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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by Karen on March 9, 2000, at 17:21:33
Hello Saint James, Dr. Bob and Everyone:
Things are going better for my son now. He is at home after attending residential school for six months.
What a wonderful change in the kid we sent out six months ago and the nice young man we got in return!Of course our son is still ADHD and anxious. His anxiety sometimes really gets the best of him and he can not perform daily activities as well as he would like. Bad performance translate into poor self esteem and the he gets depressed. This is a young man that had his first suicide attempt at age nine, his most
recent suicide attempt was at age fourteen years. He is now sixteen years of age. For nearly eight months he has not been on any medication.While at the residential program he was able to attend a high school with an enrollment of about 1,300 students in grades 9 through 12. He took all regular classes and had two periods per day where he went to the Resource Room for assistance. Once was in the morning to verify all homework was completed and answer any questions about the homework. The last period of the day was also spent in the Resource Room affording our son the chance to get his homework done and obtain assistance if needed. He could also go to the Resource Room during the day if he had trouble concentrating or was frustrated.
He was involved in football and loved it. He attended the Homecoming Dance as well as the Winter Formal Dance. His date for the Winter Formal was one of the
court princesses! He learned to love school and feel successful. His grades were always at C and above with the semester grades being a 3.6! This from a young man that had not been in regular school since the fifth grade!The residential place where our son stayed was a 320 acre ranch with horses, ostrichs, sheep, three monkeys, a brown bear, two wallabye and several dogs.
Two of the dogs were Bull Mastiffs that the program adopted. My son trained one of these dogs to be the guide dog for the other that was blind! He also crafted a harness so that the two dogs could be together.All in all wonderful progress. Our son is attending our local high school. Staff there have tried to fashion a program similar to the one at the high school that had 1,300 students, but this local high school has over 2,000 students. Many of the students are familiar to my son as he has played on various summer sport teams with these kids over the years.
The class schedule we were able to get for our son during the middle of the school year was not as we would have hoped, but it is similar to the class
schedule he had at the smaller high school. We want to build on that wonderful success and keep this young man headed toward a high school diploma.Whether it is the newess of the situation, the increased student numbers or having to prove himself all over again, our son is now struggling with
terrible anxiety. His first day went fairly well, but the second day he had to ask the Language Arts teacher to permit him to exit the classroom, take his assignment with him and go to the Resource Room where he could attend to his work without disruption.The third day, our son phoned me requesting to go home as he was sick during weight lifting class. He vomited repeatedly. He has told us that the Social Studies class does not have a textbook and that the instructor lectures alot. Our son was struggling in his math class, but now seems to have settled into that class fairly well.
His stomach aches, diarhea and headaches are all sincere and verifiable. When he gets home from school, things seem to lessen up toward the evening.
It sounds like pure anxiety to me. I have phoned his psychiatrist of six years standing for an appointment.Today, my son phoned me at work again and asked to go home as the diarhea had started up and was very bad. He also told me he felt sad today. My husband went to school this time to retrieve our son and bring him home for the day. I have a neighbor lady checking in on him from time to time. As the day progress, so does our son's health. He still has a headache, doesn't feel as sad as this morning and the diarhea has nearly stopped.
I know that the pscyhistrist will suggest medication and we have spoken to our son about this. The Director of the residential place where our son spent the last seven months encouraged clients not to take medications and this seemed to work fine for our son.
He still struggled from time to time with impulse problems, but on the whole did just fine as his grades
attest to. He knows that he is struggling now, but
fears getting on medication again as he gained so much weight. He also said that he could think more clearly
after going off his previous medications. I think our son also feels that the medication is a crutch and that it is something he needs to be ashamed of. We have tried to point out to our son that he was on eight medications before with three of those meds being for side effects from the other five!Paxil is the first thing that comes to mind as I think about what meds might help. I do know there is a great weight concern with this med. Our son used to smoke to calm himself and steady his nerves. We did not know about this until the people at the residential place told us about it. He was able to quit smoking cold turkey. I have told our son that medication would be more appropriate as opposed to smoking. It is not a dirty habit like smoking, doesn't cause cancer and is certainly more socailly
acceptable. Apparently the nicotine calmed him when he smoked?????I'd like to have some medication ideas in my mind to discuss with the psychiatrist and I am hopeful that one of you folks will be able to respond to me with some ideas. Obviously the ADHD doesn't seem to be the biggest concern now, it is the anxiety and potential for depression again.
