very supportive of everything!
Long Island, New York

It's always best to give AD's a few weeks to see full effect.  I would be careful about giving it up so soon, but also on the lookout for any signs of activation.  Sometimes it takes about 4 weeks for that to occur.  Have you seen the Expert Treatment Guidelines on this website?

--

Brenda,50, CABF Parent to Parent Volunteer
Mom to A, 16, BP, Tourette's, OCD, ADHD: Eskalith CR, Trilafon, Lamictal, Seroquel, Cytomel
E, 14, BP,AS, hypothyroidism: Seroquel, Eskalith CR, levothyroxin, inositol
B, 13 & H, 10
Married 17 years to DH, 49

If CABF has helped you, please help CABF. Donate today. http://www.bpkids.org/donate?campaign=forums2010

FROM CABF: Do not start, stop, or change medications or other treatments for yourself or your child based on what you read on this Website or elsewhere on the Internet. Information presented here should not replace the considered judgement of a doctor who knows you or your child.

Ok, saw the Pdoc yesterday and he felt that since DS responded so positively to the paxil but then it wore off, that it was a dosage issue, so he raised him to 20 mg.  Just started the 20mg today, so fingers are crossed.   Haven't seen any signs of activation yet and we are at 3 weeks today.  I'm still keeping my fingers crossed on that issue as well!  thanks for all your input! 

Donna ~ Wife and Mother of 2.
Matty (5 1/2) Kindergarten - Dx Mood D/O NOS and Anxiety, Paxil 20mg
Sarah (4) Nursery School - typically developing, full of personality
DH very supportive of everything!
Long Island, New York

 Hi Donna- My DS age 12 mood disorder-nos and anxiety.  Just to give you some good news on the flip side. My DS was started on Zoloft April 2009 with no mania.  We  did add Risperdal a  few months later for tantrums that had nothing to do w/ mania and were present way before the zoloft.  We're actually thinking of reducing the zoloft as his anxiety has got much better but waiting to see how it goes into the school year first.  If anything we saw cycles of saddening (up and down) probably mania when we started trying to reduce the risperdal.....

I hope the increase in Paxil helps and your DS evens out.

--

Wendy

DS age 12, (adopted 4 yrs ago from eastern europe) ADHD, LD, PTSD, anxiety, mood disorder-NOS, PTSD with lots of great qualities:)

Discontinued 54 mg Concerta .  Strattera-currently at 70mg, Zoloft and Risperdal (.5mg a.m and .5mg late afternoon) fish oil (nordic naturals) and Melatonin

DD- age 19 Anxiety/ADD-Celexa and Aderall
DS- age 13 ADD-Sraterra 25 mg and 1/2 Tenex

I hear you.  We have been slowly creeping up on our initial med for dd - 8yo, BP - since our diagnosis in April.  We started on Lamictal - very low and slow.  In August, we had a very sudden development of debilitating anxiety - thought she was choking and stopped eating solid food, saw her grandmother get sick and would not go near her or her house.  At the time, we were only on 5o mg of Lamicatal, and the pdoc added 5 mg of Paxil.  DD improved at first.  She got over the germ/grandma fear and was open to eating a little more.  Then she started to rapid cycle at about 2 weeks into the Paxil.  By week 4 she was cycling like crazy.  Raging in a way she never had before.  Had a demon in her eyes.  We tried PRN Risperdal .25 mg twice and .5 mg once with no effect.  Not the Paxil is gone for 3 days, but we have seen NO recovery yet.  I hope you don't go throught this.  It's aweful and makes me wonder if we did the right thing by saying OK to all these meds in the first place,

Neen

It will take some time for the effects of the Paxil to wear off.  Once a manic state is in progress, it kind of has to run its course or be controlled with meds.  It may take a few weeks.  We have been through that before.  Now you know she can't tol. AD's.

The Lamictal may help with the anxiety as the dose gets a little higher.  She will probably need a regular dose of AP to bring her down from this mania.

