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That's terrible.  My daughter had a few episodes like this,and it really upset

me. So big hugs from me.

She's is on klonopine and really doing good! no side effects!

jennie

[ ] Poisoning fears

 

First off I need to thank all of you who post and dedicate your time to this

website- this is the only place I can go and feel like somebody gets it!

My 10 year old son has been diagnosed with OCD for some time now. His latest

issue is fear of poisoning- he is convinced their is a conspiracy to have him

killed (by poisoning) and that his dad and I are involved. It has gotten to the

point where he questions everything he eats, where it came from, etc. He is not

eating much, so that coupled with the effects of the ADHD meds he is on does not

make for a healthy body. All he wants from me is reassurance- but I know this is

the last thing I can give him as it will only perpetuate the problem. This goes

against everything I am as mom. AAAGGGHH ! I had a mini-panic attack yesterday

thinking and thinking and thinking... I know many of you can relate. Any

suggestions? Currently he is not taking any meds for the OCD but is going

through nuerofeedback which should help. His therapist, my son and I agreed that

we would re-visit the meds question in October if no relief from Nuerofeedback .

Thanks for reading!

__ ._,_. __ _

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Our list advisors are Gail B. , Ed.D.( http :// www . ocdawareness .com ),

Tamar Chansky , Ph .D.( http :// www . worrywisekids .org ), and Dan Geller,

M.D. ( http ://www2. massgeneral .org/ pediatricpsych /staff/ geller . html ).

You may ask a question of any of these mental health professionals by inserting

the words " Ask Dr.(insert name) " in the subject line of a post to the list. 

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Nesrallah .   Subscription issues or suggestions may be addressed to Louis

Harkins , list administrator, at louisharkins @yahoo.com .   Our group and

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ocdsupportgroups /links .  OCF treatment providers list may be viewed at http

:// www . ocfoundation .info/treatment-providers-list. php .

NLM-NIH Drug Information Portal may be viewed at

http :// druginfo . nlm . nih .gov/ drugportal / drugportal . jsp ?

APPLICATION_NAME = drugportal .  OCF recommended reading list may be viewed at

http :// www . ocfoundation .org/ocd-oc-spectrum-disorders-book-list. html .

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Every fear seems like the worst when I hear about it! But anything that makes

them not eat is always a real challenge. I am so sorry that he and you are going

though this. My nephew used to be deathly afraid there was glass in his food,

and my daughter is/was horrified by black spots, the thought of raw chicken, bad

food, too much sugar, soft spots on fruit....

I don't know a lot about Neurofeedback. I have heard of it, and know that it

can do wonders for many, and certainly having it as a part of your OCD arsenal

may be wise. (We also do OT for sensory integration issues). However, the only

therapy that is extensively proven to be as effective (and often more) for OCD,

is ERP therapy (Exposure & Ritual Prevention). This is a fairly new therapy

(last 10-15 years), so many many therapist are not trained in this, or are not

aware that this is the first line of defense. In combination with meds, it is

very effective. Please research this (Dr. March wrote the book on this therapy)

- it can work absolute wonders. Nothing works for every child, but I would

strongly encourage that you not wait until October to find this kind of

therapist. OCD is very " sticky " and can multiply quickly.

Have you already read and done the workbook with him - " What to do when your

brain gets Stuck " ? This will help him to understand the ERP therapy necessary.

>

> First off I need to thank all of you who post and dedicate your time to this

website- this is the only place I can go and feel like somebody gets it!

> My 10 year old son has been diagnosed with OCD for some time now. His latest

issue is fear of poisoning- he is convinced their is a conspiracy to have him

killed (by poisoning) and that his dad and I are involved. It has gotten to the

point where he questions everything he eats, where it came from, etc. He is not

eating much, so that coupled with the effects of the ADHD meds he is on does not

make for a healthy body. All he wants from me is reassurance- but I know this is

the last thing I can give him as it will only perpetuate the problem. This goes

against everything I am as mom. AAAGGGHH! I had a mini-panic attack yesterday

thinking and thinking and thinking... I know many of you can relate. Any

suggestions? Currently he is not taking any meds for the OCD but is going

through nuerofeedback which should help. His therapist, my son and I agreed that

we would re-visit the meds question in October if no relief from Nuerofeedback.

