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Hello,

My 12yos has been diagnosed for 1 year and 4 months. He has never

been under good control. He is rheumatoid factor positive

polyarticular. His sister also has jra and is doing great.

My problem is that he is acting depressed lately. He has always had

such a positive attitude, now he is crying excessively. He is also

easily angered, but not really volitile. He doesn't want to be

around people. He doesn't want to do things that he used to enjoy.

No activities, no field trips, no parties.

We homeschool, but it has been a challenge. He never feels like

doing his work.

We have to physically restrain him to give him his Enbrel

injection. He weighs 170 and that is not very easy to do.

I have reported this to Rheumy. He is an hour away. He started him

on amnitriptylline 20 mg at night. We will have labs drawn in the

morning.

My question is how long do you watch this behavior? I can

understand that he is reacting to pain and the realization of a

chronic illness. I just don't want it to get worse.

If this has happened to any of you please advise me on what to do.

Thanks,

Audra

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Hi Audra. Could his problems be some sort of reaction to the meds in

anyway? A side effect? If you are fairly certain it is not, I would

recommend your son see a therapist. Some of the kids on the list,

including my son, have and it does seem to help. It is a safe place to

vent, learn coping mechanisms, etc. With my son, it was just a short

course over a few months, and it helped him to learn ways to express his

anger over having the disease. It really helped. We discussed his using

an anti - depressant, but I really did not want him to (as he was

already on so many meds) and he was able to learn how to deal with

things. If he had no success with that course of action, then anti

depressants would have been used.

Even a short course of therapy may help your son, or using the meds.

Some of his problems could be due to his age (boys have hormonal issues

too as they become teens), some from meds, some from anger over having

jra. A good therapist will be able to help him sort out his situation.

It did for my son.

Good luck, Michele ( 21, spondy)

________________________________

From: [mailto: ] On

Behalf Of hopeinhonduras

Sent: Sunday, December 14, 2008 11:57 PM

Subject: depression? need advice

Hello,

My 12yos has been diagnosed for 1 year and 4 months. He has never

been under good control. He is rheumatoid factor positive

polyarticular. His sister also has jra and is doing great.

My problem is that he is acting depressed lately. He has always had

such a positive attitude, now he is crying excessively. He is also

easily angered, but not really volitile. He doesn't want to be

around people. He doesn't want to do things that he used to enjoy.

No activities, no field trips, no parties.

We homeschool, but it has been a challenge. He never feels like

doing his work.

We have to physically restrain him to give him his Enbrel

injection. He weighs 170 and that is not very easy to do.

I have reported this to Rheumy. He is an hour away. He started him

on amnitriptylline 20 mg at night. We will have labs drawn in the

morning.

My question is how long do you watch this behavior? I can

understand that he is reacting to pain and the realization of a

chronic illness. I just don't want it to get worse.

If this has happened to any of you please advise me on what to do.

Thanks,

Audra

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