Advice anyone?

[Guest guest]

Hi everyone. My 10 year old daughter has OCD, ADHD, and depression.

She was diagnosed with ADHD when she was in lst grade and in August

of this year received the OCD & depression diagnosis. The doctor

started her on 20 mg of Prozac and also Trazadone to help with

sleeping.(She also takes Adderall for the ADHD). After a couple of

weeks, we noticed that she was in a better mood, more relaxed, and

seemed to be happier. After a month on 20mg, the doctor then said

that she needed to be increased to 30mg followed by 40mg for therapy

to be most effective. I started to notice that she seemed more

anxious and less happy on the higher dosage. After having a

difficult time getting answers from her teachers, it looks like she

is having difficulty with concentration and keeping on task. She is

also not as happy as she was. She has lost weight taking the

medication and I'm somewhat concerned about that. Has anyone had a

similar experience with Prozac? I don't know whether the dosage is

too high or if it's the wrong one. I do worry about weight gain on

the other medications and the effect this will have on my daughter's

self esteem. With her distractability, I don't know how much is the

ADHD & how much is the OCD.

I spoke with her therapist today, and asked if she was doing CBT.

She said yes, she had tried 5 or 6 times, but my daughter would not

do it. She doesn't want to answer questions and continuously changes

the subject with the therapist. Even though she often changes the

subject, I know that my daughter feels comfortable with this

therapist, but I am concerned that she is not receiving CBT and ER & P

like she should to get better. She has never treated a child with

OCD, but has treated adults. Our insurance is changing, and it's

uncertain if we'll be able to continue with this therapist. Should I

be looking for someone else since it seems like they do more talking

than anything else? I don't know how my daughter would respond to

going to someone new. Any help or guidance you all could give would

be appreciated.

Thanks!

Dana