Thanks for reading!

>

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We had the same issue with my daughter she was sure that the zoloft she was

suppose to take is poision. Perhaps because my daughter

has Asperger traits she has not responded at all to OCD therapy. She does

respond to behavioral management and this is the treatment

plan for kids with Autism or Asperger Syndrome.

I treat all her fears as behavioral management. Today she seemed

fearful to eat any foods with fat in it. I let her get salad

at the grocery store and ordered water at Mcs but then

I ordered a hamburger and fries and inched her along to take bites.

She did.

Same thing with the medication. She had to take a small 10mg

dose the size of a very tiny crumb of zoloft. The first dose

she paniced and then she was able to tolerate taking it.

I increased it over time. She still says it is poision.

I ignore that completely.

I am at peace that reasoning with her does no good at all.

I hope you get to the point. I had two therapists tell me

that reasoning doesn't work with her so I don't try.

If she starts taking about poision I leave the room.

No reinforcement of any kind of this idea.

I do feel better myself. More under control. But her

anxiety is still pretty bad. She is like fly paper to any

ideas poor kid. She is suffering for sure.

We have had a host of issues this summer bathroom accidents,

fears of smells, fear of poision.

If I keep her in our own little world she does better and is

happier. But she is so sensitive to what other people say

to her. Poor thing.

The zoloft improved her mood at this low dose but 35mg

is not touching the anxiety/OCD stuff. And she is already

pretty wired/jumpy at night on this low dose so I am not sure where

we can go next on zoloft.

Good luck and write me privately if you want help coping

with ignoring what your child says. The more people that

have told me that my daughter can't be reasoned with the

better I felt ignoring her comments.

Pam

>

> First off I need to thank all of you who post and dedicate your time to this

website- this is the only place I can go and feel like somebody gets it!

> My 10 year old son has been diagnosed with OCD for some time now. His latest

issue is fear of poisoning- he is convinced their is a conspiracy to have him

killed (by poisoning) and that his dad and I are involved. It has gotten to the

point where he questions everything he eats, where it came from, etc. He is not

eating much, so that coupled with the effects of the ADHD meds he is on does not

make for a healthy body. All he wants from me is reassurance- but I know this is

the last thing I can give him as it will only perpetuate the problem. This goes

against everything I am as mom. AAAGGGHH! I had a mini-panic attack yesterday

thinking and thinking and thinking... I know many of you can relate. Any

suggestions? Currently he is not taking any meds for the OCD but is going

through nuerofeedback which should help. His therapist, my son and I agreed that

we would re-visit the meds question in October if no relief from Nuerofeedback.

Thanks for reading!

>

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You are actually doing ERP therapy!!! ERP is a Cognitive Behavioral Therapy.

You have just started with baby step on really important things! If you can

keep reinforcing that with her " hey, remember when OCD told you to be afraid of

fat, but then then you took 2 bites of hamburger, and you were fine. That was

great and very couragous! You are already fighting and winning against ERP! "

Sounds like you have found a great program that is helping your family cope -

and at the same time, you are readying her for ERP. Bonus! in NC.

>

>

> I treat all her fears as behavioral management. Today she seemed

> fearful to eat any foods with fat in it. I let her get salad

> at the grocery store and ordered water at Mcs but then

> I ordered a hamburger and fries and inched her along to take bites.

> She did.

>

> Same thing with the medication. She had to take a small 10mg

> dose the size of a very tiny crumb of zoloft. The first dose

> she paniced and then she was able to tolerate taking it.

> I increased it over time. She still says it is poision.

> I ignore that completely.

>

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Oh Jennie, that's so good to hear that your daughter is not having side effects

from the klonipin, and is doing well. So happy for you!!!

Barb

>

>

>

> That's terrible.  My daughter had a few episodes like this,and it really

upset me. So big hugs from me.

>

>

>

> She's is on klonopine and really doing good! no side effects!

