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Hello, I'm a man in my 30's and I've noticed that I go through life that some people seem to be feel that they deserve special respect/treatment. They may have a more prestigious job than you, think they have more money than you. Or they may live their lives differently in one or a thousand ways. Because of this, insulted me because they didn't think I had enough money to attend a private university. I've always been told by someone that I wasn't equal to them and I've even been referred to as a peon. How do you handle criticism from someone who acts like they're better than you or tells you that you aren't their equal?
Dr. Kaushik, Psychiatrist: Hello Doctor, What can I do for my 9 year old child who has been diagnosed with a clear Disruptive Mood Dysregulation disorder (DMDD) DSM-5 - 2013 She has recurrent temper outbursts manifested verbally such as verbal rages and behaviorally with physical aggression toward people that are grossly out of proportion in intensity or duration to the situation or provocation. They happen 3-5 times a day every day and are observable by parents, teachers, friends and family. This has been going on for 4-5 years. I have had to hospitalize her twice. She completely gets in her own way in this world. She has had numerous therapies with and without peers to learn coping skills and social cues and boundries and dealing with anger and being impulsive. She explains it as being a person who is triggered by numerous things and feeling like a rocketship that does not have enough space between to stop think and utilize coping skills. Its just like blast off. My voice and tone and our dogs licking and all rules and request set this kid off. She is totally defiant but completely remorseful after all the bad behaviors. She says she just can't control these episodes and sensitivity to triggers. We tried: prozac made her very depressed and wanting to jump out of her own skin and not be around. paxil risperdone geodon eyes rolled up in her head and lots of tics ritilan ok but became more explosive as it comes out of her concerta daytranna tenex no improvement saphris no improvement trileptal no improvement abilify She has only been able to tolerate Abilify at 4mg which helps her about 35%. Without any medicine she is 100% out of control and in a rotten bad mood all the time. With Abilify she has some good nice sweet moments and can function somewhat. When we increase Abilify over 4mg she gets worse. When we decrease she gets worse. The 4mg is not doing the trick to make her a balanced liked person in this world. Very frustrated kid with no friends. She has obvious inattentiveness and some OCD components as well. I took her to a special clinic out of state that suggested trying her on Lexapro to see if that reduces this imbalance. Getting her off Abilify slowly. They said to me it is actually FDA approved for kids as young as 9. Is that true? The back up plan is that if Lexapro does not help to go to Lamicatal alone. Please share your thoughts on this situation and the suggested meds. It is impossible for this kid to function. Please help...