Mental Health

Have Mental Health Questions? Ask a Psychiatrist Online

Ask an Expert,
Get an Answer ASAP!

Mental Health
This answer was rated:

My son had his first manic episode last Fri, March 26 and

was hospitalized in an emergency...
My son had his first manic episode last Fri, March 26 and was hospitalized in an emergency care center. The emergency doctor (who was a psychiatrist) prescribed the new drug saphris (10 mg. 2X day). He complains that after taking the medication he feels more hyped up, anxious, and extremely unfocused and unable to concentrate on one thing or make decisions. We were told this med. was supposed to have the opposite effect. After 4 hrs or so he finally calms and seems back to his normal self. Please advise- should we reduce the dosage? We have no doctor and have been looking all week to find one. We are desperate for an answer to this problem.
Show More
Show Less
Ask Your Own Mental Health Question
Answered in 10 hours by:
4/3/2010
Dr. Steve
Dr. Steve, Psychologist
Category: Mental Health
Satisfied Customers: 370
Experience: 19 years conducting therapy; book author; newspaper columnist; former co-host of radio show
Verified

Greetings:

Okay, if the problem continues to persist, return to the Emergency Room if you do not have a regular physician/psychiatrist. The therapist he is seeing is taking a conservative approach, but if the medication is exacerbating the issues, then it must be changed. The atypical anti-psychotics work rather quickly, as your son discovered.

Here are a couple of thoughts: (1) I don't know enough about your son, your history, or the symptoms that landed him in the ER (impossible to diagnose over the internet, of course), but I am wondering if he may have had a panic attack rather than a manic episode. Mania in kids doesn't tend to pop up out of nowhere at 17 without some behavioral manifestations earlier in life - plus, the acute nature (to send him to the ER) could be panic disorder - which is tripped by anxiety which is also tripped by serotonin dysregulation, which may have been irritated by the Saphris. Whew... that was a long sentence - sorry. and (2) It may be that he needs a mood stabilizer rather than the anti-psychotic. Either way, there are a lot of medications to choose from for bi-polarity. The science is not as exact with kids as with adults (the brain is still developing, thereby creating a moving target), so the physicians do the best they can in the short run.

My overall sage wisdom is to get a psychiatrist as quickly as you can, but I know you are doing that already. He needs somebody to follow him closely for awhile to gage the strength and selection for the meds to hit his exact metabolism and chemistry. In the meantime, use the ER if you have no better option.

If you are satisfied with the response, please hit "Accept." That is the only way I receive credit for my answer. Thanks-

Dr. Steve

Dr. Steve
Dr. Steve, Psychologist
Category: Mental Health
Satisfied Customers: 370
Experience: 19 years conducting therapy; book author; newspaper columnist; former co-host of radio show
Verified
Dr. Steve and 87 other Mental Health Specialists are ready to help you
Ask your own question now
Customer reply replied 7 years ago
We went back to the emergency room for a follow up visit becuase we heard the same doc was there. My son stopped taking his meds and seemed OK yesterday- actually pretty calm. He was a bit anxious today so we are going to try waiting until tonight to start him on Zyprexa. We were given the new RX yesterday and told to give only if symptoms reappeard. We also have RX for chloro- hydrate which should help him with anxiety (but we understand it is mostly for sleep). Is it OK to give him these 2 meds in one day? He was asking for it, then changed his mind but is having trouble focusing on his homework and sitting still or making any other decisions (not surprising with everything he has been through). We are trying to hold off if possible but would like to be able to use if it is not harmful. He has been taking it on/off for about a week but had combined it with saphiris which we did understand was safe. Many thanks.

Hello again:

I am glad to hear your son is doing better. Even if things are not great as of yet, moving in the right direction should give you some relief.

I have opted out of the question to allow one of our psychiatrists or psychopharmacologists to respond to your follow up. I am not familiar enough with Chloral hydrate (correct spelling) to give you a firm answer one way or another.

Best of luck to you-

Dr. Steve

Dr. Steve
Dr. Steve, Psychologist
Category: Mental Health
Satisfied Customers: 370
Experience: 19 years conducting therapy; book author; newspaper columnist; former co-host of radio show
Verified
Dr. Steve and 87 other Mental Health Specialists are ready to help you
Ask your own question now
Ask Dr. Steve Your Own Question
Dr. Steve
Dr. Steve
Dr. Steve, Psychologist
Category: Mental Health
Satisfied Customers: 370
370 Satisfied Customers
Experience: 19 years conducting therapy; book author; newspaper columnist; former co-host of radio show

Dr. Steve is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Dr. Keane

Dr. Keane

Therapist

1,379 satisfied customers

Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.

TherapistMarryAnn

TherapistMarryAnn

Therapist

3,984 satisfied customers

Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.

Dr. Olsen

Dr. Olsen

Psychologist

2,336 satisfied customers

PsyD Psychologist

Norman M.

Norman M.

Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA

2,246 satisfied customers

ADHP(NC), DEHP(NC), ECP, UKCP Registered.

Dr. Michael

Dr. Michael

Psychologist

2,177 satisfied customers

Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.