>

>

>

> jennie

> [ ] Poisoning fears

>

>  

>

>

>

>

> First off I need to thank all of you who post and dedicate your time to this

website- this is the only place I can go and feel like somebody gets it!

> My 10 year old son has been diagnosed with OCD for some time now. His latest

issue is fear of poisoning- he is convinced their is a conspiracy to have him

killed (by poisoning) and that his dad and I are involved. It has gotten to the

point where he questions everything he eats, where it came from, etc. He is not

eating much, so that coupled with the effects of the ADHD meds he is on does not

make for a healthy body. All he wants from me is reassurance- but I know this is

the last thing I can give him as it will only perpetuate the problem. This goes

against everything I am as mom. AAAGGGHH ! I had a mini-panic attack yesterday

thinking and thinking and thinking... I know many of you can relate. Any

suggestions? Currently he is not taking any meds for the OCD but is going

through nuerofeedback which should help. His therapist, my son and I agreed that

we would re-visit the meds question in October if no relief from Nuerofeedback .

Thanks for reading!

>

>

> __ ._,_. __ _

> Messages in this topic ( 1 ) Reply (via web post) | Start a new topic

> Messages

> Our list archives feature may be accessed at:  http

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> http ://health.groups.yahoo.com/group/ /files .

> Our list advisors are Gail B. , Ed.D.( http :// www . ocdawareness .com

), Tamar Chansky , Ph .D.( http :// www . worrywisekids .org ), and Dan Geller,

M.D. ( http ://www2. massgeneral .org/ pediatricpsych /staff/ geller . html ).

You may ask a question of any of these mental health professionals by inserting

the words " Ask Dr.(insert name) " in the subject line of a post to the list. 

Our list moderators are Castle, Judy Chabot , BJ Closner , and Barb

Nesrallah .   Subscription issues or suggestions may be addressed to Louis

Harkins , list administrator, at louisharkins @yahoo.com .   Our group and

related groups are listed at http ://health.groups.yahoo.com/group/

ocdsupportgroups /links .  OCF treatment providers list may be viewed at http

:// www . ocfoundation .info/treatment-providers-list. php .

> NLM-NIH Drug Information Portal may be viewed at

> http :// druginfo . nlm . nih .gov/ drugportal / drugportal . jsp ?

APPLICATION_NAME = drugportal .  OCF recommended reading list may be viewed at

http :// www . ocfoundation .org/ocd-oc-spectrum-disorders-book-list. html .

>

>

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Thank you!! 

School starts Monday. We go go in Friday for the behavioral therapist and the

psychologist to walk her through her schedule and get the feel of it again.

There just going to hang out with her. 

She cant be with crowds,so i just don't see how its going to work! but she is

happier,shes talking to people,even strangers.and I'm seeing so may positive

things right now!

Jennie

[ ] Poisoning fears

>

>  

>

>

>

>

> First off I need to thank all of you who post and dedicate your time to this

website- this is the only place I can go and feel like somebody gets it!

> My 10 year old son has been diagnosed with OCD for some time now. His latest

issue is fear of poisoning- he is convinced their is a conspiracy to have him

killed (by poisoning) and that his dad and I are involved. It has gotten to the

point where he questions everything he eats, where it came from, etc. He is not

eating much, so that coupled with the effects of the ADHD meds he is on does not

make for a healthy body. All he wants from me is reassurance- but I know this is

the last thing I can give him as it will only perpetuate the problem. This goes

against everything I am as mom. AAAGGGHH ! I had a mini-panic attack yesterday

thinking and thinking and thinking... I know many of you can relate. Any

suggestions? Currently he is not taking any meds for the OCD but is going

through nuerofeedback which should help. His therapist, my son and I agreed that

we would re-visit the meds question in October if no relief from Nuerofeedback .

Thanks for reading!

>

>

> __ ._,_. __ _

> Messages in this topic ( 1 ) Reply (via web post) | Start a new topic

> Messages

> Our list archives feature may be accessed at:  http

://health.groups.yahoo.com/group/ / by scrolling down to the

archives calendar .  Our links may be accessed at http

://health.groups.yahoo.com/group/ /links .  Our files may be

accessed at

> http ://health.groups.yahoo.com/group/ /files .

