Guest guest Posted November 30, 2004 Report Share Posted November 30, 2004 my 6 year old has ocd, a movement disorder and anxiety. he is cosntantly putting thing sin his hand and squeezing as tight as he can, as well as touching kids and other things. he is already on zoloft and clonidine, the neuro want shim on a stimulant but i am reluctant. these problems are ruining his school life, any ideas are appreciated. thanks Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 30, 2004 Report Share Posted November 30, 2004 If you have not already had a SPECT done, this might be a consideration before using stimulants. Dr. Amen's work can sometimes clearly delineate whether your child would benefit by or perhaps even be made worse with stimulants. I personally would want a good trial of chelation to make sure Hg isn't the culprit in his clinical picture before resorting to yet more medications. I presume you have ruled out PANDAS (autoimmune reaction secondary to chronic strep infection) as the cause for the OCD. Dr. JM ocd > > > my 6 year old has ocd, a movement disorder and anxiety. he is > cosntantly putting thing sin his hand and squeezing as tight as he > can, as well as touching kids and other things. > he is already on zoloft and clonidine, the neuro want shim on a > stimulant but i am reluctant. these problems are ruining his school > life, any ideas are appreciated. thanks > > > > > > > Many frequently asked questions and answers can be found at <http://forums.autism-rxguidebook.com/default.aspx> > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 30, 2004 Report Share Posted November 30, 2004 > If you have not already had a SPECT done, this might be a consideration > before using stimulants. Dr. Amen's work can sometimes clearly delineate > whether your child would benefit by or perhaps even be made worse with > stimulants. I personally would want a good trial of chelation to make sure > Hg isn't the culprit in his clinical picture before resorting to yet more > medications. I presume you have ruled out PANDAS (autoimmune reaction > secondary to chronic strep infection) as the cause for the OCD. Dr. JM > ocd > > thank you, dr. i am familiar with dr amens work but since he soesnt see patients anymore are his associates of high quality? are his spect scans any different or better than others? do you know what meds he uses? thanks so much > > > > > > my 6 year old has ocd, a movement disorder and anxiety. he is > > cosntantly putting thing sin his hand and squeezing as tight as he > > can, as well as touching kids and other things. > > he is already on zoloft and clonidine, the neuro want shim on a > > stimulant but i am reluctant. these problems are ruining his school > > life, any ideas are appreciated. thanks > > > > > > > > > > > > > > Many frequently asked questions and answers can be found at > <http://forums.autism-rxguidebook.com/default.aspx> > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 30, 2004 Report Share Posted November 30, 2004 I believe Dr. Amen closely supervises his people and their work (he did when I was around there both for Chelsey's scan and then again for my physicians' training that I did for his people), but of course I can't say for sure that they are equivalent to him. For Chelsey he told us she would not respond well to stimulants, which we had already tried and knew to be true - it was interesting to see why on her scan. He recommended natural substances for her to use at first (Pain and Stress Center's TeenLink which has GABA, L-Tyrosine, L-Taurine, L-Glutamine and 5HTP), followed by small doses of an anti-convulsant (we chose Neurontin, which seemed to help her). The anti-convulsants help " calm focal areas of increased activity and stabilize temporal lobe function " , and help enhance mood stability. The two most recommended for this are Neurontin and Gabitril, neither of which require blood monitoring, and Gabitril has also been used for anxiety and to improve sleep patterns. We were told that her brain would then be prepared for a very tiny dose of Risperdal if she still needed some calming to help her get her school work done. He was very helpful for us. I sent another patient to his colleague Dr. Dobrin, who gave an extensive and helpful report for the boy. His scan showed he would benefit from high doses of Omega-3's (more than I already had him taking) for mood stabilization, recommending other vitamins such as C, E, and B complex. For this child, after all the preparatory work, he was recommended to take a very small dose of Celexa to help his obsessive anxiety (and to " calm cingulate gyrus and limbic activity.) " Only after this very extensive preparation would the brain be ready for a trial of psychostimulants " to enhance prefrontal cortex activity and prevent prefrontal cortex shutdown with concentration " . I am impressed with this procedure for difficult kids who don't seem to respond to our usual maneuvers; I believe insurance often pays for this as well, unlike much of our work. Dr. JM ocd > > > > thank you, dr. i am familiar with dr amens work but since he > soesnt see patients anymore are his associates of high quality? are > his spect scans any different or better than others? do you know > what meds he uses? thanks so much > > > > > > > > > my 6 year old has ocd, a movement disorder and anxiety. he is > > > cosntantly putting thing sin his hand and squeezing as tight as > he > > > can, as well as touching kids and other things. > > > he is already on zoloft and clonidine, the neuro want shim on a > > > stimulant but i am reluctant. these problems are ruining his > school > > > life, any ideas are appreciated. thanks > > > > > > > > > > > > > > > > > > > > > Many frequently asked questions and answers can be found at > > <http://forums.autism-rxguidebook.com/default.aspx> > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 2004 Report Share Posted December 1, 2004 > > > If you have not already had a SPECT done, this might be a > > consideration > > > before using stimulants. Dr. Amen's work can sometimes clearly > > delineate > > > whether your child would benefit by or perhaps even be made worse > > with > > > stimulants. I personally would want a good trial of chelation to > > make sure > > > Hg isn't the culprit in his clinical picture before resorting to > > yet more > > > medications. I presume you have ruled out PANDAS (autoimmune > > reaction > > > secondary to chronic strep infection) as the cause for the OCD. > > Dr. JM > > > ocd > > > > > > thank you, dr. i am familiar with dr amens work but since he > > soesnt see patients anymore are his associates of high quality? are > > his spect scans any different or better than others? do you know > > what meds he uses? thanks so much > > > > > > > > > > > > my 6 year old has ocd, a movement disorder and anxiety. he is > > > > cosntantly putting thing sin his hand and squeezing as tight as > > he > > > > can, as well as touching kids and other things. > > > > he is already on zoloft and clonidine, the neuro want shim on a > > > > stimulant but i am reluctant. these problems are ruining his > > school > > > > life, any ideas are appreciated. thanks > > > > > > > >thank you very much > > > > > > > > > > > > > > > > > > > > Many frequently asked questions and answers can be found at > > > <http://forums.autism-rxguidebook.com/default.aspx> > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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