Discussions that mention prozac

Family & Friends of the Mentally Ill board


Perish the thought of no chips:eek: . my husband misses my son so much. they would go to movies together and were becoming closer in the last couple of months. But still my son would not confide in him about his feelings.he did tell me today that the doc took him off prozac and put him on zoloft which is another antidepressant. they so far, are not going the bipolar route with him..He did tell me that their are people with bp in there .any suggestions on what i should do? should i just leave it as it is and let him deal with his pdoc and therapists? he is going to alot of meetings on insanity, depression, anxiety and all kinds of mental illnesses. If he is bp woudnt he recognize his symptons in there if he was learning about the disease? I am happy with the tone of his voice, but i hear alot of him feeling that he is not worthy of us and our love for him. I just am not sure what to do..
Hi, everyone,
I am new to this board but I hope that I will be able to be a regular, time permitting. My story is that I am 52 female, adopted mother of 2 teenagers ( siblings, 16 yo daughter and 17 year old son). Adopted them in 1991, married to hubby in 1995, August 2006 hubby moved out saying he could not stand the way the kids treated him anymore.
Son and hubby had been having probs for about 2 years, son was sent to military boarding school last year for 1 semester to try to give him more support and structure (and discipline) and get the two fellas away from each other for awhile.
After the separation all hell broke loose, son and daughter both confused, angry, oppositional, depressed, etc (me, too). Son now diagnosed with Bipolar and taking Depakote ER ( and its working nicely). Daughter had medical problems which resulted in her being removed from her private school and now is being homeschooled ( which she really does not like but it doing ok at it). We are working on her medical issues but the reduced stress in her life seems to be resolving most of them ( she now lives with my mom only 8 blocks away ...moved her to protect her from the physical aggression of her brother, give her the 1:1 attention that my mother can give her, and give her a brake from me and bro)...She is on meds but I think she also needs a mood stabilizer and will be taking her to dr soon..she is already on Prozac but it does not address her "rage/meltdowns" that occur whenever she is frustrated and stressed.
WE are all in therapy and it seems to be helping. Dad visits about 2x a month. He withholds his attention when he feels they are misbehaving so we have decided not to tell him things that aren't major in size. No, he did not adopt the kids but he is the only dad they know.
I joined this board bcz I need a place to share my concerns and to talk to others who share this road of raising bipolar teenagers with me.
thanks for listening.
feel free to comment or make suggestions, I am not thin skinned...
Christina, thank you too for your words of wisdom. I too am learning that this is an ongoing process. Thank you for your compliment. Most days I dont feel awesome :) just tired and stressed. But there are moments when I do feel like I do see the light at the end of the tunnel. I just keeping walking towards the light :) Today the kids are going to group therapy. It usually meets on Sat but this week its Sunday. Its a workshop called Coping with Emotions and surprisingly neither kid gives me a hard time about going. Then I will take dau to store to buy some makeup and then get home before the Northeaster hits here.

Further info:
dau is 16 and has rage/meltdowns about 1x a month. She is currently on Prozac bcz we thought she was depressed (irritable, withdrawing from activities, sleeping a lot, feeling "bummed" out) but here we are 6 months later and she still has the rage/meltdowns. She nearly had one yesterday after visiting with dad but I talked to them and dad and we diffused it ( she was mad she did not get to pick the movie or restaurant and she did not get as many new clothes as did brother). I soothed her ruffled feathers with some reality talk about getting what we need not what we want, dad's promise that next time she would get her stuff, and teasing her about being daddy's "baby" and needing love and attention from him ( he hugged and kissed her ) and she smiled and felt better.
But when she is in a rage she is awful: cursing at me mostly, angry, frustrated, stressed, UGH!. Its really ugly to watch. But I usually just sit and let her vent it all and then insist she calm down before I do anything that she asks. So as soon as I can get her to the pdoc I hope to put her on something for her mood and off the prozac. Also she has a mouth like a truck driver and knows how to use it. She incites conflict with her brother by pushing his buttons by being verbally abusive calling him the meanest names you could think of and then plays the victim when he cant take it anymore and hits/shoves her. They are both working on this pattern of behavior in therapy and I am learning to nip it in the bud before it escalates into horseplay or aggressiveness. Something for her mood would certainly help her inactions with him. For the moment she is living with my mom to keep the 2 of them apart unless supervised. She did stay over 2 nights this week as I was on vacation and they did well. Nothing physical between them...just some light level name calling.
Both the children do not have major manic episodes or severe mood swings. I have seen those in action and they dont apply here...thats why I didnt think they were bipolar...maybe its another diagnosis...I dont care at the moment...just want everyone stable enough to handle life's daily stresses and enjoy being a teenager. Gotta run to group therapy. Have a good day everyone.
I have never posted before but have recently found this thread and have already learned so much from your experiences. My 13 year old son, Drew began having problems a little over a year ago. After describing his symptoms to a therapist we were advised to take him to a pdoc. Initially he was diagnosed with depression and given prozac. After the initial 6 weeks we did see some improvements. A few months later things took a turn for the worse with self-injurious behavior, suicidal ideation and attempts, and intrusive thoughts. At this time the pdoc dxed him with a tic disorder and he was started on a low dose of abilfy. The above behaviors continued as well as drug use. Lamictal was added and we finally saw some improvements when he was increased to 100mg. Unfortunately the improvement lasted only a week. He began having some medical problems (asthma?) and we visited his pediatrician. The pediatrician was not comfortable with the diagnosis or the combination of medications and advised us to see a new pdoc. The new pdoc has not yet given us a dx but has increased the lamictal steadily. We continue to see improvements after a few days each time he is increased but they do not hold. He has been on 200mg now for about 10 days and so far so good.

