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Re: Bad day - remorse

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Hi, I can sympathize with everything you have said. My daughter's therapist

told us that there are 4 ways people cope with this kind of stuff. One of the

ways my daughter used to use with her therapist. I can't remember what she

called it, but essentially it was acting like a jerk. She was being mean and

not acting like she felt bad about it. She would be very sarcastic and

actually made her therapist feel bad. Essentially, it all had to do with my

daughter

feeling really bad about herself and dealing with the out of control things

going on in her head. It was how she chose to control the situation. We did

add Seroquel, and I don't know how it is usually done, but she was on 200 mg

of Zoloft before we added this. She also was missing a lot of school due to

obsessive thinking and depression and the school was threatening to take away

her credit. Did your psych give you a reason for adding the Risperdal before

the Zoloft was raised? I am guessing she was having more than just 2 bad days

before the psych decided to add this? I hope things improve soon. Kim

In a message dated 10/5/2005 7:50:55 AM Central Standard Time,

musicgirl9395@... writes:

Just venting. My daughter had a REALLY busy weekend with many social

activities, and then a mishap at school on Monday with a boy. And he

pushed her...she wound up crying in the bathroom for a bit.

She came home very anxious and had a bad day yesterday too. I took her

to doctor for a med check and she wants to add risperdol. my dd can be

so mean...how much is OCD? And she seems like she has no remorse. I

got so mad at her I said something I shouldn't have. It is scary to

see her with no compassion or remorse. I know that at other times she

is very kind....She is really a nice girl. I am concerned with

risperdal for 2 reasons. Weight gain and also because she is only on

75 mg of zoloft along with aderall. I think her zoloft should be

raised first. SHe is 12.. I will have to talk to the doctor again.

Just feeling sorry for myself today. THanks for listening.

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Hi, I wonder if the no remorse is part of the ocd. We live in

southern Ca. and have to deal with wild fires. Right now the Santa

Ana winds are blowing which means if a fire starts watch out! Bre

had that " look " on her face and so I asked what she was thinking.

She said she was thinking how it is exciting when there is a fire

and then she felt bad because people's houses can get burned down.

She shows lack of compassion at times when it it something sad, like

a death. Other times she is overly worried about a friends

happiness! Sometimes it will seem like she feels no remorse too.

I think it just gets confusing, all those thoughts floating around

in their head! Bre said at times it is like watching two movies at

the same time! No wonder she is mentally exhausted at the end of the

day. I can't even imagine processing all of those thoughts she has!

Sandy

> Just venting. My daughter had a REALLY busy weekend with many

social

> activities, and then a mishap at school on Monday with a boy. And

he

> pushed her...she wound up crying in the bathroom for a bit.

> She came home very anxious and had a bad day yesterday too. I

took her

> to doctor for a med check and she wants to add risperdol. my dd

can be

> so mean...how much is OCD? And she seems like she has no

remorse. I

> got so mad at her I said something I shouldn't have. It is scary

to

> see her with no compassion or remorse. I know that at other times

she

> is very kind....She is really a nice girl. I am concerned with

> risperdal for 2 reasons. Weight gain and also because she is only

on

> 75 mg of zoloft along with aderall. I think her zoloft should be

> raised first. SHe is 12.. I will have to talk to the doctor

again.

> Just feeling sorry for myself today. THanks for listening.

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I'm sorry your daughter is having a hard time. I imagine that the doctor is

recommending Risperdal because it helps with outbursts, temper, and mood and

it works much more quickly than a change in the Zoloft would. I have one

daughter who has taken Risperdal for several years now without any weight gain.

She is twelve. My other daughter, Hannah, takes Abilify for the same reasons

takes the Risperdal (mood, etc.) The Abilify, we were told, is less

likely to cause the weight gain. Hannah struggles with her weight, so the doctor

was reluctant to put her on something that was very likely to cause her to gain.

Maybe Abilify is something to consider? Kelley in NV

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My 11 year old daughter is on Luvox (150/day). Her dr. added a very

sall amt of resperdal (only .75 mg/day), which seems to help with

the " bad thoughts " , which are pretty bad. We tried to wean her off of

this at one time, but found that she is better with it. She did not do

well on it alone, though.

> Just venting. My daughter had a REALLY busy weekend with many social

> activities, and then a mishap at school on Monday with a boy. And he

> pushed her...she wound up crying in the bathroom for a bit.

> She came home very anxious and had a bad day yesterday too. I took

her

> to doctor for a med check and she wants to add risperdol. my dd can

be

> so mean...how much is OCD? And she seems like she has no remorse. I

> got so mad at her I said something I shouldn't have. It is scary to

> see her with no compassion or remorse. I know that at other times

she

> is very kind....She is really a nice girl. I am concerned with

> risperdal for 2 reasons. Weight gain and also because she is only on

> 75 mg of zoloft along with aderall. I think her zoloft should be

> raised first. SHe is 12.. I will have to talk to the doctor again.

> Just feeling sorry for myself today. THanks for listening.

