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, my daughter is seven and has both OCD and is bipolar, which

means an antidepressant alone both works instantly on OCD and also

causes intense mood swings--even violent mood swings. She has been

put on risperdal along with luvox--and that works very well. OCD can

actually get reved up if there is agitation due to mood instability--

the antidepressant in that case can actually make the OCD WORSE. If

the antidepressant is causing agitation, mood instability, and

hypomania or mania-- it makes things very strange--my daughter looks

as if she has OCD on speed. She obsesses about things but as if

she's had eight cups of coffee and has to get in every objection she

can think of in two seconds (every two second I might also add). It

is something to explore, I agree, particularly because bipolar types

often respond " immediately " to an antidepressant. My daughter's OCD

was cured in 24 hours by any antidepressant she's ever tried. BUT,

then the mood instability would come and we were in for a horrible

time. Sometimes it takes two months for the mood instability to come-

-which is why we've been able to figure out its not drug activation

or pure side effects of medication--it emerges over time like a

growing force... although on certain medications the activation side

effect made this whole thing even worse. If you want to talk, please

e-mail me. I've been on a long and tiresome journey--and I have a

feeling this is only the beginning, but I can certainly share with

you some of our experiences in teasing out different side effects and

diagnoses.

Stephany

mom to

age 7

ocd, bp

luvox, risperdal

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> - Your child's behavior sounds very much like Bipolar not just

OCD! has

> anyone suggested this to you? It makes alot of sense because if

you give a

> BP child Paxil or any antidepressant without a mood stabilizer, it

usually

> causes the violent mood swings. Also, Paxil is the highest weight

gain

> according to our pdoc. We were immediately switched to Celexa. I

would

> definitely discuss this possibility with your pdoc and good luck!

Ellen

>

>

Hi Ellen,

You are very correct about severe side effects from SSRIs for some

people with bipolar. But, it's not just angry mood swings that get

activated - my sister's *depression* was increased by Prozac (and

several others). That's how we finally figured out that she had

bipolar instead of something else. She could not tolerate SSRIs of

any kind.

Now, (11) does has the violent mood swings (I'll spare the

group, especially the new folks, those stories!) However, his doctor

doesn't want to say that he has bipolar. He'd rather treat the

symptoms. I've pressed him many times and asked " do you think he has

bipolar due to the family history? " and he still responds that OCD

can make anyone extremely irritable, angry and irrational. He also

says that paranoia is very common for those with OCD because their

fears spin out of control and get magnified.

And, 's doctor (a well-respected child psychiatrist) recently

said that his TS (tourettes) is his primary diagnosis and OCD is his

secondary. is *so* extremely moody and angry, so the TS

diagnosis really threw me. He seems textbook bipolar to me - but I'm

no expert. His doctor thinks that 's TS causes him the most

anquish - and is responsible for his angry outbursts, impulsivity,

etc. (and of course, the tics).

I'm sure that if I looked hard enough, I'd find a doctor that would

eagerly diagnose as bipolar. However, I happen to agree with

his current doctor's conservative approach by simply treating the

*symptoms* and not worrying about the diagnosis at this time.

Joni

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Joni-I know, we have a neighbor friend who thinks her son is BP also but the

pdoc refused to give a mood stabilizer to such a young kid-6th grade. But, I

don't know if it will happen for us, but symptoms of ADD,OCD, ODD, etc. can

be how BP manifests itself according to The Bipolar Child and to me, if the

Topamax works for us in that it eliminates the OCD and ODD symptoms maybe

instead of being on Three meds, we can eventually just be on one. It is my

hope. Ellen

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