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Found 4 results

  1. Mods feel free to move this if there's already a similar topic. I was wondering if anyone on here is trying to withdraw whilst trying to parent very small (under 10) children. I'm looking for a thread to share tips, advice, and empathy. Feel free to check out my intro thread for information on me. Thanks! Let's do this thing. =)
  2. Kids on Antipsychotics

    Dateline NBC did a segment on this topic and pretty much concluded that kids on powerful psych meds was not good. Nice of them to say so, but it was worth watching and the link will show you some of it.
  3. http://www.ncbi.nlm.nih.gov/pubmed/25470092# J Clin Psychiatry. 2014 Nov;75(11):e1278-83. doi: 10.4088/JCP.14m09046. Correlates of incident bipolar disorder in children and adolescents diagnosed with attention-deficit/hyperactivitydisorder. Jerrell JM1, McIntyre RS, Park YM. Author information AbstractBACKGROUND:The greater severity and chronicity of illness in youths with co-occurring attention-deficit/hyperactivity disorder (ADHD) and bipolar disorder deserve further investigation as to the risk imparted by comorbid conditions and the pharmacotherapies employed. METHOD:A retrospective cohort design was employed, using South Carolina's Medicaid claims dataset covering outpatient and inpatient medical and psychiatric service claims with International Classification of Diseases, Ninth Revision, Clinical Modification diagnoses and medication prescriptions between January 1996 and December 2006 for patients ≤ 17 years of age. RESULTS:The cohort included 22,797 cases diagnosed with ADHD at a mean age of 7.8 years; 1,604 (7.0%) were diagnosed with bipolar disorderat a mean age of 12.2 years. The bipolar disorder group developed conduct disorder (CD)/oppositional defiant disorder (ODD), anxiety disorder, and a substance use disorder later than the ADHD-only group. The odds of a child with ADHD developing bipolar disorder were significantly and positively associated with a comorbid diagnosis of CD/ODD (adjusted odds ratio [aOR] = 4.01), anxiety disorder (aOR = 2.39), or substance use disorder (aOR = 1.88); longer treatment with methylphenidate, mixed amphetamine salts, or atomoxetine (aOR = 1.01); not being African American (aOR = 1.61); and being treated with certain antidepressant medications, most notably fluoxetine (aOR = 2.00), sertraline (aOR = 2.29), bupropion (aOR = 2.22), trazodone (aOR = 2.15), or venlafaxine (aOR = J Clin Psychiatry. 2014 Nov;75(11):e1278-83. doi: 10.4088/JCP.14m09046. Correlates of incident bipolar disorder in children and adolescents diagnosed with attention-deficit/hyperactivitydisorder. Jerrell JM1, McIntyre RS, Park YM. Author information AbstractBACKGROUND:The greater severity and chronicity of illness in youths with co-occurring attention-deficit/hyperactivity disorder (ADHD) and bipolar disorder deserve further investigation as to the risk imparted by comorbid conditions and the pharmacotherapies employed. METHOD:A retrospective cohort design was employed, using South Carolina's Medicaid claims dataset covering outpatient and inpatient medical and psychiatric service claims with International Classification of Diseases, Ninth Revision, Clinical Modification diagnoses and medication prescriptions between January 1996 and December 2006 for patients ≤ 17 years of age. RESULTS:The cohort included 22,797 cases diagnosed with ADHD at a mean age of 7.8 years; 1,604 (7.0%) were diagnosed with bipolar disorderat a mean age of 12.2 years. The bipolar disorder group developed conduct disorder (CD)/oppositional defiant disorder (ODD), anxiety disorder, and a substance use disorder later than the ADHD-only group. The odds of a child with ADHD developing bipolar disorder were significantly and positively associated with a comorbid diagnosis of CD/ODD (adjusted odds ratio [aOR] = 4.01), anxiety disorder (aOR = 2.39), or substance use disorder (aOR = 1.88); longer treatment with methylphenidate, mixed amphetamine salts, or atomoxetine (aOR = 1.01); not being African American (aOR = 1.61); and being treated with certain antidepressant medications, most notably fluoxetine (aOR = 2.00), sertraline (aOR = 2.29), bupropion (aOR = 2.22), trazodone (aOR = 2.15), or venlafaxine (aOR = 2.37) prior to the first diagnosis of mania. Venlafaxine carries the day! Huzzah! CONCLUSIONS: Controlling for pharmacotherapy differences, incident bipolar disorder was more likely in individuals clustering specific patterns of comorbid psychiatric disorders, suggesting that there are different pathways to bipolarity and providing a clinical impetus for prioritizing prevention and preemptive strategies to reduce their hazardous influence. But the drug classes correlate with the disorders--you can't really control for them (calculate their effects away) - WC
  4. I was torn as to putting this in neuro-emotion v family forums. It is neuro-emotion related but totally triggered by the fact that it pertains to family so family trumps. Please move if it would fit better elsewhere. I have the most amazing children, both boys, aged 20 and 16 respectively. This past week my partner caught our youngest smoking pot. Here I am busting my hump to take my medications away, trying to end addictions, and he decides that he wants to get high. Bottom line is that there is nothing I can do to stop him. We've talked, he knows where I stand, we have established boundaries, and he understands that I am never going to give him "permission" to use mood-altering substances especially when they are illegal.That said, we both know that he is going to use. I love him to pieces and I "know" we will get thru this but for now I do not know how to find peace with this. I am all kinds of emotions, to all kinds of extremes. I want to be able to make decisions and take actions. I do not want him to be on the receiving end of neuro-emotional reactions. I have some general questions and welcome any additional experiences/advice. The emotions may be neuro but it is the fact this it is my son that is pushing things over the edge. How do you know when an emotion, tho appropriate, has crossed into "neuro" land? What techniques have you used when you "know" its "neuro" but can't seem to shut up? Do I dare continue my taper knowing that I am likely to have w/d mood swings? What do I do when my brain tells me to go back on (and/or increase) all my meds for the emotional blunting? I swear every time I think that I am in a place to take another tapering step my family pops up with something to make it difficult. I want to begin my taper from Wellbutrin. It seems like there is never a good time to begin/continue tapering.
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