Is there a medication that would address the anxiety and also be good for any residual depression and ADHD.
The impulsiveness with the ADHD and inability to concentrate in group settings is being worked on as always in therapy, but any benefits gained from another medication that would address the anxiety
couldn't hurt!Many thanks to each of you for your positive attention to my request for suggestions. Our son has worked so very hard to improve himself, we simply do not want to see all the progress go down the drain. Our son's ability to succeed seems to be tied closely with his self esteem. If he is feeling good about himself he takes chances and makes progress. Likewise if he is feeling anxious and can't "get it done" he gets depressed and spirals downward.
Again, any medication ideas would be appreciated.
Thanks,
Karen
Posted by Sarah on March 9, 2000, at 17:36:23
In reply to Anxious Teenager, posted by Karen on March 9, 2000, at 17:21:33
Wow! You should be very proud of your son!! I have found with my ADD that the depression and anxiety were by products of it. I am taking 10mgs of Adderall a day and they are gone! I'm suprised with all the treatment that he has recieved that they haven't tried it. I also took up smoking at a young age, probably because of my ADD. Stimulants tend to even out the problem. Alot of ppl will use caffine or other inferior stimulants to self medicate. My stomach problems from the anxiety are about gone, too. The Adderall will upset the stomach the first few days, but it goes away. you also don't have to worry about weight gain while on it; it tends to ruin your appetite. He would more than likely lose weight! I am very impressed with your son, most kids wouldn't try so hard to get better! Hope I have helped some...
Posted by Brandon on March 9, 2000, at 18:15:57
In reply to Anxious Teenager, posted by Karen on March 9, 2000, at 17:21:33
Karen,
I don't go around recommending medication much because every one's chemistry is different and I dont like to give false hope. Having said that I think that you should consider giving your son a trial of dilantin. A small dose 100mgs (one pill) at bedtime or breakfast whichever works for him is a standard dose for symptoms you describe. Your post struck me because your son's symptoms seem remarkably similar to mine and I have responded wonderfully to dilantin. Dilantin helps to quiet the mind and if your son responded to it his concentration and anxiety would improve a lot as well.
I have taken Hydergine and Vinpocetine two cognitive enhancers for almost my entire college career and while they help without the dilantin the excessive worry and distraction would be too much. If you are interested and have any questions let me know if not I wish you the best luck in helping your son and he is truly a lucky son to have such a loving mother.
Brandon
Posted by Noa on March 9, 2000, at 18:45:13
In reply to Anxious Teenager, posted by Karen on March 9, 2000, at 17:21:53
Before trying medication, I would look into a different school. Perhaps there is a day school nearby that has some of the qualities of the residential place he was at, and where he can get the educational assistance he needs without feeling so different from all the other students, and that would give him opportunities to be successful with his unique talents.
Posted by Brenda on March 9, 2000, at 21:15:39
In reply to Anxious Teenager, posted by Karen on March 9, 2000, at 17:21:33
> Hello Saint James, Dr. Bob and Everyone:
>
> Things are going better for my son now. He is at home after attending residential school for six months.
> What a wonderful change in the kid we sent out six months ago and the nice young man we got in return!
>
> Of course our son is still ADHD and anxious. His anxiety sometimes really gets the best of him and he can not perform daily activities as well as he would like. Bad performance translate into poor self esteem and the he gets depressed. This is a young man that had his first suicide attempt at age nine, his most
> recent suicide attempt was at age fourteen years. He is now sixteen years of age. For nearly eight months he has not been on any medication.
>
> While at the residential program he was able to attend a high school with an enrollment of about 1,300 students in grades 9 through 12. He took all regular classes and had two periods per day where he went to the Resource Room for assistance. Once was in the morning to verify all homework was completed and answer any questions about the homework. The last period of the day was also spent in the Resource Room affording our son the chance to get his homework done and obtain assistance if needed. He could also go to the Resource Room during the day if he had trouble concentrating or was frustrated.
