Guest guest Posted May 30, 2012 Report Share Posted May 30, 2012 My daughter decided at age 18 to go off her medication after about 8 or 9 years - meds for Tourette's Syndrome, OCD, and ADHD. She was off all medication until about 2 years ago when she decided she needed medication for ADHD again. She is now 26 years old. She is a successful college senior with a two-year tuition scholarship to a very expensive liberal arts college, lots of friends (after very few during middle and high school), a job, a boyfriend, drives, pays her own bills, etc. Two years of therapy helped her learn how to deal with OCD and she, fortunately, outgrew Tourette's. There is hope. She can do it if she stays focused on what she learned in therapy. Best wishes for much success. Phyllis > Question: Does anyone have experience with their child coming off of meds after so long, is it wishful thinking? We are all very aware that OCD is lifelong, it waxes and wanes, but there have never been any real long term studies with kids and prozac, besides the awful side effects. My beautiful girl is so bright and has so much to look forward to and so much she wants to do and accomplish in life, I sometimes worry that OCD and/or meds will hold her back. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 30, 2012 Report Share Posted May 30, 2012 My daughter decided at age 18 to go off her medication after about 8 or 9 years - meds for Tourette's Syndrome, OCD, and ADHD. She was off all medication until about 2 years ago when she decided she needed medication for ADHD again. She is now 26 years old. She is a successful college senior with a two-year tuition scholarship to a very expensive liberal arts college, lots of friends (after very few during middle and high school), a job, a boyfriend, drives, pays her own bills, etc. Two years of therapy helped her learn how to deal with OCD and she, fortunately, outgrew Tourette's. There is hope. She can do it if she stays focused on what she learned in therapy. Best wishes for much success. Phyllis > Question: Does anyone have experience with their child coming off of meds after so long, is it wishful thinking? We are all very aware that OCD is lifelong, it waxes and wanes, but there have never been any real long term studies with kids and prozac, besides the awful side effects. My beautiful girl is so bright and has so much to look forward to and so much she wants to do and accomplish in life, I sometimes worry that OCD and/or meds will hold her back. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 30, 2012 Report Share Posted May 30, 2012 That is so encouraging! Thanks for sharing and bravo for you and your daughter! Could you share the process your daughter used to get off the meds? My son's are kicking in more every day & he's looking so sleepy - I would like to know how to try cutting back. Rhonda Re: Coming off of Prozac after 7 yrs, great successes fighting back OCD & a question My daughter decided at age 18 to go off her medication after about 8 or 9 years - meds for Tourette's Syndrome, OCD, and ADHD. She was off all medication until about 2 years ago when she decided she needed medication for ADHD again. She is now 26 years old. She is a successful college senior with a two-year tuition scholarship to a very expensive liberal arts college, lots of friends (after very few during middle and high school), a job, a boyfriend, drives, pays her own bills, etc. Two years of therapy helped her learn how to deal with OCD and she, fortunately, outgrew Tourette's. There is hope. She can do it if she stays focused on what she learned in therapy. Best wishes for much success. Phyllis > Question: Does anyone have experience with their child coming off of meds after so long, is it wishful thinking? We are all very aware that OCD is lifelong, it waxes and wanes, but there have never been any real long term studies with kids and prozac, besides the awful side effects. My beautiful girl is so bright and has so much to look forward to and so much she wants to do and accomplish in life, I sometimes worry that OCD and/or meds will hold her back. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 30, 2012 Report Share Posted May 30, 2012 That is so encouraging! Thanks for sharing and bravo for you and your daughter! Could you share the process your daughter used to get off the meds? My son's are kicking in more every day & he's looking so sleepy - I would like to know how to try cutting back. Rhonda Re: Coming off of Prozac after 7 yrs, great successes fighting back OCD & a question My daughter decided at age 18 to go off her medication after about 8 or 9 years - meds for Tourette's Syndrome, OCD, and ADHD. She was off all medication until about 2 years ago when she decided she needed medication for ADHD again. She is now 26 years old. She is a successful college senior with a two-year tuition scholarship to a very expensive liberal arts college, lots of friends (after very few during middle and high school), a job, a boyfriend, drives, pays her own bills, etc. Two years of therapy helped her learn how to deal with OCD and she, fortunately, outgrew Tourette's. There is hope. She can do it if she stays focused on what she learned in therapy. Best wishes for much success. Phyllis > Question: Does anyone have experience with their child coming off of meds after so long, is it wishful thinking? We are all very aware that OCD is lifelong, it waxes and wanes, but there have never been any real long term studies with kids and prozac, besides the awful side effects. My beautiful girl is so bright and has so much to look forward to and so much she wants to do and accomplish in life, I sometimes worry that OCD and/or meds will hold her back. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 30, 2012 Report Share Posted May 30, 2012 I wish I could give you a good weaning off method that she used, but against my advice, she almost quit cold turkey. She stopped within a week by cutting back a little every other day on each of the meds. The best way is to follow your doctor's instructions for weaning off medication. What is he taking that is making him so sleepy looking? Have you spoken to his doctor about the affect the meds are having on him? I remember when she was on Depacote that she felt " stupid " - like her brain wasn't working the way it should. The doctor took her off that medication immediately without weaning off it. Phyllis > That is so encouraging! Thanks for sharing and bravo for you and your daughter! Could you share the process your daughter used to get off the meds? My son's are kicking in more every day & he's looking so sleepy - I would like to know how to try cutting back. > > Rhonda > > Re: Coming off of Prozac after 7 yrs, great successes fighting back OCD & a question > > > > My daughter decided at age 18 to go off her medication after about 8 or > 9 years - meds for Tourette's Syndrome, OCD, and ADHD. She was off all > medication until about 2 years ago when she decided she needed > medication for ADHD again. She is now 26 years old. > > She is a successful college senior with a two-year tuition scholarship > to a very expensive liberal arts college, lots of friends (after very > few during middle and high school), a job, a boyfriend, drives, pays her > own bills, etc. Two years of therapy helped her learn how to deal with > OCD and she, fortunately, outgrew Tourette's. > > There is hope. She can do it if she stays focused on what she learned > in therapy. > > Best wishes for much success. > > Phyllis > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 30, 2012 Report Share Posted May 30, 2012 I wish I could give you a good weaning off method that she used, but against my advice, she almost quit cold turkey. She stopped within a week by cutting back a little every other day on each of the meds. The best way is to follow your doctor's instructions for weaning off medication. What is he taking that is making him so sleepy looking? Have you spoken to his doctor about the affect the meds are having on him? I remember when she was on Depacote that she felt " stupid " - like her brain wasn't working the way it should. The doctor took her off that medication immediately without weaning off it. Phyllis > That is so encouraging! Thanks for sharing and bravo for you and your daughter! Could you share the process your daughter used to get off the meds? My son's are kicking in more every day & he's looking so sleepy - I would like to know how to try cutting back. > > Rhonda > > Re: Coming off of Prozac after 7 yrs, great successes fighting back OCD & a question > > > > My daughter decided at age 18 to go off her medication after about 8 or > 9 years - meds for Tourette's Syndrome, OCD, and ADHD. She was off all > medication until about 2 years ago when she decided she needed > medication for ADHD again. She is now 26 years old. > > She is a successful college senior with a two-year tuition scholarship > to a very expensive liberal arts college, lots of friends (after very > few during middle and high school), a job, a boyfriend, drives, pays her > own bills, etc. Two years of therapy helped her learn how to deal with > OCD and she, fortunately, outgrew Tourette's. > > There is hope. She can do it if she stays focused on what she learned > in therapy. > > Best wishes for much success. > > Phyllis > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 31, 2012 Report Share Posted May 31, 2012 Son is taking 40 mg Prozac, along with .25 Risperdahl in morning and .5 in evening. I'm going to start shaving off some of the Risperdahl in the evening. We have switched from hospital doc to outpatient intensive doc and we are now looking for psych to supplement weekly therapist, so he hasn't even had a regular doc following the meds. Therapist said they recommend staying on meds at least for a year! Kind of scary since he's never been on anything previous to 6 weeks ago. What dosage was your daughter on -- maybe too low to get headaches, etc? Re: Coming off of Prozac