Although my son has not been diagnosed with BP he sounds a lot like some of your kids. He is very bright and is in all gifted education classes, is a terrific athlete and has a passion for music. He is sensitive and empathetic. As a child he was extremely energetic, impulsive and needed little sleep.

The past year has been a roller coaster. I have experienced the denial and grief of having a child suffer fom a possibly permanent medical condition. My husband is extremely supportive but it has definately impacted our marrage and social life. We are seldom ever to make plans in advance because we are never sure we can leave Drew. Worst of all is seeing the pain this has caused my son.

Sorry for the length of the post but I needed to tell our story. Thank you for all your support and everything I have learned from your posts. Please let me know if I have done anything incorrectly as I new to posting.
Hi, Lor:wave: I just wanted to welcome you and are glad that you found us. It certainly sounds as if your situation as described is similar to what some of us here have experienced with our kids. You know that only a certified pdoc can diagnose Bipolar and since BP and ADD and other diagnoses share common characteristics it sometimes is difficult to diagnose a child/adolescent. Some things in your post stick out to me and I would like to comment on them.

[QUOTE=Lor60;2966628]Initially he was diagnosed with depression and given prozac. After the initial 6 weeks we did see some improvements. A few months later things took a turn for the worse with self-injurious behavior, suicidal ideation and attempts, and intrusive thoughts. This is what happened with my daughter....she initially presented with self injury which then worstened to anger and irritability with a suicide attempt. She was hospitalized and placed on Abilify when they were leaning towards a mood disorder. A pdoc who was following up with us was leaning more towards a depressive disorder and placed her on Celexa and weaned her off of the Abilify. Her symptoms only worstened and she was hospitalized a second time only a month after her first. They changed her to Zoloft and while increasing that she got worse and worse. Despite my growing concerns the pdoc continued to increase the Zoloft. She ended up shoplifting and being arrested, pulling a knife out the same night threatening to kill herself and then running into the dead of the night at 1am disappearing for a day. Again her behavior worstened and a few weeks later she had her second suicide attempt and a third hospitalization.

It was after she was discharged and appeared before a judge that she finally received the proper diagnosis and treatment. She was hospitalized a 4th time for 10 week (which was court mandated) and ended up on Risperdal and Lamictal. It was then that we finally saw some improvement. She developed a sensitivity to the Risperdal and was put on Seroquel instead.

Looking back on things we have learned that Erin had a drug induced hypomania which is typical of somebody who is Bipolar who is placed on an anitdepressant without a mood stabilizer in place. That only confirmed her diagnosis. So from what you describe of Drew it seems that he has demonstrated the same.

[QUOTE=Lor60;2966628]The above behaviors continued as well as drug use. Does Drew also have drug problems...did they start before or after his depression??? Often kids with BP self medicate with drugs/alcohol and if bad enough will have a dual diagnosis of Alcohol/Drug Addictions along with the BP. How extensive is your son's drug use??? Often with proper treatment of the BP the need to seek out drugs and/or alcohol diminishes once the proper meds are in place. But if not then it i imperative that both issues are addressed and treated.

[QUOTE=Lor60;2966628]Lamictal was added and we finally saw some improvements when he was increased to 100mg. Unfortunately the improvement lasted only a week......We continue to see improvements after a few days each time he is increased but they do not hold. He has been on 200mg now for about 10 days and so far so good. This is a common finding with Lamictal...each time there is an increase there will be some improvement which diminishes around the time another increase is needed. You will know that you are at the right dose once you see a consistent improvement that doesn't warrant an increase. Usually 200mgs is the therapeutic dose but some kids require more and some less. Overall it is a GREAT med and seems to have helped my daughter out quite a bit. I still feel that she needs an increase and we are discussing that with our pdoc during our next visit.