> Our list advisors are Gail B. , Ed.D.( http :// www . ocdawareness .com

), Tamar Chansky , Ph .D.( http :// www . worrywisekids .org ), and Dan Geller,

M.D. ( http ://www2. massgeneral .org/ pediatricpsych /staff/ geller . html ).

You may ask a question of any of these mental health professionals by inserting

the words " Ask Dr.(insert name) " in the subject line of a post to the list. 

Our list moderators are Castle, Judy Chabot , BJ Closner , and Barb

Nesrallah .   Subscription issues or suggestions may be addressed to Louis

Harkins , list administrator, at louisharkins @yahoo.com .   Our group and

related groups are listed at http ://health.groups.yahoo.com/group/

ocdsupportgroups /links .  OCF treatment providers list may be viewed at http

:// www . ocfoundation .info/treatment-providers-list. php .

> NLM-NIH Drug Information Portal may be viewed at

> http :// druginfo . nlm . nih .gov/ drugportal / drugportal . jsp ?

APPLICATION_NAME = drugportal .  OCF recommended reading list may be viewed

at http :// www . ocfoundation .org/ocd-oc-spectrum-disorders-book-list. html .

>

>

> MARKETPLACE

>

> Mom Power: Discover the community of moms doing more for their families, for

the world and for each other

> Yahoo! Groups

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> Change settings via email: Switch delivery to Daily Digest | Switch format to

Traditional

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>

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>

>

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> Yahoo! Groups

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> Yahoo! Groups

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> Weight Management Challenge Join others who

>

> are losing pounds.

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> Yahoo! Groups

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Thanks for the support. I have learned so much from this group.

with each issue that comes up I am better able to handle

trying to keep her on track.

I am not sure if it is because she has Asperger Syndrome that she copes better

with ERP described as good behaviors and not appropriate behaviors by ME (if the

therapist tries to talk about behaviors

she gets very scared and runs out of the office to my car). If the therapist (an

OCD expert) tries to get her to talk about anxiety she runs out of the room. She

only stays if she can

talk about her pets.

You have me thinking again if it will help to try and explain

OCD to her. I appreciate the feedback.

Pam

-- In , " susangalway " wrote:

>

> You are actually doing ERP therapy!!! ERP is a Cognitive Behavioral Therapy.

You have just started with baby step on really important things! If you can

keep reinforcing that with her " hey, remember when OCD told you to be afraid of

fat, but then then you took 2 bites of hamburger, and you were fine. That was

great and very couragous! You are already fighting and winning against ERP! "

Sounds like you have found a great program that is helping your family cope -

and at the same time, you are readying her for ERP. Bonus! in NC.

>

>

> >

> >

> > I treat all her fears as behavioral management. Today she seemed

> > fearful to eat any foods with fat in it. I let her get salad

> > at the grocery store and ordered water at Mcs but then

> > I ordered a hamburger and fries and inched her along to take bites.

> > She did.

> >

> > Same thing with the medication. She had to take a small 10mg

> > dose the size of a very tiny crumb of zoloft. The first dose

> > she paniced and then she was able to tolerate taking it.

> > I increased it over time. She still says it is poision.

> > I ignore that completely.

> >

>

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Hi Jennie,

That's so great that she has this level of suppport to help her adjust back to

school. I often wondered how ours managed with the crowds at school. He told

me every day how hard it was, but he was doing it. So, if she is happier and

enjoying people, then she will have this to motivate her perhaps. Most want to

get back some " normal " and that motivates and helps them over-ride the

discomfort.

It sounds like the medication has dialed back the anxiety, and this can make

such a difference in their ability to cope with everything.

Let us know how it goes on Friday! Best to you on this.

Barb

>

>

>

> Thank you!! 

>

> School starts Monday. We go go in Friday for the behavioral therapist and the

psychologist to walk her through her schedule and get the feel of it again.

There just going to hang out with her. 