Steven Olsen

Steven Olsen

Therapist

1,728 satisfied customers

More than twenty years of expertise in counseling, psychological diagnosis and education

Anna

Anna

Mental Health Professional

1,656 satisfied customers

Licensed Clinical Social Worker with 29 years in addictions and mental health.

< Previous | Next >

Related Mental Health Questions
I have generalized anxiety disorder with panic attacks at
I have generalized anxiety disorder with panic attacks at times. For the most part I have improved a great deal through BCT and other lifestyle changes. I had it terrible after I quit smoking for abou… read more
Linda D.
Linda D.
Master\u0027s Degree
720 satisfied customers
I have a history of health anxiety and panic. I went to hear
Hi. I have a history of health anxiety and panic. I went to hear a band Saturday and smoked about 5 cigarettes. I never smoke! I am very health conscious with diet, running, etc. I did smoke a few in … read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
3,984 satisfied customers
I have been having severe panic attacks. I am currently
I have been having severe panic attacks. I am currently waiting to hear back from PA schools and I haven't slept in 5 days. what do i do. … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
717 satisfied customers
I have anxiety disorder and panic attacks. Lately when I get
I have anxiety disorder and panic attacks. Lately when I get worked up or irritated if I yell or feel anger I almost instantly get a dizzy feeling like I will faint or something. One of my biggest sym… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
3,984 satisfied customers
I have really bad panic attacks and cant control myself and
I have really bad panic attacks and cant control myself and i have really bad anxiety and can't even go out in public with thinking people are laughing at me … read more
JohnMichaels,MS,LPC
JohnMichaels,MS,LPC
Counselor
Master\u0027s Degree
165 satisfied customers
I am having panic attacks. I cannot get to my therapist
I am having panic attacks. I cannot get to my therapist right now. I am not suicidal. I need someone to talk to now. … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
717 satisfied customers
I've had anxiety due to trauma... I've had anxiety due to
Hello, I've had anxiety due to trauma... Hello, I've had anxiety due to trauma in the city I lived in, I moved out to a different city, I accidentally spoke to somebody associated with the trauma , in… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,902 satisfied customers
I have been prescribed xanax 1 mg for panic attacks while
i have been prescribed xanax 1 mg for panic attacks while the zoloft starts working in my system. i was taking 2 a day for about a week, and i have taken .5 as needed for almost three weeks now. most … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
717 satisfied customers
OKMH925100 Is it possible to treat panic disorder/anxiety
OKMH925100 Hi! Is it possible to treat panic disorder/anxiety disorder without medication?? I'm in my mid-thirties and just started having panic attacks after a very stressful past 4 years (I thought … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
717 satisfied customers
I suffer from anxiety and panic. I went to a wedding on
I suffer from anxiety and panic. I went to a wedding on Friday night and had approx 3-4 glasses of white wine. I woke up on Saturday in the throws of a horrendous panic attack. I had the attacks under… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
717 satisfied customers
I suffer from anxiety and panic. I went to a wedding on
I suffer from anxiety and panic. I went to a wedding on Friday night and had approx 3-4 glasses of white wine. I woke up on Saturday in the throws of a horrendous panic attack. I had the attacks under… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
717 satisfied customers
Broke my wrist on 4/23 and stared having panic/anxiety
Broke my wrist on 4/23 and stared having panic/anxiety attacks. Cast removed but still getting attacks everyday. Dr prescribe hydroxyl inexpensive and busprine which made me worse. I've gone cold turk… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
717 satisfied customers
I have panic/anxiety disorder. After many years on Xanax Xr
I have panic/anxiety disorder. After many years on Xanax Xr (1 mg. twice daily) my new psychiatrist convinced me to taper completely off the xanax xr, using klonopin 3 times daily (.5 .5. 1mg) while t… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
203 satisfied customers
Im experiencing sever anxiety and panic attacks, its hard to
Im experiencing sever anxiety and panic attacks, its hard to breathe, im unable to leave my house, i dont know what to do … read more
Linda D.
Linda D.
Master\u0027s Degree
720 satisfied customers
I have a big anxiety/panic attack issue. I've been dealing
Hello, I have a big anxiety/panic attack issue. I've been dealing with it for about 2 years and started using non prescription drugs. It helped at first, now i feel like I'm dependent.. … read more
Dr. Z
Dr. Z
Psychologist
Doctoral Degree
9,633 satisfied customers
I am currently suffering from my severe anxiety, panic
Hi I am currently suffering from my severe anxiety, panic attacks and ptsd for being sexually molested at the age of 3. I had been on anxiety medication a while back and with insurance complications I… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
717 satisfied customers
Anxiety and panic attacks sometimes, if i,am dealing with a
if i,am dealing with a lot of stress or i,am about to have a medical procedure soon i get very nervous. … read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
3,984 satisfied customers
I'm having severe trouble with anxiety and sleep and panic
I'm having severe trouble with anxiety and sleep and panic attacks I've been going through a lot I cannot seem to get a doctor to understand how important it is for me to calm down so that I could sta… read more
llw26
llw26
Private Practice
Doctoral Degree
11 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x