--

Brenda,50, CABF Parent to Parent Volunteer
Mom to A, 16, BP, Tourette's, OCD, ADHD: Eskalith CR, Trilafon, Lamictal, Seroquel, Cytomel
E, 14, BP,AS, hypothyroidism: Seroquel, Eskalith CR, levothyroxin, inositol
B, 13 & H, 10
Married 17 years to DH, 49

If CABF has helped you, please help CABF. Donate today. http://www.bpkids.org/donate?campaign=forums2010

FROM CABF: Do not start, stop, or change medications or other treatments for yourself or your child based on what you read on this Website or elsewhere on the Internet. Information presented here should not replace the considered judgement of a doctor who knows you or your child.

 My son developed almost delusional anxiety this summer.  The pdoc kept sugesting an AD for anxiety.  I was very reluctant knowing that children predisposed to have mood disorders can become activated by AD and stimulants if not already stable.  He was already on Abilify at the time which was controlling the rage issues, but hadn't really done anything for the hypomania.  We did one week of Zoloft at 12.5 mg then week 2 at 25mg.  I was very sceptical of this med trial so I tried to listen to how others saw things in my son to help me determine if the Zoloft was helping.  At 6 days I saw spurts of rage I hadn't seen since before AP, but very short lived.  By day twelve he was begging me to give him "knockout drops" to help him sleep.  He couldn't stop moving and even though exhausted couldn't fall asleep.  I asked him at 1:00am one night if his mind was going 100 mph (could tell it was buy rapid change in verbalized thoughts) and he told me no.  I asked him what his mind was doing and he told me it was going 100 million mph.  Husband was asking me what was going on with him, things seemed so out of control and a friend had commented on what a drastic difference she saw in Adam in such a short time.  Called the pdoc and saw tdoc durring this time and stopped the Zoloft.  Things never really returned to the same place they were prior to the AD. 

Long story short, they didn't work for us and caused activation in a very short time.  I hope things do go better for you.  Keep in mind, what happens for one child won't always happen for another child.  My suggestion is to also listen to others who are close to you and your son and listen to their imput on changes they have noticed too.  I know I worry that I am looking for and therefor seeing things that may or may not be present because I am aware of all the possibile things that can happen.

Good luck to you!

--

Betsy
Adam - son - 9 yrs old - Bipolar, Mood disorder, Seperation Anxiety, ADHD - starting Lamictal, 5mg Abilify, omega3, multi-vitamin
4th grade public school, first year with IEP
Daughter - 17 - Senior year!!
Husband - starting to accept Adam's diagnosis
Sun Prairie Wisconsin

 Thank you all for sharing your experiences with me.  So far we have done 5 weeks of Paxil, the last 2 weeks at 20mg.  No activation yet thankfully!  Certain things have gotten easier, going to school, going to sleep at  night, less frustration/anxiety, less depressive symptoms.  We are still left with some hypomania, hypersexualized stuff.  Saw the Pdoc on Friday and he wants to see 2 more weeks at 20mg and then decide to either up it to 30mg, change it to something else like a zoloft, or possibly either change to or add a mood stabilizer.  Not really sure which way to go.  Things are way better than before, not totally where i'd like to be with his behaviors but the real depressive stuff seems to have lifted.  I almost feel like I should be thankful for what changes we have seen and leave well enough alone.  But a piece of me doesn't want to stop if it can get even better for him.  He still has a hard time at school, he hides out in the bathroom to "escape" as much as he can.  He has a 1:1 aid and BIP that is focusing on his school stuff, but I don't want to short change him.  If there is a med that can take care of the leftover stuff that the paxil is not dealing with, i feel like I have to try.  We really are left with hyper behaviors, easily stimulated into overdrive, but not in a total mania sense.  More like he can be worked up into that state by overly energetic children or fun situations, still pulling his pants down and showing  his privates, overly friendly with EVERY stranger that walks by him.  I know this is the hypomania, its just left over after the paxil takes care of the depressive stuff.  Any thoughts?

