Have Mental Health Questions? Ask a Psychiatrist Online
Hello how are you today.
is this your daughter who is in the psych ward?
no my son - 5 weeks in hospital
I am sorry about that
what were his symptoms?
and hoe many mg of abilify was he given?
well his symptoms were legitimately psychosis when admitted. but they gave him risperidone anda fter 6 days he was not delusional or paraoid. they took him off everythign and he was not delusoinal or paranoid. but they had also taken him off ADHD meds and he has NVLD
he is now on 30 mig
He was probably misdiagnosed with ADHD
What medication is he on right now?
what is NVLD
symptoms remaining when not on any meds: thought he was on a spaceship, doesn't know what a car is but can name them, hyperactivity, hyspersensitivity to noise. so couldn't it just be confusion?
he is on the 30 mg of abilify
no it sounds like psychosis
is he seeing a therapist?
nonverbal learning disorder. studies show that people with right brain dysfunction - when they hear stories and one thing is out of place, they will fix the story to make it fit in making highly implausible construction. could that be part of it?
Yes I think that is possible.
he was diagnosed with ADHD 4 years ago and was on adderall xr for 4 years, then was taken of it when he went into hospital
How did he do on adderal?
a therapist is on the team but they don't talk to him
they don't talk to him?
He needs therapy
the adderall was working less and less and I think when they took him off it in hospital that the adhd symptoms came roaring back
they say he is not an accurate reporter.
yes your son has more than one disorder
I would think that he has depression and ADHD
Did he have any symptoms of mania?
since adhd has low dopamine, adn then you add abilify that decreases dopamine wouldn't that cuase greater confusion adn out of touch with reality more?
he is jumping up and down excitedly and has mood lability. he has been crying everyday for the lst 4 weeks due to homesickness
Abilify blocks dopamine but that makes more of it available.
on the blood
I imagine that you son has psychotic depression.
so if he already has low dopamine (with ADHD) would he be adversely affected by abilify?
Yes but abilify is supposed to raise dopamine
but he may had a negative reaction to it
the problem is abilify and other drugs are not tested on teens and can make them more depressed
psychotic depression is a depression that when the person is very depressed can become psychotic
I still don't undertand why it wouldn't e adhd with hyperactivity, confusion,
he has been called a lot of things(!) but neer depressed per se
I think ADHD does not have any psychotic features
depression has a later onset
many children with learning disabilities
High school is a difficult place
I work with teens who have learning disabilities
but if you are confused and you wake up out of a psychotic staee after the meds have worked and you don't have adhd meds, couldn't your mind try to explain it by thinking you are on a spaceship (locked doors, people watching you, giving you meds, having badges to open doors)
That is possible especially if you are very depressed about being there
if the confusion and subsequent construction that he was on a spaceship was caused by NVLD - what now?
It may be a coping mechanism for him.
He will be given therapy and medication
is there any explanatin other than psychosis, because he is not getting better on abilify?
they will teach him to cope with his anxiety and relax
Yes it is most likely depression with psychotic features caused by abilify.
Abilify is a mood stabilizer but sometimes teens have a bad reaction to it they become depressed on it
they will only let us see him 6 hours a week, prisoners gt 16 horus a week. wouldn't that exacerbate his stress and cause more problems? especially if he was with him mom most of the time prior? i.e. not many friends
because the meds are not tested on kids
I am sorry I know the psych word is terrible for children
When do they not let you see him more?
they will try different meds but therapy will also help
when they decide which househld he willlive in when he expected to get out at christmas
What do you mean what household?
mine or his dads
He will be in a program?
oh ok I understand
so abilify could cause psychotic symptoms? if paradoxical?
most drugs can cause paradoxical symptoms in children
because they are tested on adults
I hope you also receive family therapist
so he has been in for 5 weeks, the abilify is not working, and they want him out in 4 weeks? what can I do if he doesn't really have psychosis?
i wish they would give him therapy
Well you can ask the doctor what does he think his diagnosis is
also you will need family and individual therapy
where do you live?
Does he have a psychiatirst?
they said psychosis, and don't talk to me about adhd, and yes I saw a therapist a few times
Does your son has a therapist in the community?
i think i have no recoaurse but to ask for an explanation of why they insist it is psychosis, why they are continuing abilify, file a complaint with the hospital...
yes the psychiatrist switches every 2 weeks - the current one is the medical director of hte whole place.
he has a therapist but can't see her because he involuntrily admitted
What hopital is he at?
seattle childrens hopsital
You can call his therapist and tell her about the problems he is having
She will communicate with the hospital doctor
I am not sure about Seattle
ok. will i be able to keep a copy of this transcript so I can look at your answers more closely?
I work in Santa Cruz. Our system lets the therapist see a client in the hospital
yes I will log off and it will appear