Posted by SLS on May 20, 2005, at 7:23:01
In reply to Re:Symptoms for Trileptal » stresser, posted by HappyGirl on May 20, 2005, at 0:31:03
> Hi:
> In my 'good' guess is that your daughter at 17, she has a lot going on in her mind, ... school work, peer-pressure, clothes-wearing, boy-friend and much more and plus, an added-problem, Bipolar.
>
> Has she been on any sorts of therapy, or counselling to get through all of this? Most of cases, those with newly dx'ed Bipolar need definitely some sort of 'counselling.' Because, talking 'inner' pressure, ... 'stress' does NOT resolve on medications-therapy alone. As we all knows, 'Stress' is #1 enemy once coming to M.I. I got a VERY good one in the beginning and recalling that the lady with a good knowledge of M.I. helped me tremendously, although I was in my early 20's, then. Because, talk with the close members is NOT enough. Needs a professional help. At least this was my view through the experience.
>
> Lastly, ... if her 'intense' irritability keeps on, then you need to call her pdoc. to get 'further' evaluation. Most likely, she may need another form of med. In my case, Zyprexa is a good answer for this, ... but if you're worrying about weight issue, then other similar A.Ps., Geodon or Abilify might be a good choice. But, this is just my 'personal' view. You need to talk to her pdoc., if she doesn't show 'any'improvement next few more days.
> H.G.
I agree that a thorough evaluation should be performed by a psychiatrist to look for things like MDD (major depressive disorder), bipolar disorder, and BPD (borderline personality disorder), and even AD/HD (attention disorder/hyperactivity disorder). If these things can be ruled-out, then psychotherapy might be the best choice. For BPD and conduct disorders, Tegretol and Trileptal and Zyprexa seem to work well. I would go with the Trileptal first, though. It eliminates the need for the frequent blood tests that the use of Tegretol requires. It also avoids the potential for weight-gain and diabetes that Zyprexa carries.Even if medication is warranted because a true psychiatric disorder is present, psychotherapy would still be a good idea, especially with a borderliner, for which specialists are available. They sometimes require a form of therapy known as DBT (dialectical behavioral therapy).
- Scott
poster:SLS
thread:498764
URL: http://www.dr-bob.org/babble/20050516/msgs/500271.html