--

Donna ~ Wife and Mother of 2.
Matty (5 1/2) Kindergarten - Dx Mood D/O NOS and Anxiety, just diagnosed in April, Paxil 20mg
Sarah (4) Preschooler- typically developing, full of personality
DH very supportive of everything!
Long Island, New York

Was he having these manic type sx before the Paxil?  If not, then my best guess is that the AD is inducing mania.  It can be a slow burn for some people, especially if they are very depressed to begin with.  It sounds like he needs some sort of MS--Trileptal and lithium would probably work the quickest.  Lamictal is good for BP'ers who tend towards depression, but it has a very slow titration schedule.  There's a link to the Expert Treatment Guidelines a few posts up.

--

Brenda,50, CABF Parent to Parent Volunteer
Mom to A, 16, BP, Tourette's, OCD, ADHD: Eskalith CR, Trilafon, Lamictal, Seroquel, Cytomel
E, 14, BP,AS, hypothyroidism: Seroquel, Eskalith CR, levothyroxin, inositol
B, 13 & H, 10
Married 17 years to DH, 49

If CABF has helped you, please help CABF. Donate today. http://www.bpkids.org/donate?campaign=forums2010

FROM CABF: Do not start, stop, or change medications or other treatments for yourself or your child based on what you read on this Website or elsewhere on the Internet. Information presented here should not replace the considered judgement of a doctor who knows you or your child.

 So after nearly 7 weeks on Paxil, I am finally able to see that he has become hypomanic...he has been hyperactive, and totally risk taking, which is uncharacteristic of him.  He always wants me to hold his legs so he can do the monkey bars, but we recently found him ON TOP of the monkey bars, he also tried to tightrope walk on top of our 6 foot fence. He told me to lock up our kitchen at night because he said he is going to play with knives while we are sleeping or in the shower (which he did once before when I was in the shower he took a steak knife out of the drain board and accidently cut his finger a little bit, which he was scared and remorseful so I thought he learned his lesson!)  So needless to say I took out all our knives and scissors and locked them in a cabinet.  He gets ideas and they become compulsive.  like with the knives, telling me ahead of time...he will try to do it.  it is a plan for him.  he always does what he says he is going to do.  I am taking him back to the Pdoc tomorrow, not sure what the answer is, but I'm sure we will need a mood stabilizer.  not sure what to do about the paxil..  it really took away all his depression and major anxiety, which were a huge relief for all of us.  Will the mood stablizer be able to take care of those symptoms as well as the mania?  or will he just need both?  sooo drained.  Any input would be much appreciated.  thanks all!

--

Donna ~ Wife and Mother of 2.
Matty (5 1/2) Kindergarten - Dx Mood D/O NOS and Anxiety, just diagnosed in April, Paxil 20mg
Sarah (4) Preschooler- typically developing, full of personality
DH very supportive of everything!
Long Island, New York

 Hugs Donna! 

It can take a long time to recover from med induced episodes.  Your best bet is to remove the Paxil all together.  Even with the added benefit of a first line mood stabilizer you will most likely have the same results.  You might want to inquire about Lamictal which is considered a first line mood stabilizer that works extremely well in treating depression.  The one thing you need to know is that Lamictal needs to be titrated very slowly, so it can take quite a long time to get it to a therapeutic level.  The titration schedule is mandatory in an effort to reduce the possibility of Steven's Johnson Syndrome - a very serious skin rash.  One usually begins with a dosage of 12.5 - 25 mg.  The therapeutic range is any where from 200 - 400 mg.  Our pdoc did a study on Lamictal and found that most of his patients were stabilizing at 300 mg., with 400 mg. being on the high end.

In the meantime, watch your son very carefully!   There a good possibility that have some pyschosis going on - namely auditory hallucinations.  You'll want to ask him point blank - "do you hear voices that other's do not?"  He maybe hearing command voices.  Remember, there is no predictability with a person suffering from psychosis.

