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In a message dated 6/5/03 4:07:19 AM Central Daylight Time, autism-aspergers writes:

Skylar is 8 and has been on Risperdol since Jan 2003. He takes 1 mg at

night and things have been good so far. He

Some have discussed Risperdol and also Seroquel. I am seeking into this because these may be something that might work for my son. Please give me any information that I might need, such as what are the reasons that they prescribe these as oppsoed to the Anti-Ds that he is on now which is Remeron, and he was on Tofranil

( Impramine). Also, why does this cause weight gain, does the child want to eat more? is now wanting food at night, when his Ritalin wears off, since he started Remeron in Nov. I wasnt sure if it was the meds or his age, as he is now 14 and in puberty as well. Also, what other information can anyone give to me, such as how long does it take to see this medication work to full benefit?

Thanks

Larua in IL

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  • 1 year later...

Hi Kim,

Medications do just help with the symptoms, anxiety level, etc. For

some people, meds alone might really decrease any OC behaviors.

However, if they have a therapist who is experienced in treating OCD

and does Cognitive Behavioral Therapy (CBT) and Exposure & Response

Prevention (ERP), then with those particular therapies, your child

can gain the tools to fight OCD that " might " help them eventually be

able to come off medication. The therapy is the key to their

controlling OCD - and not vice-versa. Yes, some sufferers do have to

stay on medication, but there are many, I'm sure, who eventually can

go " med free. "

My son, 15, has been on Celexa for just over a year. I also wonder

if at some point we try to reduce the dosage or wean him off Celexa

altogether, will OCD rear up its head even worse. Sigh, we'll just

have to wait and see. MY hope is that even if OCD increases a bit,

it'll be short-lasting or will have the tools/effort to work

on fighting it! We've dealt with his OCD on our own, no therapist

near, and knows what needs to be done to overcome his

compulsions, etc., it's just a matter of his being able to do it on

his own. It's been really tough at times, I'm sure an experienced

therapist could have helped speed things up tremendously!

> My daughter, 13, is currently doing well on a 150mg of Zoloft. She

has been

> stable for about 2 months. I was reading some info on line and

found

> this... " Medications are of help in controlling the symptoms of OCD,

but often, if the

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Hi Kim,

Medications do just help with the symptoms, anxiety level, etc. For

some people, meds alone might really decrease any OC behaviors.

However, if they have a therapist who is experienced in treating OCD

and does Cognitive Behavioral Therapy (CBT) and Exposure & Response

Prevention (ERP), then with those particular therapies, your child

can gain the tools to fight OCD that " might " help them eventually be

able to come off medication. The therapy is the key to their

controlling OCD - and not vice-versa. Yes, some sufferers do have to

stay on medication, but there are many, I'm sure, who eventually can

go " med free. "

My son, 15, has been on Celexa for just over a year. I also wonder

if at some point we try to reduce the dosage or wean him off Celexa

altogether, will OCD rear up its head even worse. Sigh, we'll just

have to wait and see. MY hope is that even if OCD increases a bit,

it'll be short-lasting or will have the tools/effort to work

on fighting it! We've dealt with his OCD on our own, no therapist

near, and knows what needs to be done to overcome his

compulsions, etc., it's just a matter of his being able to do it on

his own. It's been really tough at times, I'm sure an experienced

therapist could have helped speed things up tremendously!

> My daughter, 13, is currently doing well on a 150mg of Zoloft. She

has been

> stable for about 2 months. I was reading some info on line and

found

> this... " Medications are of help in controlling the symptoms of OCD,

but often, if the

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Hi Kathy. My concern is that before we knew my daughter had OCD issues, she

originally began treatment for generalized anxiety and depression. Her

psychiatrist mentioned, at the time, that he likes to try getting kids off

antidepressants when possible because we really don't know what they are doing

to a

growing child's brain. This comment bothered me, yet, I also know that my

daughter needs her medicine basically to function. My daughter absolutely wants

her med because she also feels it is necessary. I appreciate you sharing the

point of view about having more time with normal development to help her in her

adult years. That perspective does make me feel better about keeping her on

the medication.Thanks for your input. Kim

In a message dated 9/28/2004 8:23:11 AM Central Daylight Time,

kathylr@... writes:

So with this input we made a peace with our child being continuously on an

SSRI indefinitely. She's 10 and so in the years to come she may want to

stop medication, so we shall see. But I figure every year she racks up on

medication and without severe OCD, is another year of normal development and

maturing which I hope will hold her in good stead once an adult.

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Hi Kim, our pdoc told us that the relapse rate was something like 80% at one

year after stopping SSRI therapy. He also said that he felt that continued

meds plus therapy was the best way to minimize and stabilize OCD symptoms.

I was surprised when my daughter's CBT also mentioned the high relapse rate

when SSRI medication was withdrawn. I had assumed he would be much more an

advocate for therapy only and perhaps see medication as a temporary help.

Both of these professionals stressed that in a child, low and stable

symptoms allows them to grow and mature as normally and as unencumbered by

OCD as possible--something that isn't a concern in adults. We don't get

do-overs in our growing up years :-)

So with this input we made a peace with our child being continuously on an

SSRI indefinitely. She's 10 and so in the years to come she may want to

stop medication, so we shall see. But I figure every year she racks up on

medication and without severe OCD, is another year of normal development and

maturing which I hope will hold her in good stead once an adult.

Take care,

Kathy R. in Indiana

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

> My daughter, 13, is currently doing well on a 150mg of Zoloft. She has

been

> stable for about 2 months. I was reading some info on line and found

> this... " Medications are of help in controlling the symptoms of OCD, but

often, if the

> medication is discontinued, relapse will follow. Indeed, even after

symptoms

> have subsided, most people will need to continue with medication

> indefinitely, perhaps with a lowered dosage. " I am wondering what people

have been told

> by their children's psychiatrists about medication- do you expect them to

> always need to be on medication? Thanks. Kim

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