Ask Dr. Chansky

January 3, 2008

Hi Kath,

Gosh , this sounds just like my dd!

Is there any bipolar disorder in your family? Does your dd's moods switch

frequently?

Hugs

Judy

January 4, 2008

Hi Judy,

No, her moods don't really switch freqeuntly. Her behavior seems to be

triggered by anything oppositional to how she is feeling at a particular moment

or

when she is stressed over something. As far as I know we don't have bipolar

in our family?? I know others have suggested this. Thanks, Kath

**************

Start the year off right. Easy ways to stay in shape.

http://body.aol.com/fitness/winter-exercise?NCID=aolcmp00300000002489

January 4, 2008

Sounds like my daughter with oppositional defiant disorder.

mykeirkel@... wrote: Hi Judy,

No, her moods don't really switch freqeuntly. Her behavior seems to be

triggered by anything oppositional to how she is feeling at a particular moment

or

when she is stressed over something. As far as I know we don't have bipolar

in our family?? I know others have suggested this. Thanks, Kath

**************

Start the year off right. Easy ways to stay in shape.

http://body.aol.com/fitness/winter-exercise?NCID=aolcmp00300000002489

January 5, 2008

--Kath,

I have a six year old who had the same behavior on prozac.

It worked for the OCD, but she became very ODD ish.

She was put on a mood stabilizer and risperdone and has

done very well, at times this bleds through a bit.

doctor said it was prozac making her hyomanic.

Hope that helps,

Kath

- In , mykeirkel@... wrote:

>

> Dear Dr. Chansky,

>

> My 8-year-old daughter was diagnosed with OCD/anxiety and ADHD 5

years ago.

> She suffers from " just right " OCD.......she needs everything

to " feel " and

> " be " just right, from her clothing to her hair to her shoes, ect.

She has been

> on Fluoxetine 15 mg (Prozac generic) for 3 years now. This

medicine has worked

> great and has allowed her to function with very minimal OCD

symptoms.

> But..........she is VERY defiant, angry, explosive and has moments

of raging

> behavior. These behaviors are ALWAYS brought on by situations

where she is asked to

> do something she doesn't want to or asked to do something that she

is just not

> ready to do, or if at the moment she is having and OCD problem. I

thought

> this was all related to her anxiety, but now I fear that it may be

related to

> the Prozac. We noticed this behavior for about a year, but is

getting much

> worse as time goes by. Could this be a side-effect after all this

time and on

> such a low dose? How would I know the difference. We've tried to

wean her in

> the past, but her OCD would always come back to the point where she

could not

> function. We're afraid to take her off, but if this is causing the

explosive

> behavior?????????? What do you think?

>

> Thank you so much for your time,

> Kath

>

> **************

> Start the year off right. Easy ways to stay in shape.

>

> http://body.aol.com/fitness/winter-exercise?

NCID=aolcmp00300000002489

>

January 16, 2008

Our son was diagnosed with OCD at 7 and is now 16. His symptoms spiked

in 8th grade. We were able to reduce many of his symptoms, but

beginning school work remains a big issue. He does some of his

homework and he has just been able to hand in work weekly that isn't

complete or doesn't fully meet his standards, which the school accepts

it for credit. He puts off even attempting large written assignments

until the very last moment. He will then sit in front of the computer

for hours over a period of several days trying to start. Eventually

something " clicks " and then he is able to do the work in about the

same time as his peers. His psychiatrist has convinced him to try

therapy again (3rd time). Is CBT likely to help with his

" procrastination " and is there anything we should know, ask, etc. when

we meet with the psychologist? Thanks....

January 16, 2008

Welcome.

My 6th grader struggles with his homework too. He'll finally manage to get it

done, but can't make himself

turn it in because he doesn't think it's good enough. It seems easier for him

to get started, at least, if we allow him to

do his work in front of the TV. The therapist has no problem with that, so it's

our new approach. I'm still battling, however,

with getting him to admit he has homework in the first place.

Hope you get some helpful answers.

Ask Dr. Chansky

Our son was diagnosed with OCD at 7 and is now 16. His symptoms

spiked