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I think that the anger is probably related to the OCD as we experience

this too. I also wholeheartedly believe that it is often outside

their control. Perhaps your daughter realizes that it is out of her

control and she doesn't feel the need then to be remorseful about her

actions. SHe may not realize that others think that she can control

her actions all of the time. She then feels hurt about their response

and it becomes a vicous cycle.

I'm not experienced enough about the meds to comment, but it would

seem that she needs something more.

Good luck,

Bonnie

> Just venting. My daughter had a REALLY busy weekend with many social

> activities, and then a mishap at school on Monday with a boy. And he

> pushed her...she wound up crying in the bathroom for a bit.

> She came home very anxious and had a bad day yesterday too. I took her

> to doctor for a med check and she wants to add risperdol. my dd can be

> so mean...how much is OCD? And she seems like she has no remorse. I

> got so mad at her I said something I shouldn't have. It is scary to

> see her with no compassion or remorse. I know that at other times she

> is very kind....She is really a nice girl. I am concerned with

> risperdal for 2 reasons. Weight gain and also because she is only on

> 75 mg of zoloft along with aderall. I think her zoloft should be

> raised first. SHe is 12.. I will have to talk to the doctor again.

> Just feeling sorry for myself today. THanks for listening.

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A lot of your daughter's " mean " attitude can be due to OCD and anxiety,

which means once her symptoms are effectively treated, this behavior should

dramatically lessen or disappear. I doubt your dd doesn't have compassion

or remorse, but she may be self-focused on her own anxiety at this time to

show it. Did she go short of sleep over her busy weekend? I have found

that this really has a negative impact on my child's symptoms, even now at

11.

The doctor may have prescribed Risperdal because, coupled with an SSRI, it

can calm impulsivity, irritability and etc. My dd took it for a number of

years without weight gain, which is a common side effect. It made her

sleepy, so we gave it at night to take advantage of this side effect.

Her Zoloft dose is low, and she may well need more to get on top of her

anxiety and other OCD symptoms. Does the Adderall seem to increase OCD or

anxiety. Sometimes the ADHD meds can do that.

By all means ask the doctor to explain the low dose of Zoloft, the addition

of Risperdal, and anything else you don't quite understand about his

treatment plan for your child!

I hope today was a better one for you and your daughter.

Kathy R. in Indiana

----- Original Message -----

From: " musicgirl9395 " <musicgirl9395@...>

> Just venting. My daughter had a REALLY busy weekend with many social

> activities, and then a mishap at school on Monday with a boy. And he

> pushed her...she wound up crying in the bathroom for a bit.

> She came home very anxious and had a bad day yesterday too. I took her

> to doctor for a med check and she wants to add risperdol. my dd can be

> so mean...how much is OCD? And she seems like she has no remorse. I

> got so mad at her I said something I shouldn't have. It is scary to

> see her with no compassion or remorse. I know that at other times she

> is very kind....She is really a nice girl. I am concerned with

> risperdal for 2 reasons. Weight gain and also because she is only on

> 75 mg of zoloft along with aderall. I think her zoloft should be

> raised first. SHe is 12.. I will have to talk to the doctor again.

> Just feeling sorry for myself today. THanks for listening.

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>

> Hi,

> As always, I really appreciate the support that you all give to

me.

> My daughter's anxiety continued to rise, and I got a phone call

from

> school that she was refusing to do some work. Also picking scabs a

> lot. Her bedtime was out of control and we stopped the adderall

XR.

> That day it was better at school. I know adderall is suppose to

be

> out of your system by evening, but with my daughter, I think that

it

> builds up over time or something. She was on it for a few weeks,

> with weekend breaks, before we got this reaction. THis happened

one

> other time a few years ago.

> THe doctor said we could go up to 100mg of zoloft and I think I

would

> rather see how that looks before adding risperdal. But I am

> preparing to add it as some point, maybe soon.

> Yesteray she put her hampster down the laundry chute for fun

(ranch

> house). I don't understand this behavior....I hope it is just

high

> anxiety with impulsivity. She does very " on edge " behaviors and

it

> scares me!! She tests things to the limit and sometimes it can be

> dangerous. My level of trust for her has decreased. Could this

be

> the zoloft, or OCD? I worry that there is something more wrong

with

> her! Agh, how could I handle any more?

> I pray for all our kids and their families!!!!

>

Hi Ellen, My daughter was very impulsive with zoloft. It did help

her OCD and focusing in school, but she was also doing some crazy

dangerous stuff (similiar to your daughter). Right now she is on

10mg prozac, very low, but she cannot go any higher without

impulsive behaviors. CBT is the only thing that has really helped

her. She started CBT w/zoloft and the tapered off of it as her OCD

got better.

in MA (I think our daughters have emailed each other in the

past)

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My daughter had this type of disinhibited and impulsive behavior while

titering up on an SSRI, in her case Prozac. The lack of compassion and

remorse you mentioned in your earlier post can be part of this too. My dd

did dangerous things and I watched her like a toddler. These behaviors did

not disappear but instead escalated with every dose increase and were a main

reason she was switched from Prozac.