>

> She cant be with crowds,so i just don't see how its going to work! but she is

happier,shes talking to people,even strangers.and I'm seeing so may positive

things right now!

>

> Jennie

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Hi Pam,

Just read your post and 's response, affirming that you are doing ERP with

the behavioral techniques you are using. Just wanted to add our experience with

this.

We find the same with ours, now 18. I've mentioned his LD part before(checking

for ASP now), and find, like you, that treating everything from a behavioral

approach best. Ours is super sensitive also, and will have misperceptions, not

sure if this is OCD or LD or both, but it can cause big problems.

Like your daughter who runs out of the room if a word is mentioned, or something

said that was not acceptable, ours would erupt. Which, as I write now, I

suspect it was OCD based. But since the misperception can have an LD basis(does

not understand or misinterprets), sometimes that part needs to be covered too.

It can be tricky to not reinforce the OCD, while working on the cognitive part I

think. Either way addressing the behavior and not reinforcing is best.

With ours I try to just state what is fact, ie there was no intention behind the

words, when he thinks there is. Since the OCD will keep doubting this, I don't

repeat, just say it once. Since ours is so sensitive to emotion, he will pick

up if someone(me!) is edgey or whatever, and interpret it personally. So, I try

to be clear that I am in a rushed/crabby/tired or whatever, and that is about me

not him.

Not taking other's " stuff " personally is a life lesson I think, I have not been

overly successful with ours on this one. Ours still views it as a personal

affront, and something to combat, but it was way out of proportion when the OCD

was not managed. Since it can't be reasoned with, again I suspect an OCD basis.

When it feels so personal it must be hard to let the doubt just sit there. With

ours it felt like a life or death matter, by his reaction. Where yours runs

away to avoid, ours goes to battle! He avoids other stuff though.

The more neutral I can be in my responses, the less I reinforce, and this is the

ultimate challenge for me. Neutral I am not...particularily with unreasonable,

inconsiderate teen stuff attached to it all!!!

Sounds like you have made some really big progress with your daughter though

Pam! She is taking her medication, seeing the therapist, and taking bites of a

hamburger even though she fears fat - big things! Just wondering about her

being wired at night, did this just happen after the zoloft? Ours could be up

all night with the OCD/anxiety before medication, but I know the sri's can

affect sleep too. Have you tried melatonin, or would she consider another pill?

I know it's still hard, and you have lots of stuff still happening, but just

wanted to say it sounds like you are more on top of it all, and have made some

big steps forward and I'm happy for you for this.

Warmly,

Barb

> >

> > First off I need to thank all of you who post and dedicate your time to this

website- this is the only place I can go and feel like somebody gets it!

> > My 10 year old son has been diagnosed with OCD for some time now. His latest

issue is fear of poisoning- he is convinced their is a conspiracy to have him

killed (by poisoning) and that his dad and I are involved. It has gotten to the

point where he questions everything he eats, where it came from, etc. He is not

eating much, so that coupled with the effects of the ADHD meds he is on does not

make for a healthy body. All he wants from me is reassurance- but I know this is

the last thing I can give him as it will only perpetuate the problem. This goes

against everything I am as mom. AAAGGGHH! I had a mini-panic attack yesterday

thinking and thinking and thinking... I know many of you can relate. Any

suggestions? Currently he is not taking any meds for the OCD but is going

through nuerofeedback which should help. His therapist, my son and I agreed that

we would re-visit the meds question in October if no relief from Nuerofeedback.

Thanks for reading!

> >

>

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Thanks Barb! This is such a great group. When her issues with food surfaced this

summer I knew how to respond based on what I

had read in this group.

I am happily surprised at how her mood has improved since she

started on the zoloft. All the OCD thoughts are still present but the depressed

way she often thought about things seems so

improved. So far she has not been explosive on transitions either.

I just can't get over how much more stable her emotions are.

I am still trying to understand what is happening.

Was she always depressed too? She was explosive on transitions since an infant.

