Guest guest Posted March 12, 2004 Report Share Posted March 12, 2004 Hi , I think it has to do with the symptoms the person has in addition to OCD, and the individual doctor's judgment and experiences in his/her practice. For example, my daughter was prescribed Risperdal (atypical antipsychotic) for impulsivity and tics--but not for about two years after her OCD onset because that was when the tics got bad and bothersome for her. Clinically it's known that Risperdal can reduce tics, though it is actually an antipsychotic. I admit it bothered me at first when my little girl was prescribed an antipsychotic, no matter how " atypical " it was! The term just bothered me and I wondered too whether it meant the doctor thought she was " a little bit " psychotic or heading in that direction, which he assured me he did not. Psychosis is different than OCD obsessions. Psychosis as I understand it means a break with reality, while most people with OCD realize that their obsessions are senseless and " not real " . I think most doctors who prescribe antipsychotics in OCD are using it sort of " off label " to treat other problems the kids might have such as my daughter's tics. Take care, Kathy R. in Indiana ----- Original Message ----- > Hi, > I was just wondering why some doctors prescribe anti-pychotics and others > don't? I hear people talk about things and just think that if they were on an > anti-psychotic it would help take away some of those negative thoughts. > > You don't honestly think that being on an anti-psychotic means that you are > honestly a bit " pychotic " does it? Yikes. > > Hey, have a great day all! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 13, 2004 Report Share Posted March 13, 2004 , Some children who have the syndrome of OCD / ADHD / TS are given a small dose of the newer atypical antipsychotics (like Risperdal) along with an SSRI because many kids with these disorders don't respond adequately to SSRIs alone. The antipsychotics are used to boost the effectiveness of the SSRIs. Other kids with plain ol' OCD need the antipsychotic to deal with anger and aggressiveness, or to reduce tics. Again, the doses usually are tiny compared with the use in people who are closer to what we might call " psychotic " . Best wishes, in NV Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 14, 2004 Report Share Posted March 14, 2004 > > > Psychosis is different than OCD obsessions. Psychosis as I > understand it > means a break with reality, while most people with OCD realize that > their > obsessions are senseless and " not real " . I think most doctors who > prescribe > antipsychotics in OCD are using it sort of " off label " to treat other > problems the kids might have such as my daughter's tics. > > I heard a speaker recently who thinks that these newer generation anti-psychotics will become the drug of choice for TS, and OCD because of their action as dopamine antagonists. If it helps, they are given in very different (much larger) dosages when used to treat psychosis. There are less side effects, at the lower doses. They also have a different effect and seem to really help OCD and TS, (and many of the symptoms associated with autistic spectrum disorders). Jeanne jwestpha@... NBCT - Exceptional Needs (2000) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 15, 2004 Report Share Posted March 15, 2004 Hi Jeanne, thanks for this. Do you remember the speaker's name? Kathy R. in Indiana Re: Anti-Psychotics > > > Psychosis is different than OCD obsessions. Psychosis as I > understand it > means a break with reality, while most people with OCD realize that > their > obsessions are senseless and " not real " . I think most doctors who > prescribe > antipsychotics in OCD are using it sort of " off label " to treat other > problems the kids might have such as my daughter's tics. > > I heard a speaker recently who thinks that these newer generation anti-psychotics will become the drug of choice for TS, and OCD because of their action as dopamine antagonists. If it helps, they are given in very different (much larger) dosages when used to treat psychosis. There are less side effects, at the lower doses. They also have a different effect and seem to really help OCD and TS, (and many of the symptoms associated with autistic spectrum disorders). Jeanne jwestpha@... NBCT - Exceptional Needs (2000) Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.