Guest guest Posted November 3, 2008 Report Share Posted November 3, 2008 Debbie, got a chuckle out of that because I remember an episode of Monk where he told a little kid that " nature was dirty " . <grin> We found with exposure our son didn't initiate, it caused serious anxiety. He had to be the one to initiate it for that exposure to work. I suspect it's because it was his choice then. He had to be mentally prepared to do it, and it had to be a free choice. Is that a problem for your daughter too? The world is not the pristine, germ-free environment that OCD demands it wants. . Not even hospitals. I can only imagine how hard that is on our kids, who have contamination issues. Our son worked through a lot of them though. So, hopefully, when you daughter gets up her hierarchy list, she will be prepared to take that on and have a victory over it. BJ .. > > , > " still wonder whether the Zoloft is " to blame " or whether her illness is just getting worse naturally " > Every time we increased my DD's dosage of Zoloft (generic), she had a flare-up. But like you posted, I think we caught her OCD early enough that it was still " progressing " while we got the meds on board. Even now at 100mg, we still see new things come up and others fade away on a weekly basis. But this is now the hard part; do we keep increasing it or keep her at 100? Her ped is really not all that " into " this; he increases it based on what I tell him about her symptoms and whether there is improvement. > BJ, > I don't know if I ever mentioned the " lack of affection " thing or not; there are so many little things, it changes from day to day. But her inability to reciprocate affection was a big issue right from the beginning. And she was so afraid of being " infected " she literally would jump out of the way when they passed by, or even cross the room to avoid them. This was not the case with me, however, I could still hug and kiss her (though I made sure to tell her first!). One thing I regret about her having OCD is she refused to go hunting this year with her dad. That's always been their " special time " alone. She says it's because she wants to be more " girly " , but I think it's all OCD related. We continued to encourage, but even when her brother got an 8-point buck, it wasn't enough (they usually compete for the biggest buck!). But at least now she will choose to go somewhere in the car with Dad on occasion; early on, that was a definite no-no! And now she is actually MORE loving with her younger sister than she was even before the OCD! The funny thing with most of her fears is that where we live is constant exposure therapy because we live on 22 acres of woods; definitely not the pristine germ-free environment she craves! > Debbie > > > _____________________________________________________________ > Get help now! Click to find the right drug rehab solution for you. > http://thirdpartyoffers.netzero.net/TGL2221/fc/Ioyw6i4t72fOSQ5WXbItoLzmVhA30i7pg\ 5AxwPSGJLnWouchaGWOAh/?count=1234567890 > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2008 Report Share Posted November 3, 2008 Debbie, We've been seeing a ped neuro for meds since June. Although I think the Docs in the group are bright, professional and competent and give us plenty of their time, I have a nagging feeling that seeing a child psychiatrist for medication management would be more beneficial. I'm in the process of arranging to see a child psych under the same roof where we go for her CBT/ERP. I'm hoping for improved collaboration and consistency. Any chance anyone else can do your daughter's meds? I think it's important to find someone that you feel very confident in. Best, W. ________________________________ To: Sent: Monday, November 3, 2008 9:54:43 AM Subject: and BJ , " still wonder whether the Zoloft is " to blame " or whether her illness is just getting worse naturally " Every time we increased my DD's dosage of Zoloft (generic), she had a flare-up. But like you posted, I think we caught her OCD early enough that it was still " progressing " while we got the meds on board. Even now at 100mg, we still see new things come up and others fade away on a weekly basis. But this is now the hard part; do we keep increasing it or keep her at 100? Her ped is really not all that " into " this; he increases it based on what I tell him about her symptoms and whether there is improvement. BJ, I don't know if I ever mentioned the " lack of affection " thing or not; there are so many little things, it changes from day to day. But her inability to reciprocate affection was a big issue right from the beginning. And she was so afraid of being " infected " she literally would jump out of the way when they passed by, or even cross the room to avoid them. This was not the case with me, however, I could still hug and kiss her (though I made sure to tell her first!). One thing I regret about her having OCD is she refused to go hunting this year with her dad. That's always been their " special time " alone. She says it's because she wants to be more " girly " , but I think it's all OCD related. We continued to encourage, but even when her brother got an 8-point buck, it wasn't enough (they usually compete for the biggest buck!). But at least now she will choose to go somewhere in the car with Dad on occasion; early on, that was a definite no-no! And now she is actually MORE loving with her younger sister than she was even before the OCD! The funny thing with most of her fears is that where we live is constant exposure therapy because we live on 22 acres of woods; definitely not the pristine germ-free environment she craves! Debbie ____________ _________ _________ _________ _________ _________ _ Get help now! Click to find the right drug rehab solution for you. http://thirdpartyof fers.netzero. net/TGL2221/ fc/Ioyw6i4t72fOS Q5WXbItoLzmVhA30 i7pg5AxwPSGJLnWo uchaGWOAh/ ?count=123456789 0 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2008 Report Share Posted November 3, 2008 Bj, you hit it right on the head! Any time I try to do some exposure, it's not a good thing. We just tonight had a big issue with her emptying the dishwasher; yes, the same chore just Sunday she said she'd do. Today has been worse for some reason; maybe because we saw the new therapist? Seems anytime she really has to confront or deal with the OCD, it gets worse for a bit. When she can " forget about it " for awhile, it's better. I'm not so sure this new therapist is going to work out; they didn't do any exposure work today; her and addressed some of her fears, but from what told me, it almost bordered on reassurance by the therapist. Nor did she get a hold of the " trainer " we talked about, though I emphasized how important it was. Anyway, she didn't want to