>
> He was involved in football and loved it. He attended the Homecoming Dance as well as the Winter Formal Dance. His date for the Winter Formal was one of the
> court princesses! He learned to love school and feel successful. His grades were always at C and above with the semester grades being a 3.6! This from a young man that had not been in regular school since the fifth grade!
>
> The residential place where our son stayed was a 320 acre ranch with horses, ostrichs, sheep, three monkeys, a brown bear, two wallabye and several dogs.
> Two of the dogs were Bull Mastiffs that the program adopted. My son trained one of these dogs to be the guide dog for the other that was blind! He also crafted a harness so that the two dogs could be together.
>
> All in all wonderful progress. Our son is attending our local high school. Staff there have tried to fashion a program similar to the one at the high school that had 1,300 students, but this local high school has over 2,000 students. Many of the students are familiar to my son as he has played on various summer sport teams with these kids over the years.
>
> The class schedule we were able to get for our son during the middle of the school year was not as we would have hoped, but it is similar to the class
> schedule he had at the smaller high school. We want to build on that wonderful success and keep this young man headed toward a high school diploma.
>
> Whether it is the newess of the situation, the increased student numbers or having to prove himself all over again, our son is now struggling with
> terrible anxiety. His first day went fairly well, but the second day he had to ask the Language Arts teacher to permit him to exit the classroom, take his assignment with him and go to the Resource Room where he could attend to his work without disruption.
>
> The third day, our son phoned me requesting to go home as he was sick during weight lifting class. He vomited repeatedly. He has told us that the Social Studies class does not have a textbook and that the instructor lectures alot. Our son was struggling in his math class, but now seems to have settled into that class fairly well.
>
> His stomach aches, diarhea and headaches are all sincere and verifiable. When he gets home from school, things seem to lessen up toward the evening.
> It sounds like pure anxiety to me. I have phoned his psychiatrist of six years standing for an appointment.
>
> Today, my son phoned me at work again and asked to go home as the diarhea had started up and was very bad. He also told me he felt sad today. My husband went to school this time to retrieve our son and bring him home for the day. I have a neighbor lady checking in on him from time to time. As the day progress, so does our son's health. He still has a headache, doesn't feel as sad as this morning and the diarhea has nearly stopped.
>
> I know that the pscyhistrist will suggest medication and we have spoken to our son about this. The Director of the residential place where our son spent the last seven months encouraged clients not to take medications and this seemed to work fine for our son.
> He still struggled from time to time with impulse problems, but on the whole did just fine as his grades
> attest to. He knows that he is struggling now, but
> fears getting on medication again as he gained so much weight. He also said that he could think more clearly
> after going off his previous medications. I think our son also feels that the medication is a crutch and that it is something he needs to be ashamed of. We have tried to point out to our son that he was on eight medications before with three of those meds being for side effects from the other five!
>
> Paxil is the first thing that comes to mind as I think about what meds might help. I do know there is a great weight concern with this med. Our son used to smoke to calm himself and steady his nerves. We did not know about this until the people at the residential place told us about it. He was able to quit smoking cold turkey. I have told our son that medication would be more appropriate as opposed to smoking. It is not a dirty habit like smoking, doesn't cause cancer and is certainly more socailly
> acceptable. Apparently the nicotine calmed him when he smoked?????
>
> I'd like to have some medication ideas in my mind to discuss with the psychiatrist and I am hopeful that one of you folks will be able to respond to me with some ideas. Obviously the ADHD doesn't seem to be the biggest concern now, it is the anxiety and potential for depression again.
>
> Is there a medication that would address the anxiety and also be good for any residual depression and ADHD.
> The impulsiveness with the ADHD and inability to concentrate in group settings is being worked on as always in therapy, but any benefits gained from another medication that would address the anxiety
> couldn't hurt!
>
> Many thanks to each of you for your positive attention to my request for suggestions. Our son has worked so very hard to improve himself, we simply do not want to see all the progress go down the drain. Our son's ability to succeed seems to be tied closely with his self esteem. If he is feeling good about himself he takes chances and makes progress. Likewise if he is feeling anxious and can't "get it done" he gets depressed and spirals downward.
>
> Again, any medication ideas would be appreciated.