after 7 yrs, great successes fighting back OCD & a question > > > > My daughter decided at age 18 to go off her medication after about 8 or > 9 years - meds for Tourette's Syndrome, OCD, and ADHD. She was off all > medication until about 2 years ago when she decided she needed > medication for ADHD again. She is now 26 years old. > > She is a successful college senior with a two-year tuition scholarship > to a very expensive liberal arts college, lots of friends (after very > few during middle and high school), a job, a boyfriend, drives, pays her > own bills, etc. Two years of therapy helped her learn how to deal with > OCD and she, fortunately, outgrew Tourette's. > > There is hope. She can do it if she stays focused on what she learned > in therapy. > > Best wishes for much success. > > Phyllis > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 31, 2012 Report Share Posted May 31, 2012 Rhonda, why is he on the Risperdahl? It sounds like the Ris. is knocking him out. My BP son was on that and he couldn't focus and zoned him out. They always say don't touch the med. til stable for one year, but that means he is at a functional level. If he is all tired and not where he wants to be, prob. not the right med. combo. The only thing that worked for that son was Lithium. My OCD son takes Prozac 50 mg., Buspar, and Adderall XR. I don't really like that they have to be on meds. but the alternative is worse, at least for now. Actually, my whole family is on some type of med. I have tried to go without but I always crash, so I just keep it at a low tolerable dose. Seems to work Ok without too many side effects. > > That is so encouraging! Thanks for sharing and bravo for you and your daughter! Could you share the process your daughter used to get off the meds? My son's are kicking in more every day & he's looking so sleepy - I would like to know how to try cutting back. > > > > Rhonda > > > > Re: Coming off of Prozac after 7 yrs, great successes fighting back OCD & a question > > > > > > > > My daughter decided at age 18 to go off her medication after about 8 or > > 9 years - meds for Tourette's Syndrome, OCD, and ADHD. She was off all > > medication until about 2 years ago when she decided she needed > > medication for ADHD again. She is now 26 years old. > > > > She is a successful college senior with a two-year tuition scholarship > > to a very expensive liberal arts college, lots of friends (after very > > few during middle and high school), a job, a boyfriend, drives, pays her > > own bills, etc. Two years of therapy helped her learn how to deal with > > OCD and she, fortunately, outgrew Tourette's. > > > > There is hope. She can do it if she stays focused on what she learned > > in therapy. > > > > Best wishes for much success. > > > > Phyllis > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 31, 2012 Report Share Posted May 31, 2012 She was on 60 mg of Prozac for OCD; didn't take Risperdal. She took three 1 mg Tenex (blood pressure med) for Tourettes in AM. Took two 10 mg Dexedrine Time Release Spansules per day - one in early am and a 2nd at about 2 PM. Their effectiveness only lasted about 8 hours for her rather than the 12 that is usually expected. She was unable to take the generic for Prozac or Dexedrine - they affected her worse than if she took nothing. Phyllis > Son is taking 40 mg Prozac, along with .25 Risperdahl in morning and .5 in evening. I'm going to start shaving off some of the Risperdahl in the evening. We have switched from hospital doc to outpatient intensive doc and we are now looking for psych to supplement weekly therapist, so he hasn't even had a regular doc following the meds. Therapist said they recommend staying on meds at least for a year! Kind of scary since he's never been on anything previous to 6 weeks ago. What dosage was your daughter on -- maybe too low to get headaches, etc? > > > - Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 31, 2012 Report Share Posted May 31, 2012 Hi Rhonda We are coming off meds under our psych nurse's supervision. She is going from 20mg prozac (fluoxetine) to 10 for 1 week, then back to the nurse, so we'll see. > > Question: Does anyone have experience with their child coming off of meds after so long, is it wishful thinking? We are all very aware that OCD is lifelong, it waxes and wanes, but there have never been any real long term studies with kids and prozac, besides the awful side effects. My beautiful girl is so bright and has so much to look forward to and so much she wants to do and accomplish in life, I sometimes worry that OCD and/or meds will hold her back. > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 31, 2012 Report Share Posted May 31, 2012 Thanks Phyllis I will tell her what you said. > > Question: Does anyone have experience with their child coming off of meds after so long, is it wishful thinking? We are all very aware that OCD is lifelong, it waxes and wanes, but there have never been any real long term studies with kids and prozac, besides