With her over the years, I just got used to " out of character " behavior

whenever we were adjusting meds, tapering off or titering up. It's this

sort of thing the doctor may have had in mind when he recommended the

Risperdal, maybe he only meant her to take it for the short term? Having R

in place before going up on the Zoloft maybe would reduce or eliminate these

behaviors? Zoloft is somewhat activating in many people.

Just keep an eye on her for now and realize that she's not her usual self.

Report these behaviors to the doctor, but as I say lots of parents have seen

this when making med changes. It's not too likely that she is starting in

with another disorder coincidentally with making med changes.

I wanted to mention too that her OCD may be worse for now, I know my child

did do some of the things she obsessed about, again while " under the

influence " of a med change. If your dd has had obsessions about harming her

pet or ??, this might have fueled her putting it down the laundry chute.

Take care,

Kathy R. in Indiana

----- Original Message -----

From: " musicgirl9395 " <musicgirl9395@...>

> Hi,

> As always, I really appreciate the support that you all give to me.

> My daughter's anxiety continued to rise, and I got a phone call from

> school that she was refusing to do some work. Also picking scabs a

> lot. Her bedtime was out of control and we stopped the adderall XR.

> That day it was better at school. I know adderall is suppose to be

> out of your system by evening, but with my daughter, I think that it

> builds up over time or something. She was on it for a few weeks,

> with weekend breaks, before we got this reaction. THis happened one

> other time a few years ago.

> THe doctor said we could go up to 100mg of zoloft and I think I would

> rather see how that looks before adding risperdal. But I am

> preparing to add it as some point, maybe soon.

> Yesteray she put her hampster down the laundry chute for fun (ranch

> house). I don't understand this behavior....I hope it is just high

> anxiety with impulsivity. She does very " on edge " behaviors and it

> scares me!! She tests things to the limit and sometimes it can be

> dangerous. My level of trust for her has decreased. Could this be

> the zoloft, or OCD? I worry that there is something more wrong with

> her! Agh, how could I handle any more?

> I pray for all our kids and their families!!!!

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About impulsiveness, I think medications can definitely have an

effect. Was she ever like this before at any time, before ever being

on medication or just since?? Then again, meds or no meds, I don't

put anything past teenage hormones either! I do know I've read from

other parents over these past years how Risperdal or other has helped

greatly with impulsive acts. I don't think OCD would play much of a

part with the hamster though!

>

> Hi,

> As always, I really appreciate the support that you all give to

me.

> My daughter's anxiety continued to rise, and I got a phone call

from

> school that she was refusing to do some work. Also picking scabs a

> lot. Her bedtime was out of control and we stopped the adderall

XR.

> That day it was better at school. I know adderall is suppose to be

> out of your system by evening, but with my daughter, I think that

it

> builds up over time or something. She was on it for a few weeks,

> with weekend breaks, before we got this reaction. THis happened

one

> other time a few years ago.

> THe doctor said we could go up to 100mg of zoloft and I think I

would

> rather see how that looks before adding risperdal. But I am

> preparing to add it as some point, maybe soon.

> Yesteray she put her hampster down the laundry chute for fun (ranch

> house). I don't understand this behavior....I hope it is just high

> anxiety with impulsivity. She does very " on edge " behaviors and it

> scares me!! She tests things to the limit and sometimes it can be

> dangerous. My level of trust for her has decreased. Could this be

> the zoloft, or OCD? I worry that there is something more wrong

with

> her! Agh, how could I handle any more?

> I pray for all our kids and their families!!!!

>

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Share on other sites

About impulsiveness, I think medications can definitely have an

effect. Was she ever like this before at any time, before ever being

on medication or just since?? Then again, meds or no meds, I don't

put anything past teenage hormones either! I do know I've read from

other parents over these past years how Risperdal or other has helped

greatly with impulsive acts. I don't think OCD would play much of a

part with the hamster though!

>

> Hi,

> As always, I really appreciate the support that you all give to

me.

> My daughter's anxiety continued to rise, and I got a phone call

from

> school that she was refusing to do some work. Also picking scabs a

> lot. Her bedtime was out of control and we stopped the adderall

XR.

> That day it was better at school. I know adderall is suppose to be

> out of your system by evening, but with my daughter, I think that

it

> builds up over time or something. She was on it for a few weeks,

> with weekend breaks, before we got this reaction. THis happened

one

> other time a few years ago.

> THe doctor said we could go up to 100mg of zoloft and I think I

would

> rather see how that looks before adding risperdal. But I am

> preparing to add it as some point, maybe soon.

> Yesteray she put her hampster down the laundry chute for fun (ranch

> house). I don't understand this behavior....I hope it is just high

> anxiety with impulsivity. She does very " on edge " behaviors and it

> scares me!! She tests things to the limit and sometimes it can be

> dangerous. My level of trust for her has decreased. Could this be

> the zoloft, or OCD? I worry that there is something more wrong

with

> her! Agh, how could I handle any more?

> I pray for all our kids and their families!!!!

>

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