>
> Thanks,
> KarenKaren - your post brought tears to my eyes. My son suffered episodic depression as a teen and also dyslexia. It's sooo frightening when they hurt so bad. It seems that in the environment of the residential ranch he most likely didn't need the meds. Some people are very sensitive to stress (a real trigger for me). I don't know about meds for teenagers, my son was able to improve with therapy (specialist w/teens) and love from home. I just wanted to tell you I am thinking about your family and wish you well. Your son is very lucky to have you.
Please let us know how he is and how you're holding up. B.
Posted by Brenda on March 9, 2000, at 21:22:37
In reply to Anxious Teenager, posted by Karen on March 9, 2000, at 17:21:33
> Hello Saint James, Dr. Bob and Everyone:
>
> Things are going better for my son now. He is at home after attending residential school for six months.
> What a wonderful change in the kid we sent out six months ago and the nice young man we got in return!
>
> Of course our son is still ADHD and anxious. His anxiety sometimes really gets the best of him and he can not perform daily activities as well as he would like. Bad performance translate into poor self esteem and the he gets depressed. This is a young man that had his first suicide attempt at age nine, his most
> recent suicide attempt was at age fourteen years. He is now sixteen years of age. For nearly eight months he has not been on any medication.
>
> While at the residential program he was able to attend a high school with an enrollment of about 1,300 students in grades 9 through 12. He took all regular classes and had two periods per day where he went to the Resource Room for assistance. Once was in the morning to verify all homework was completed and answer any questions about the homework. The last period of the day was also spent in the Resource Room affording our son the chance to get his homework done and obtain assistance if needed. He could also go to the Resource Room during the day if he had trouble concentrating or was frustrated.
>
> He was involved in football and loved it. He attended the Homecoming Dance as well as the Winter Formal Dance. His date for the Winter Formal was one of the
> court princesses! He learned to love school and feel successful. His grades were always at C and above with the semester grades being a 3.6! This from a young man that had not been in regular school since the fifth grade!
>
> The residential place where our son stayed was a 320 acre ranch with horses, ostrichs, sheep, three monkeys, a brown bear, two wallabye and several dogs.
> Two of the dogs were Bull Mastiffs that the program adopted. My son trained one of these dogs to be the guide dog for the other that was blind! He also crafted a harness so that the two dogs could be together.
>
> All in all wonderful progress. Our son is attending our local high school. Staff there have tried to fashion a program similar to the one at the high school that had 1,300 students, but this local high school has over 2,000 students. Many of the students are familiar to my son as he has played on various summer sport teams with these kids over the years.
>
> The class schedule we were able to get for our son during the middle of the school year was not as we would have hoped, but it is similar to the class
> schedule he had at the smaller high school. We want to build on that wonderful success and keep this young man headed toward a high school diploma.
>
> Whether it is the newess of the situation, the increased student numbers or having to prove himself all over again, our son is now struggling with
> terrible anxiety. His first day went fairly well, but the second day he had to ask the Language Arts teacher to permit him to exit the classroom, take his assignment with him and go to the Resource Room where he could attend to his work without disruption.
>
> The third day, our son phoned me requesting to go home as he was sick during weight lifting class. He vomited repeatedly. He has told us that the Social Studies class does not have a textbook and that the instructor lectures alot. Our son was struggling in his math class, but now seems to have settled into that class fairly well.
>
> His stomach aches, diarhea and headaches are all sincere and verifiable. When he gets home from school, things seem to lessen up toward the evening.
> It sounds like pure anxiety to me. I have phoned his psychiatrist of six years standing for an appointment.
>
> Today, my son phoned me at work again and asked to go home as the diarhea had started up and was very bad. He also told me he felt sad today. My husband went to school this time to retrieve our son and bring him home for the day. I have a neighbor lady checking in on him from time to time. As the day progress, so does our son's health. He still has a headache, doesn't feel as sad as this morning and the diarhea has nearly stopped.
>
> I know that the pscyhistrist will suggest medication and we have spoken to our son about this. The Director of the residential place where our son spent the last seven months encouraged clients not to take medications and this seemed to work fine for our son.