I am trying to piece together her issues. It seems the Non Verbal Learning

Disability/Asperger Syndrome may account for why I have

to keep it all concrete and why she avoids insight and doesn't

like any therapy. It accounts for all her sensory issues with food, smells,

textures. It explains her cognitive issues with slow

processing speed, executive function disorder. Maybe she had short extreme

depressive episodes on transitions because this issue seems to be greatly

improved by the zoloft.

And she has OCD issues with contamination fears, food issues,

fears of using soap, fears of words so many fears ..

And the methods I use I see now are ERP but in a concrete manner

directed by positive reinforcement methods and not based on any

insight into OCD at this point.

And lastly her school refusal still has to be addressed this fall.

Yale University is going to support us supporting her on a gradual

return with systematic increases in exposure to school only after

she has mastered each segment of time. This is our most difficult challenge

since our school district wants to rush the exposures and get her into school

full time. I still have to figure out

how the MD may be able to help me keep the district paying for

school part time if need be and not pull her out prematurely since it is a

private school they are paying for.

thanks again for helping me get a perspective on what I am doing.

It may be better to explain the gradual return to school as

an ERP therapy. Perhaps it will help others understand.

Pam

-- In , " barb020961 " wrote:

>

> Hi Pam,

>

> Just read your post and 's response, affirming that you are doing ERP

with the behavioral techniques you are using. Just wanted to add our experience

with this.

>

> We find the same with ours, now 18. I've mentioned his LD part

before(checking for ASP now), and find, like you, that treating everything from

a behavioral approach best. Ours is super sensitive also, and will have

misperceptions, not sure if this is OCD or LD or both, but it can cause big

problems.

>

> Like your daughter who runs out of the room if a word is mentioned, or

something said that was not acceptable, ours would erupt. Which, as I write

now, I suspect it was OCD based. But since the misperception can have an LD

basis(does not understand or misinterprets), sometimes that part needs to be

covered too. It can be tricky to not reinforce the OCD, while working on the

cognitive part I think. Either way addressing the behavior and not reinforcing

is best.

>

> With ours I try to just state what is fact, ie there was no intention behind

the words, when he thinks there is. Since the OCD will keep doubting this, I

don't repeat, just say it once. Since ours is so sensitive to emotion, he will

pick up if someone(me!) is edgey or whatever, and interpret it personally. So,

I try to be clear that I am in a rushed/crabby/tired or whatever, and that is

about me not him.

>

> Not taking other's " stuff " personally is a life lesson I think, I have not

been overly successful with ours on this one. Ours still views it as a personal

affront, and something to combat, but it was way out of proportion when the OCD

was not managed. Since it can't be reasoned with, again I suspect an OCD basis.

>

> When it feels so personal it must be hard to let the doubt just sit there.

With ours it felt like a life or death matter, by his reaction. Where yours

runs away to avoid, ours goes to battle! He avoids other stuff though.

>

> The more neutral I can be in my responses, the less I reinforce, and this is

the ultimate challenge for me. Neutral I am not...particularily with

unreasonable, inconsiderate teen stuff attached to it all!!!

>

> Sounds like you have made some really big progress with your daughter though

Pam! She is taking her medication, seeing the therapist, and taking bites of a

hamburger even though she fears fat - big things! Just wondering about her

being wired at night, did this just happen after the zoloft? Ours could be up

all night with the OCD/anxiety before medication, but I know the sri's can

affect sleep too. Have you tried melatonin, or would she consider another pill?

>

> I know it's still hard, and you have lots of stuff still happening, but just

wanted to say it sounds like you are more on top of it all, and have made some

big steps forward and I'm happy for you for this.

>

> Warmly,

> Barb

>

>

>

>

> > >

> > > First off I need to thank all of you who post and dedicate your time to

this website- this is the only place I can go and feel like somebody gets it!

> > > My 10 year old son has been diagnosed with OCD for some time now. His

latest issue is fear of poisoning- he is convinced their is a conspiracy to have

him killed (by poisoning) and that his dad and I are involved. It has gotten to

the point where he questions everything he eats, where it came from, etc. He is

not eating much, so that coupled with the effects of the ADHD meds he is on does

not make for a healthy body. All he wants from me is reassurance- but I know

this is the last thing I can give him as it will only perpetuate the problem.

