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need advice for voilent behaviour

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My 10yr daughter has been highly aggressive and voilent for the last 10

months.She is on Risperidone and Citalopram besides continuing behaviour

modification but nothing seems to be working.It has become very difficult to

control her as she resorts to pinching,kicking and banging her head on us.She is

verbal and expresses her needs very well but highly stubborn.She had learnt well

to wait and adjust to alternatives of her demands but now seems to have lost all

the achieved good behaviours.5 months back she attained menarche .Please advice

on medication, alternative medication or any other methods to calm her down as

these daily occuring episodes is leaving us shattered.

Anupama                                                 

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Anupama?wrote:

??My 10yr daughter has been highly aggressive and voilent for the last 10

months.She is on Risperidone and Citalopram besides continuing behaviour

modification but nothing seems to be working.It has become very difficult to

control her as she resorts to pinching,kicking and banging her head on us.She is

verbal and expresses her needs very well but highly stubborn.She had learnt well

to wait and adjust to alternatives of her demands but now seems to have lost all

the achieved good behaviours.5 months back she attained menarche .Please advice

on medication, alternative medication or any other methods to calm her down as

these daily occuring episodes is leaving us?shattered.?

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Does it get worse just before and in the first few days of her period?? That

often happens.? Ibuprophen, back rubs and?warm baths?might help a little to

reduce her irritability.

Sorry I don't have any good answers, but you might look at Schramm's

book, " Teaching Toward Recovery " .? It?addresses manipulative behavior such as

what you described.? At her age, often the motivator is a need for control of

the situation.? It's typical teenage behavior, aggravated by hormonal

development.? discusses how to use control as a motivator in a positive

way.

Just an aside to other parents: Be aware that Risperdal (risperidone)

metabolizes to prolactin, a female hormone, in the body.? Doctors often don't

tell you that before prescribing it.? This can bring on early puberty, breast

development, etc.? Other side effects are marked weight gain.? I tried it for a

while for my daughter but it seemed to lose its effectiveness after some time.

Darla

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