> He still struggled from time to time with impulse problems, but on the whole did just fine as his grades
> attest to. He knows that he is struggling now, but
> fears getting on medication again as he gained so much weight. He also said that he could think more clearly
> after going off his previous medications. I think our son also feels that the medication is a crutch and that it is something he needs to be ashamed of. We have tried to point out to our son that he was on eight medications before with three of those meds being for side effects from the other five!
>
> Paxil is the first thing that comes to mind as I think about what meds might help. I do know there is a great weight concern with this med. Our son used to smoke to calm himself and steady his nerves. We did not know about this until the people at the residential place told us about it. He was able to quit smoking cold turkey. I have told our son that medication would be more appropriate as opposed to smoking. It is not a dirty habit like smoking, doesn't cause cancer and is certainly more socailly
> acceptable. Apparently the nicotine calmed him when he smoked?????
>
> I'd like to have some medication ideas in my mind to discuss with the psychiatrist and I am hopeful that one of you folks will be able to respond to me with some ideas. Obviously the ADHD doesn't seem to be the biggest concern now, it is the anxiety and potential for depression again.
>
> Is there a medication that would address the anxiety and also be good for any residual depression and ADHD.
> The impulsiveness with the ADHD and inability to concentrate in group settings is being worked on as always in therapy, but any benefits gained from another medication that would address the anxiety
> couldn't hurt!
>
> Many thanks to each of you for your positive attention to my request for suggestions. Our son has worked so very hard to improve himself, we simply do not want to see all the progress go down the drain. Our son's ability to succeed seems to be tied closely with his self esteem. If he is feeling good about himself he takes chances and makes progress. Likewise if he is feeling anxious and can't "get it done" he gets depressed and spirals downward.
>
> Again, any medication ideas would be appreciated.
>
> Thanks,
> KarenKaren - BTW - my son just turned 24 and is doing great. He finally graduated high school, has a great job ($40,000 a yr.) and a lovely girfriend. I'm sharing this by way of offering hope for his future.
You're in my thoughts. B.
Posted by medlib on March 10, 2000, at 13:04:45
In reply to Anxious Teenager, posted by Karen on March 9, 2000, at 17:21:53
I strongly agree with Noa--how much better to fit the environment to the kid rather than vice-versa! A 2,000 pop. high school is almost a definition of a dysfunctional environment in my book. How about checking with an educational psychologist or social worker for recommendations? Your school counselor might be able to suggest such a referral, or have some ideas her/himself.
If you decide to try to find a different school, be sure and tell him that you're trying to find a better "fit" for him and that it's not his fault this one isn't "it". Lots of kids don't fit into such a big school; they're just less open about it--and that's not a good thing.
If meds are absolutely necessary, maybe something like klonopin prn could be used as an interim "helper." A small, intermittent dose could be more easily discontinued once a better environment is found.
Above all, let him know that problems in high school don't have to foretell doom in adult life. Several of the kids who had the hardest time in my high school are very successful adults. Keeping alive a sense of hope is critical. When I was helping my daughter to learn to drive, she had a tendency to oversteer/overcorrect because she was looking at the pavement right at the end of the hood. When I told her to keep her focus several car lengths ahead and trust the car would make it from here to there, she was much more successful. Recently, she reminded ME to "look beyond the bumper"--something we depressives have a tough time doing. And how much harder that is for a teen!
Good luck!
medlib
> Hello Saint James, Dr. Bob and Everyone:
>
> Things are going better for my son now. He is at home after attending residential school for six months.
> What a wonderful change in the kid we sent out six months ago and the nice young man we got in return!
>
> Of course our son is still ADHD and anxious. His anxiety sometimes really gets the best of him and he can not perform daily activities as well as he would like. Bad performance translate into poor self esteem and the he gets depressed. This is a young man that had his first suicide attempt at age nine, his most
> recent suicide attempt was at age fourteen years. He is now sixteen years of age. For nearly eight months he has not been on any medication.
>
> While at the residential program he was able to attend a high school with an enrollment of about 1,300 students in grades 9 through 12. He took all regular classes and had two periods per day where he went to the Resource Room for assistance. Once was in the morning to verify all homework was completed and answer any questions about the homework. The last period of the day was also spent in the Resource Room affording our son the chance to get his homework done and obtain assistance if needed. He could also go to the Resource Room during the day if he had trouble concentrating or was frustrated.