do the dishwasher because of some scum build-up on the sides; in this case, I just took some Fantastik spray and cleaned it off; then she managed to do it. Pick your battles, right?! , I talked with them about her seeing the psychiatrist about the meds; he's too booked up right now to see anyone new. I'm going to try to get an ongoing scrip for the 100mg and one for 25 mg; then I can move her up by 12.5 mg to see where we get good results; I'm pretty sure the ped will go along with this. I hope to sure see some major improvement in the next 4 weeks! I am really glad I have you guys to talk to about this stuff. Debbie _____________________________________________________________ Click here to become a professional counselor in less time than you think. http://thirdpartyoffers.netzero.net/TGL2221/fc/Ioyw6i4vFH82zuNlAaGJ5uS9XZIEqCa3Q\ BmE0YKWHtdKJ5hHj4uFpX/?count=1234567890 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2008 Report Share Posted November 3, 2008 Hi Debbie, Just thought I'd jump in to your conversation on this, hope that's ok. The confronting the OCD definitely will cause things to get " worse " for sure, and often the anxiety can go way up. Often the case after doctor's appointments too, where they " talk " about it. Avoidance is a strategy, and common, ours pretty much lived by it....teen(!). Not THE answer, but common, just wanted to say that. To be fair, often they do what they need to do, it is a process to coming to fully be able to do the CBT and exposures. I'm sorry I have not seen your other posts, not sure where you are with medication, but it does take time, so until you are at an optimal dose, often the CBT is not doable (don't think that's a word?). It can really help to lower the intensity of the OCD and make everything easier. I totally go with the " pick your battles " . I would say, sometimes you do the " wrong " thing, but for the " right " reason, as in just to get through the day!!! Hope you start to see things turn around soon. Barb > > Bj, you hit it right on the head! Any time I try to do some exposure, it's not a good thing. We just tonight had a big issue with her emptying the dishwasher; yes, the same chore just Sunday she said she'd do. Today has been worse for some reason; maybe because we saw the new therapist? Seems anytime she really has to confront or deal with the OCD, it gets worse for a bit. When she can " forget about it " for awhile, it's better. I'm not so sure this new therapist is going to work out; they didn't do any exposure work today; her and addressed some of her fears, but from what told me, it almost bordered on reassurance by the therapist. Nor did she get a hold of the " trainer " we talked about, though I emphasized how important it was. Anyway, she didn't want to do the dishwasher because of some scum build-up on the sides; in this case, I just took some Fantastik spray and cleaned it off; then she managed to do it. Pick your battles, right?! > , I talked with them about her seeing the psychiatrist about the meds; he's too booked up right now to see anyone new. I'm going to try to get an ongoing scrip for the 100mg and one for 25 mg; then I can move her up by 12.5 mg to see where we get good results; I'm pretty sure the ped will go along with this. I hope to sure see some major improvement in the next 4 weeks! > I am really glad I have you guys to talk to about this stuff. > Debbie > > > _____________________________________________________________ > Click here to become a professional counselor in less time than you think. > http://thirdpartyoffers.netzero.net/TGL2221/fc/Ioyw6i4vFH82zuNlAaGJ5uS 9XZIEqCa3QBmE0YKWHtdKJ5hHj4uFpX/?count=1234567890 > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2008 Report Share Posted November 3, 2008 Debbie, there are some great workbooks that are designed for home use that walk you through ERP. We tried them, but found our son just listened to a therapist better. Maybe because he wasn't emotionally involved. Anyway, if you want to familiarize yourself with ERP and how it should be done, it's a great place to get the gist of it. You might even be able to check them out at your local library to save money. They are Talking Back to OCD, by March. He also has a book FOR therapists, in case your therapist is interested. It is called, OCD in Children and Adolescents, A Cognitive-Behavioral Treatment Manual. Josh's therapist was surprised I had the therapist's book too. I told him that just how desperate we were. lol The other workbook is, Helping Your Child With Ocd: A Workbook for Parents of Children With Obsessive-Compulsive Disorder by Lee Fitzgibbons and Cherry Pedrick Maybe the therapist would even be willing to use one of the workbooks with you, to guide you through it. Just a thought. Yes, you learn to pick your battles, for sure. We also found that while our son was working up his hierarchy list, we had to just ignore a lot of things, until he got to the point of working on them. BJ > > Bj, you hit it right on the head! Any time I try to do some exposure, it's not a good thing. We just tonight had a big issue with her emptying the dishwasher; yes, the same chore just Sunday she said she'd do. Today has been worse for some reason; maybe because we saw the new therapist? Seems anytime she really has to confront or deal with the OCD, it gets worse for a bit. When she can " forget about it " for awhile, it's better. I'm not so sure this new therapist is going to work out; they didn't do any exposure work today; her and addressed some of her fears, but from what told me, it almost bordered on reassurance by the therapist. Nor did she get a hold of the " trainer " we talked about, though I emphasized how important it was. Anyway, she didn't want to do the dishwasher because of some scum build-up on the sides; in this case, I just took some Fantastik spray and cleaned it off; then she managed to do it. Pick your battles, right?! > , I talked with them about her seeing the psychiatrist about the meds; he's too booked up right now to see anyone new. I'm going to try to get an ongoing scrip for the 100mg and one for 25 mg; then I can move her up by 12.5 mg to see where we get good results; I'm pretty sure the ped will go along with this. I hope to sure see some major improvement in the next 4 weeks! > I am really glad I have you guys to talk to about this stuff. > Debbie > > > _____________________________________________________________ > Click here to become a professional counselor in less time than you think. > http://thirdpartyoffers.netzero.net/TGL2221/fc/Ioyw6i4vFH82zuNlAaGJ5uS9XZIEqCa3Q\ BmE0YKWHtdKJ5hHj4uFpX/?count=1234567890 > > > Quote Link to comment Share on other sites More sharing options...
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