[QUOTE=Lor60;2966628]He is very bright and is in all gifted education classes, is a terrific athlete and has a passion for music. He is sensitive and empathetic. As a child he was extremely energetic, impulsive and needed little sleep.

The past year has been a [COLOR="Red"]roller coaster. I have experienced the [COLOR="red"]denial and grief of having a child suffer fom a possibly permanent medical condition. My husband is extremely supportive but [COLOR="red"]it has definitely impacted our marriage and social life. We are seldom ever to make plans in advance because we are never sure we can leave Drew. Worst of all is seeing the pain this has caused my son. There is a remarkable similarity in what you say here....these exact same words are often used by those of us who have Bipolar kids. Looking for the "light at the end of the tunnel" is also a BIGGIE;)

I am glad that you are here....this isn't easy and this forum has been my soft place to fall since I was in your two shoes wondering what it was that was happening to Erin and finally feeling the relief when we finally identified it and the treatment necessary in order to reach stability so that she and our family could return to a fairly "normal" life. It isn't an easy journey but it sure is easier when you have others who are going through the same thing to hold your hand and help you through.

So take a hold of my hand and know that you are not alone. Until you figure all of this out feel free to ask anything you may have concerns about and we will do our best to help you out.

Also...what happens to Drew when you give him the steroids for his Asthma??? In a child who is Bipolar it may trigger a mania without a mood stabilizer in place. That is something that I would definitely keep an eye out for.

((((HUGS))))) ~ Goody:angel: :wave:
First of all I want to thank everyone for their replies and words of encouragement. It really helps to know that there are people who have been through what you are going through and understand.

As to Drew's dx., After the initial trial with the prozac the pdoc dxed Drew with a tic disorder or Tourettes. He specialized in this. I did a lot of research on this and found out that 60% of the people who have this also have other associated dx including OCD, mood disorders and ADHD. They call this Tourettes Plus. The pdoc felt that Drew's depression, and intrusive thoughts were part of this. Drew also met a lot of the criteria for ADHD when he was younger. The only problem with this dx was that we were not seeing any of the motor or verbal tics(he does have the shakey leg mentioned in some earlier posts). When we questioned the first pdoc about this he said that it may actually be BP but he doesn't like to give that dx at such a young age. We have only seen the new pdoc twice and always with Drew so I haven't asked yet. I may call after the next appointment.

As to the drug use. I really believe it was self medication. Drew was trying anything alieve, advil, pot, pills, St John's Wort and alcohol. He was mostly doing this alone and has not done anything for at least 6 weeks. He has always been a risk taking, impulsive type of kid so I'm not sure we are out of the woods with this yet.

Until this year the asthma is mild and was always associated with an upper respiratory infection. This year he has had more episodes, maybe anxiety related. So far he has only been treated with a nonsteroidal inhaler, but thanks for the information about steroids.

Jules,we live in a small town on the west coast of Florida.

Goody, that must have been so hard to hospitalize Erin. We did actually make it to the hospital parking lot one night but just couldn't bring Drew in.

Thanks for all the welcome and support. I hope everyone had a restful and relatively calm weekend.
Goody- I am so sorry about how things are going with your brother. He sounds like a very special person. I know that you are a comfort to him and his family, and that this is an extremely difficult time for you. You are in my thoughts and prayers.

I am still working on trying to get a more specific dx for Drew. Since this has started we have been given dx of Major Depression, Tourettes Disorder, BP, OCD, Mood Disorder, and ADHD. He definately does not meet the criteria for Tourettes so I think that one is out. I spoke to the tdoc and the pdoc's nurse and they are both using mood disorder as the current dx. From what I have read mood disorder includes Depression or Bipolar. We defiantely see the depression. Drew was always a high energy hyper kid but the raging and out of control behavior is newer. This combined with the meds he is on (which finally seem to be working) lead me to the BP dx. I know the docs here don't like to label kids with BP at his age so maybe that is why they are using mood disorder. It is all so confusing but at least he is doing better.

One thing I would like to get some input on is this: Drew has always been extremely athletic. He is a naturally gifted athlete but what really sets him apart on the feild is his intensity. This has really increased over the past year and a half. Although he is small for his age, he will go up against much bigger players and sometimes it is almost scary to watch. He has had several injuries this year including three broken bones. I worry constantly about him getting hurt, but sports are such a big part of his life. The practices and training he does really seem to help him stay more in control. The only time when we saw less intensity was the brief period he was on prozac.

School is almost over and I am concerned about the summer. Drew's team will be training four evenings a week for most of the summer and he has agreed to restart his music lessons but other than that he has not ageed to anything else I have suggested. In the past he has attended day sailing and other sports camps but this year he has no intrest. His youger sister will be going to an out of state camp but I won't send him away until he is a little more stable. Hopefully, this will be enough.

Hope everyone is having a calm and uneventful day.