Follow this link to the current expert recommended treatment guidelines from the Journal of the Academy of Child & Adolescent Psychiatry - http://www.bpkids.org/learn/library/treatment-guidelines-for-children-and-adolescents-with-bipolar-disorder. Many parents have found it helpful to print these guidelines and take them with them when they meet with their doctor to use as a reference guide when discussing treatment options for their child. We have found it imperative to follow these guidelines.

Let us know how your appointment goes! 

--

Jackie aka mom2one
Forums moderator, FRT
Mom to Mr. 18 (dx'd at age 4), Schizoaffective, bipolar subtype, Anxiety Disorder, PDD, Cognitive Disorder
Meds: Seroquel 1000 mg., Fanapt 24 mg., Lamictal 600 mg., Lithium 1250 mg., DDAVP, and Synthroid .150 mcg
Fish Oil and Vitamin D
IEP, Therapeutic School
Married to my best friend and rock for 21 years!

If CABF has helped you, please consider a donation! https://www.bpkids.org/donate?campaign=forums2010

 OK, not such a good Pdoc visit.  After having him tell me (for the 2nd time) that what my son really needs is a good spanking, then having hiim tell me he feels my son is ADHD, then him not recognizing the hypomania as a mood symptom, then finally agreeing to give him a mood stabilizer, after much fighting from me, he wants to try zoloft at the same time??  I was so annoyed.  How would he know what was doing what if we start two new meds at once?  he agreed to take him off zoloft and start neurontin.  but i am not going back to him so now i am hesitant to start the med without a good doctor overseeing it.  Now i have to start the search for the new Pdoc.  which is daunting.  i either go thru insurance or pay $200 session.  im done with this guy.  sorry for ranting.  just dreading the thought of starting over. 

--

Donna ~ Wife and Mother of 2.
Matty (5 1/2) Kindergarten - Dx Mood D/O NOS and Anxiety, just diagnosed in April, Paxil 20mg
Sarah (4) Preschooler- typically developing, full of personality
DH very supportive of everything!
Long Island, New York

 Hi Donna,

Hugs, I'm so sorry your appointment went so poorly!  I hate to tell you this, but Neurontin is not a recommended first line mood stabilizer.  In fact, studies have shown that it is no better than a placebo with bipolar disorder.  Neurontin and Zoloft aren't even recommended for the treatment of ADHD. 

You should read this article - Bipolar Disorder, Co-occuring Conditions and The Need For Extreme Caution Before Initiating Drug Treatment.

I totally agree that you need to find someone who can properly diagnosis and treat your little guy!  We went through 3 psychiatrist's before we found ours.  So I know how hard it is to start all over.  I know several people in NY who travel to Manhattan to the Lucio Bini Mood Disorder Center to see Dr. Gianni Feadda.  He has been a total Godsend to the families I know that see him and he connects really well with young kiddos.  Most importantly, he knows how to successfully treat bipolar disorder!  Nanci Austin who is a psychologist there is also highly recommended.  Several years ago I heard her speak with Dr. Papolos (author of The Bipolar Child) and she was dead on and offered really good advice.  Here's a link to the clinic - Lucio Bini Mood Disorder Center.  It's not unusual for families to travel hours just to find the right treatment. 

Who in the world recommends spanking a child in this day and age?!!!!

--

Jackie aka mom2one
Forums moderator, FRT
Mom to Mr. 18 (dx'd at age 4), Schizoaffective, bipolar subtype, Anxiety Disorder, PDD, Cognitive Disorder
Meds: Seroquel 1000 mg., Fanapt 24 mg., Lamictal 600 mg., Lithium 1250 mg., DDAVP, and Synthroid .150 mcg
Fish Oil and Vitamin D
IEP, Therapeutic School
Married to my best friend and rock for 21 years!

