Posted by SLS on June 29, 2013, at 11:18:20
In reply to Re: 14yo daughter - bi-polar, not MDD - new info HELP » SLS, posted by laurah952 on June 29, 2013, at 10:27:34
It is not enough to state a fact and give an opinion based on that fact. One must place a fact in context with other facts and review the opinions that take those facts into consideration. Of course, this is a dynamic process that produces refinements over the course of an evolution of gathered facts, theories, and understandings.
As I mentioned in a previous post, there is certainly some concern as to what effects antidepressants can have on a maturing brain. This remains largely unknown. If I had a child with bipolar disorder, I would opt to try psychotherapy first, followed by lithium and anticonvulsant mood stabilizers. I would then consider the need for neuroleptic antipsychotics and antidepressants. It often comes down to evaluating risk/cost versus benefit. Ideally, one would want to be treated by a pediatric psychiatrist.
Just a few alternatives:
1. Lithium
2. Depakote
3. Trileptal
4. Topamax1. Seroquel
2. Abilify
3. Risperdal
4. Latuda1. Wellbutrin
2. Effexor / Pristiq
3. Zoloft
4. ParnatePersonally, I would not deny a child an antidepressant or antipsychotic if it would keep them alive and thriving. Close monitoring during the first 4 - 6 weeks should effectively screen for a negative reaction to the drugs being trialed.
If ADHD is present, perhaps using a mood stabilizer and stimulant would be considered.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1045977
URL: http://www.dr-bob.org/babble/20130617/msgs/1046066.html