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Should she be off psychostims and cortisol levels

Posted by Cairo on July 14, 2004, at 8:41:32

My teen daughter has dysthymia, anxiety, social phobia, ADHD and Fibromyalgia. All psychostims cause social withdrawal in her, Lexapro has helped mood and anxiety some and we'll be adding Seroquel in a couple of days to see if that helps. My question is whether Concerta helps or hurts. During the summer, she's been off Concerta due to the social withdrawal side effect, but the "I'm bored" factor is really becoming a problem (no friends to keep her busy and I have my own issues that make it difficult for me to constantly keep her amused).

Can psychostims worsen an already stressed young lady or is withholding it causing more problems? She developed depression on Strattera (thanks to one poster for his theory of why this might be so)? I'm confused as the to extent that ADHD is causing attentional and boredom problems or whether these are fueled by depression. We've received conflicting advice about the utility of salivary cortisol levels, one doctor telling us we don't need them, another telling us it might be useful to see if they are high or low (especially the 11pm). Any thoughts on this?

Would it make sense to hold off on the Concerta until we see what Seroquel can do for her? Or could the psychostims be making her condition worse if she has overstimulation of the stress system? Her short term memory has deteriorated lately, too.

Thanks for any input. I'm confused and tired and need some help. Everyone here has been great.





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