If CABF has helped you, please consider a donation! https://www.bpkids.org/donate?campaign=forums2010

If he is manic from Paxil, there's every reason to believe he will continue to be manic on Zoloft.  I have heard a few people report good results with Neurontin, but for the majority of people it is not effective as a MS.  Therefore I think what your ds needs is a real, tried and true MS.  Best of luck to you finding a new pdoc.  The comment about ds just needing a good spanking would have sent me for the door!

--

Brenda,50, CABF Parent to Parent Volunteer
Mom to A, 16, BP, Tourette's, OCD, ADHD: Eskalith CR, Trilafon, Lamictal, Seroquel, Cytomel
E, 14, BP,AS, hypothyroidism: Seroquel, Eskalith CR, levothyroxin, inositol
B, 13 & H, 10
Married 17 years to DH, 49

If CABF has helped you, please help CABF. Donate today. http://www.bpkids.org/donate?campaign=forums2010

FROM CABF: Do not start, stop, or change medications or other treatments for yourself or your child based on what you read on this Website or elsewhere on the Internet. Information presented here should not replace the considered judgement of a doctor who knows you or your child.

 Thanks for all the support!  I reallly needed it.  I emailed New York University (where he was thoroughly evaluated and tested on two full day appointments with a psychiatrist and neuropsychologist, and ultimately dx with mood disorder) and we are going back there for treatment.  They are out of network, so we have to pay full fee, but hopefully will be reimbursed.  it's a long trip, but it is worth it to have drs that are familiar with him at length.  They said to first stabalize him and then he can be changed to a fellow in the clinic that this doctor oversees.  It honestly is a relief to know he will be treated by competent doctors.  Even though the cost and travel will be a burden, it will be worth it.  I'll keep you all posted.  I have to call tomorrow to make an appointment.  (BTW, I emailed the psychologist from NYU on sat...and she responded immediately, then consulted with the dr.  and formulated this plan for me before the weekend was out!)  amazing.  They were great there from the beginning.  we were hoping to find a competent dr. close to home, guess we should have stuck with them from the begininning.  Thanks again. 

--

Donna ~ Wife and Mother of 2.
Matty (5 1/2) Kindergarten - Dx Mood D/O NOS and Anxiety, just diagnosed in April, Paxil 20mg
Sarah (4) Preschooler- typically developing, full of personality
DH very supportive of everything!
Long Island, New York

That is great news, I know it takes a load off your shoulders just knowing that help is on the way.

--

Brenda,50, CABF Parent to Parent Volunteer
Mom to A, 16, BP, Tourette's, OCD, ADHD: Eskalith CR, Trilafon, Lamictal, Seroquel, Cytomel
E, 14, BP,AS, hypothyroidism: Seroquel, Eskalith CR, levothyroxin, inositol
B, 13 & H, 10
Married 17 years to DH, 49

If CABF has helped you, please help CABF. Donate today. http://www.bpkids.org/donate?campaign=forums2010

FROM CABF: Do not start, stop, or change medications or other treatments for yourself or your child based on what you read on this Website or elsewhere on the Internet. Information presented here should not replace the considered judgement of a doctor who knows you or your child.

 Hi all!  We had our appointment with NYU today and all went really well.  What a relief it is to be in such qualified hands!!  The Pdoc wants to start with Abilify 2mg and see how he does, increasing as needed.  Soooo we start tomorrow!  Anyone with success with abilify??

--

Donna ~ Wife and Mother of 2.
Matty (5 1/2) Kindergarten - Dx Mood D/O NOS and Anxiety, just diagnosed in April, Paxil 20mg  (total disaster!), now Abilify 2mg
Sarah (4) Preschooler- typically developing, full of personality
DH very supportive of everything!
Long Island, New York

Hi Donna,

I just read through this whole post.  I am so sorry that you have been through so much with your son.  And even more upset that a board certified psychiatrist actually recommended that you spank your child!!!!!  That is absurd.  If you get a chance I would actually consider reporting him as no psychiatrist should be recommending corporal punishment given what we know about  how effective it is and what damage it can do to children.