>
> He was involved in football and loved it. He attended the Homecoming Dance as well as the Winter Formal Dance. His date for the Winter Formal was one of the
> court princesses! He learned to love school and feel successful. His grades were always at C and above with the semester grades being a 3.6! This from a young man that had not been in regular school since the fifth grade!
>
> The residential place where our son stayed was a 320 acre ranch with horses, ostrichs, sheep, three monkeys, a brown bear, two wallabye and several dogs.
> Two of the dogs were Bull Mastiffs that the program adopted. My son trained one of these dogs to be the guide dog for the other that was blind! He also crafted a harness so that the two dogs could be together.
>
> All in all wonderful progress. Our son is attending our local high school. Staff there have tried to fashion a program similar to the one at the high school that had 1,300 students, but this local high school has over 2,000 students. Many of the students are familiar to my son as he has played on various summer sport teams with these kids over the years.
>
> The class schedule we were able to get for our son during the middle of the school year was not as we would have hoped, but it is similar to the class
> schedule he had at the smaller high school. We want to build on that wonderful success and keep this young man headed toward a high school diploma.
>
> Whether it is the newess of the situation, the increased student numbers or having to prove himself all over again, our son is now struggling with
> terrible anxiety. His first day went fairly well, but the second day he had to ask the Language Arts teacher to permit him to exit the classroom, take his assignment with him and go to the Resource Room where he could attend to his work without disruption.
>
> The third day, our son phoned me requesting to go home as he was sick during weight lifting class. He vomited repeatedly. He has told us that the Social Studies class does not have a textbook and that the instructor lectures alot. Our son was struggling in his math class, but now seems to have settled into that class fairly well.
>
> His stomach aches, diarhea and headaches are all sincere and verifiable. When he gets home from school, things seem to lessen up toward the evening.
> It sounds like pure anxiety to me. I have phoned his psychiatrist of six years standing for an appointment.
>
> Today, my son phoned me at work again and asked to go home as the diarhea had started up and was very bad. He also told me he felt sad today. My husband went to school this time to retrieve our son and bring him home for the day. I have a neighbor lady checking in on him from time to time. As the day progress, so does our son's health. He still has a headache, doesn't feel as sad as this morning and the diarhea has nearly stopped.
>
> I know that the pscyhistrist will suggest medication and we have spoken to our son about this. The Director of the residential place where our son spent the last seven months encouraged clients not to take medications and this seemed to work fine for our son.
> He still struggled from time to time with impulse problems, but on the whole did just fine as his grades
> attest to. He knows that he is struggling now, but
> fears getting on medication again as he gained so much weight. He also said that he could think more clearly
> after going off his previous medications. I think our son also feels that the medication is a crutch and that it is something he needs to be ashamed of. We have tried to point out to our son that he was on eight medications before with three of those meds being for side effects from the other five!
>
> Paxil is the first thing that comes to mind as I think about what meds might help. I do know there is a great weight concern with this med. Our son used to smoke to calm himself and steady his nerves. We did not know about this until the people at the residential place told us about it. He was able to quit smoking cold turkey. I have told our son that medication would be more appropriate as opposed to smoking. It is not a dirty habit like smoking, doesn't cause cancer and is certainly more socailly
> acceptable. Apparently the nicotine calmed him when he smoked?????
>
> I'd like to have some medication ideas in my mind to discuss with the psychiatrist and I am hopeful that one of you folks will be able to respond to me with some ideas. Obviously the ADHD doesn't seem to be the biggest concern now, it is the anxiety and potential for depression again.
>
> Is there a medication that would address the anxiety and also be good for any residual depression and ADHD.
> The impulsiveness with the ADHD and inability to concentrate in group settings is being worked on as always in therapy, but any benefits gained from another medication that would address the anxiety
> couldn't hurt!
>
> Many thanks to each of you for your positive attention to my request for suggestions. Our son has worked so very hard to improve himself, we simply do not want to see all the progress go down the drain. Our son's ability to succeed seems to be tied closely with his self esteem. If he is feeling good about himself he takes chances and makes progress. Likewise if he is feeling anxious and can't "get it done" he gets depressed and spirals downward.
>
> Again, any medication ideas would be appreciated.
>
> Thanks,
> Karen
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
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