This goes against everything I am as mom. AAAGGGHH! I had a mini-panic attack

yesterday thinking and thinking and thinking... I know many of you can relate.

Any suggestions? Currently he is not taking any meds for the OCD but is going

through nuerofeedback which should help. His therapist, my son and I agreed that

we would re-visit the meds question in October if no relief from Nuerofeedback.

Thanks for reading!

> > >

> >

>

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Hi Pam,

That's so good that the depression is improved, it just drags it all down and

can keep them in such a negative spin cycle. Interesting that the transitions

seems to have improved from this also.

I wonder if the overwhelm that can come with a transition is lessened with the

improvement of the depression. I find when I am depressed I have little

capacity to cope with even thinking about doing something, never mind the actual

doing of it, think the brain function is definitely compromised or at least it

feels that way.

" Learning Disability/Asperger Syndrome may account for why I have

> to keep it all concrete and why she avoids insight and doesn't

> like any therapy. " I can relate to this, and the need to be very concrete.

I wonder with ours, I don't think he lacks insight, but rather cannot break down

the parts of the problem to problem solve it, LD stuff.

Also, rigid thinking, cannot consider options, locked in, which sounds OCD, but

think it is perhaps a trait or brain based.

Either way the more specific and concrete one can be, and then walk them through

it, seems to be best, I find. Talking about it is almost painful it seems, ours

can't process or retain the information to work with it easily. Although I find

this has improved vastly from when he was younger and we got yelling and

tantruming due to lack of ability to communicate.

Good to catch up Pam! Hope things continue to improve. Keep us posted on the

school part. Good that you have the support of Yale program, and I'm sure

others would be interested to have the ERP process for reintegrating back to

school outlined.

Warmly,

Barb

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Thanks again Barb for all your insight. You have been very helpful!

I haven't really heard too many people write about the outbursts/depressive

episode she had with transitions since infancy.

The neurologist MD said it was OCD, that she was locked into ideas that were

difficult to transition from. The nueropsychologist Phd said it was executive

function deficit but she never explained the depressed thought pattern that went

with it. She still will yell if there is a surprise but she gets over it quicker

on the zoloft and there is not the depressed thoughts and rage like energy to

it. I really hope this aspect can be maintained. I am being cautious on

increasing the zoloft. Some MD's have written that childhood depression is

bipolar depression. I don't know I have not ever seen any mania in my daughter.

And she has never had nightmares or trouble

sleeping thru the night once she does fall asleep.

It is great to have support in thinking thru complex problems like these.

I will share the Yale process for returning to school (after a long

break due to anxiety issues).

Pam

>

> Hi Pam,

>

> That's so good that the depression is improved, it just drags it all down and

can keep them in such a negative spin cycle. Interesting that the transitions

seems to have improved from this also.

>

> I wonder if the overwhelm that can come with a transition is lessened with the

improvement of the depression. I find when I am depressed I have little

capacity to cope with even thinking about doing something, never mind the actual

doing of it, think the brain function is definitely compromised or at least it

feels that way.

>

> " Learning Disability/Asperger Syndrome may account for why I have

> > to keep it all concrete and why she avoids insight and doesn't

> > like any therapy. " I can relate to this, and the need to be very concrete.

>

> I wonder with ours, I don't think he lacks insight, but rather cannot break

down the parts of the problem to problem solve it, LD stuff.

> Also, rigid thinking, cannot consider options, locked in, which sounds OCD,

but think it is perhaps a trait or brain based.

>

> Either way the more specific and concrete one can be, and then walk them

through it, seems to be best, I find. Talking about it is almost painful it

seems, ours can't process or retain the information to work with it easily.

Although I find this has improved vastly from when he was younger and we got

yelling and tantruming due to lack of ability to communicate.

>

> Good to catch up Pam! Hope things continue to improve. Keep us posted on the

school part. Good that you have the support of Yale program, and I'm sure

others would be interested to have the ERP process for reintegrating back to

school outlined.

>

> Warmly,

> Barb

>

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