I am not sure if the current doc is going to try to remove the Paxil.  I was told by our doctor that once a hypomanic episode is triggered with an AD the only possible thing to do is to remove it, otherwise the hypomania will remain even if a mood stabilizer is added.  This might be something you want to ask the NYU doctor about.

--

Jistac
Mother of 3 (21, 19, 16) with a variety of mental health issues. Been involved with using Empower as a treatment since 2003

 Hi Jistac,

Thank you for your reply.  Actually the old Pdoc took him off (very quickly) which I found out is why he had terrible stomach aches and severe irritability.  He took him off the paxil on a 3 day taper.  The current Pdoc said it normally takes a while, slowly tapering to avoid those horrible "discontinuation" side effects.  I am still considering whether or not to report him.  Honestly I have no idea how to?? lol. I am sure I can figure it out though!  We have been though a lot!  I really hope the abilify has a good effect.  we just started it this morning (fingers crossed!!!) 

--

Donna ~ Wife and Mother of 2.
Matty (5 1/2) Kindergarten - Dx Mood D/O NOS and Anxiety, just diagnosed in April, Abilify 2mg (tried Paxil 20mg total mess). 
Sarah (4) Preschooler- typically developing, full of personality
DH very supportive of everything!
Long Island, New York

you made a good call! what a great mom/ advocate. he is lucky to have you. so many people put up w/ substandard care....it's really sad. i am willing to bet the abilify helps! good luck 

--

JEN overly stressed
hubby, same

#1 DS, Age 9, 4th grade, preparing for therapuetic boarding school
BPI manic/mixed, ADHD, (some say mood disoder nos,anxiety,ODD, aspyish)
docs call him a "complicated case"
currently in cbat step down program (short term residential)
phosp 9/24/10-9/21/10
phosp 6/21/10-7/15/10
current RX: seroquel sa 50x 3 /100 bed time, lamictal 42.5 bed time (titrating up slowly)

MEDS TRIED: short acting stims, melatonin, zoloft (bad), concerta (worked great for a while but got very moody/manic? went ballistic going off of it) Depakote, Zyprexa, Abilify, risperidal-almost helped /lithium (good but hypothyroid), klonopin, clonidine, intuniv(activated)

#2 DS, 6 sensory issues, moody, no exec funtion issues!:) much easier to parent

If you want to report a doctor for practicing bad medicine, contact your state board of medicine, or whatever body governs the licensing of doctors.

--

Brenda,50, CABF Parent to Parent Volunteer
Mom to A, 16, BP, Tourette's, OCD, ADHD: Eskalith CR, Trilafon, Lamictal, Seroquel, Cytomel
E, 14, BP,AS, hypothyroidism: Seroquel, Eskalith CR, levothyroxin, inositol
B, 13 & H, 10
Married 17 years to DH, 49

If CABF has helped you, please help CABF. Donate today. http://www.bpkids.org/donate?campaign=forums2010

FROM CABF: Do not start, stop, or change medications or other treatments for yourself or your child based on what you read on this Website or elsewhere on the Internet. Information presented here should not replace the considered judgement of a doctor who knows you or your child.

 Jistac is right, this doctor needs to be reported!

--

Jackie aka mom2one
Forums moderator, FRT
Mom to Mr. 18 (dx'd at age 4), Schizoaffective, bipolar subtype, Anxiety Disorder, PDD, Cognitive Disorder
Meds: Seroquel 1000 mg., Fanapt 24 mg., Lamictal 600 mg., Lithium 1250 mg., DDAVP, and Synthroid .150 mcg
Fish Oil and Vitamin D
IEP, Therapeutic School
Married to my best friend and rock for 21 years!

If CABF has helped you, please consider a donation! https://www.bpkids.org/donate?campaign=forums2010