the awful side effects. My beautiful girl is so bright and has so much to look forward to and so much she wants to do and accomplish in life, I sometimes worry that OCD and/or meds will hold her back. > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 31, 2012 Report Share Posted May 31, 2012 Yes, would love to hear how it goes. Rhonda Re: Coming off of Prozac after 7 yrs, great successes fighting back OCD & a question Hi Rhonda We are coming off meds under our psych nurse's supervision. She is going from 20mg prozac (fluoxetine) to 10 for 1 week, then back to the nurse, so we'll see. > > That is so encouraging! Thanks for sharing and bravo for you and your daughter! Could you share the process your daughter used to get off the meds? My son's are kicking in more every day & he's looking so sleepy - I would like to know how to try cutting back. > > Rhonda > > ----- Original Message ----- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 31, 2012 Report Share Posted May 31, 2012 Yes, would love to hear how it goes. Rhonda Re: Coming off of Prozac after 7 yrs, great successes fighting back OCD & a question Hi Rhonda We are coming off meds under our psych nurse's supervision. She is going from 20mg prozac (fluoxetine) to 10 for 1 week, then back to the nurse, so we'll see. > > That is so encouraging! Thanks for sharing and bravo for you and your daughter! Could you share the process your daughter used to get off the meds? My son's are kicking in more every day & he's looking so sleepy - I would like to know how to try cutting back. > > Rhonda > > ----- Original Message ----- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 2, 2012 Report Share Posted June 2, 2012 Hi there, Our son did not go off medication completely, but reduced by half what he was taking. We started with the intent to taper off, to see if he could get off medication, but stopped at the point where he got less side effects with enough benefit. He was doing ERP himself, but we had no doctors for support with ERP or medication(limited expertise with OCD). When we decided to do this I emailed the two top docs for OCD that I had emails for. Thought you might like to read their recommendations to us, so have quoted below. These are both very dedicated docs who have treated thousands of people with OCD, so I respect what they have to say. Going as slowly as you can is probably the best advice, reduce as minimally as you can and wait a month, if not more, to see effect. Since it takes three months to see optimal effect when starting a med, it might be a good principle to follow with reducing. We clearly saw when it shifted, and reduced by 5mg at a time. Might have to ask for lower dose pills to cut up easier. Barb Here are the quotes - Dr. Jenike - " As for tapering, it is best to go slowly, over months, I think. This has not been carefully studied, but it is my observation over decades that slow taper is more likely to prevent relapse. It is also crucial to do serious CBT while tapering and get on top of any OCD symptoms that return. Maybe 1/3 to 1/2 of OCD patients are able to manage with CBT alone; others require some medication. " Dr. Penzell- " It is important to understand that OCD has both behavioral and biological components, and that both need to be addressed if one is to recover successfully. I wouldn't jump to conclusions about meds. Most sufferers, except for those with very mild OCD, do need an assist from meds, and because OCD is chronic, they need to stay on those meds. Discontinuation studies show very high rates of relapse when meds are withdrawn. This is not to say that this would be true of everyone, but is true for the majority. I have seen many relapses among otherwise recovered people who felt they were in a good place with their symptoms and who then stopped taking their meds. " > > My dd (16yo) is going to start weaning off of Prozac, after almost 7 years! > > We tried once a long time ago but after just a few days on 10mg from 20mg the bad thoughts went crazy so we went back to 20mg. > > Now after years of great ERP therapy with a wonderful therapist and an entire awesome year of high school, 4.0 gpa,(her very first year in public school, we homeschooled),where she endured and was helped immensely by the ultimate in Exposure every single day, typical highschoolers, she wants to try and get off the meds. > > She has no idea how it feels to not be on meds, she is tired of being unmotivated and tired - side effects of Prozac. > > We are nervous and excited, she has some idea what to expect or what may happen but we feel like if she can get past the initial differences she will do well, she also knows we are ready to be patient and understanding as she goes through this. > > I have read that people who have the greatest success in coming off of medication are in therapy during the transition, she is not and has not been in therapy for about 6 months and does not plan to see her therapist at this time, we do have her Psych Nurse checking things with her weekly at least for a few weeks. > > Question: Does anyone have experience with their child coming off of meds after so long, is it wishful thinking? We are all very aware that OCD is lifelong, it waxes and wanes, but there have never been any real long term studies with kids and prozac, besides the awful side effects. My beautiful girl is so bright and has so much to look forward to and so much she wants to do and accomplish in life, I sometimes worry that OCD and/or meds will hold her back. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2012 Report Share Posted June 3, 2012 From my own personal experience with severe OCD, when I have been off medication for up to about 4 months, my symptoms return and so does depression. I have been able to wean down to a very, very small dose to maintain a relatively decent lifestyle, but when off medication, I wind up getting too overwhelmed with OCD and then depression. Re: Coming off of Prozac after 7 yrs, great successes fighting back OCD & a question Hi there, Our son did not go off medication completely, but reduced by half what he was taking. We started with the intent to taper off, to see if he could get off medication, but stopped at the point where he got less side effects with enough benefit. He was doing ERP himself, but we had no doctors for support with ERP or medication(limited expertise with OCD). When we decided to do this I emailed the two top docs for OCD that I had emails for. Thought you might like to read their recommendations to us, so have quoted below. These are both very dedicated docs who have treated thousands of people with OCD, so I respect what they have to say. Going as slowly as you can is probably the best advice, reduce as minimally as you can and wait a month, if not more, to see effect. Since it takes three months to see optimal effect when starting a med, it might be a good principle to follow with reducing. We clearly saw when it shifted, and reduced by 5mg at a time. Might have to ask for lower dose pills to cut up easier. Barb Here are the quotes - Dr. Jenike - " As for tapering, it is best to go slowly, over months, I think. This has not been carefully studied, but it is my observation over decades that slow taper is more likely to prevent relapse. It is also crucial to do serious CBT while tapering and get on top of any OCD symptoms that return. Maybe 1/3 to 1/2 of OCD patients are able to manage with CBT alone; others require some medication. " Dr. Penzell- " It is important to understand that OCD has both behavioral and biological components, and that both need to be addressed if one is to recover successfully. I wouldn't jump to conclusions about meds. Most sufferers, except for those with very mild OCD, do need an assist from meds, and because OCD is chronic, they need to stay on those meds. Discontinuation studies show very high rates of relapse when meds are withdrawn. This is not to say that this would be true of everyone, but is true for the majority. I have seen many relapses among otherwise recovered people who felt they were in a good place with their symptoms and who then stopped taking their meds. " > > My dd (16yo) is going to start weaning off of Prozac, after almost 7 years! > > We tried once a long time ago but after just a few days on 10mg from 20mg the bad thoughts went crazy so we went back to 20mg. > > Now after years of great ERP therapy with a wonderful therapist and an entire awesome year of high school, 4.0 gpa,(her very first year in public school, we homeschooled),where she endured and was helped immensely by the ultimate in Exposure every single day, typical highschoolers, she wants to try and get off the meds. > > She has no idea how it feels to not be on meds, she is tired of being unmotivated and tired - side effects of Prozac. > > We are nervous and excited, she has some idea what to expect or what may happen but we feel like if she can get past the initial differences she will do well, she also knows we are ready to be patient and understanding as she goes through this. > > I have read that people who have the greatest success in coming off of medication are in therapy during the transition, she is not and has not been in therapy for about 6 months and does not plan to see her therapist at this time, we do have her Psych Nurse checking things with her weekly at least for a few weeks. > > Question: Does anyone have experience with their child coming off of meds after so long, is it wishful thinking? We are all very aware that OCD is lifelong, it waxes and wanes, but there have never been any real long term studies with kids and prozac, besides the awful side effects. My beautiful girl is so bright and has so much to look forward to and so much she wants to do and accomplish in life, I sometimes worry that OCD and/or meds will hold her back. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2012 Report Share Posted June 3, 2012 From my own personal experience with severe OCD, when I have been off medication for up to about 4 months, my symptoms return and so does depression. I have been able to wean down to a very, very small dose to maintain a relatively decent lifestyle, but when off medication, I wind up getting too overwhelmed with OCD and then depression. Re: Coming off of Prozac after 7 yrs, great successes fighting back OCD & a question Hi there, Our son did not go off medication completely, but reduced by half what he was taking. We started with the intent to taper off, to see if he could get off medication, but stopped at the point where he got less side effects with enough benefit. He was doing ERP himself, but we had no doctors for support with ERP or medication(limited expertise with OCD). When we decided to do this I emailed the two top docs for OCD that I had emails for. Thought you might like to read their recommendations to us, so have quoted below. These are both very dedicated docs who have treated thousands of people with OCD, so I respect what they have to say. Going as slowly as you can is probably the best advice, reduce as minimally as you can and wait a month, if not more, to see effect. Since it takes three months to see optimal effect when starting a med, it might be a good principle to follow with reducing. We clearly saw when it shifted, and reduced by 5mg at a time. Might have to ask for lower dose pills to cut up easier. Barb Here are the quotes - Dr. Jenike - " As for tapering, it is best to go slowly, over months, I think. This has not been carefully studied, but it is my observation over decades that slow taper is more likely to prevent relapse. It is also crucial to do serious CBT while tapering and get on top of any OCD symptoms that return. Maybe 1/3 to 1/2 of OCD patients are able to manage with CBT alone; others require some medication. " Dr. Penzell- " It is important to understand that OCD has both behavioral and biological components, and that both need to be addressed if one is to recover successfully. I wouldn't jump to conclusions about meds. Most sufferers, except for those with very mild OCD, do need an assist from meds, and because OCD is chronic, they need to stay on those meds. Discontinuation studies show very high rates of relapse when meds are withdrawn. This is not to say that this would be true of everyone, but is true for the majority. I have seen many relapses among otherwise recovered people who felt they were in a good place with their symptoms and who then stopped taking their meds. " > > My dd (16yo) is going to start weaning off of Prozac, after almost 7 years! > > We tried once a long time ago but after just a few days on 10mg from 20mg the bad thoughts went crazy so we went back to 20mg. > > Now after years of great ERP therapy with a wonderful therapist and an entire awesome year of high school, 4.0 gpa,(her very first year in public school, we homeschooled),where she endured and was helped immensely by the ultimate in Exposure every single day, typical highschoolers, she wants to try and get off the meds. > > She has no idea how it feels to not be on meds, she is tired of being unmotivated and tired - side effects of Prozac. > > We are nervous and excited, she has some idea what to expect or what may happen but we feel like if she can get past the initial differences she will do well, she also knows we are ready to be patient and understanding as she goes through this. > > I have read that people who have the greatest success in coming off of medication are in therapy during the transition, she is not and has not been in therapy for about 6 months and does not plan to see her therapist at this time, we do have her Psych Nurse checking things with her weekly at least for a few weeks. > > Question: Does anyone have experience with their child coming off of meds after so long, is it wishful thinking? We are all very aware that OCD is lifelong, it waxes and wanes, but there have never been any real long term studies with kids and prozac, besides the awful side effects. My beautiful girl is so bright and has so much to look forward to and so much she wants to do and accomplish in life, I sometimes worry that OCD and/or meds will hold her back. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2012 Report Share Posted June 3, 2012 From my own personal experience with severe OCD, when I have been off medication for up to about 4 months, my symptoms return and so does depression. I have been able to wean down to a very, very small dose to maintain a relatively decent lifestyle, but when off medication, I wind up getting too overwhelmed with OCD and then depression. Re: Coming off of Prozac after 7 yrs, great successes fighting back OCD & a question Hi there, Our son did not go off medication completely, but reduced by half what he was taking. We started with the intent to taper off, to see if he could get off medication, but stopped at the point where he got less side effects with enough benefit. He was doing ERP himself, but we had no doctors for support with ERP or medication(limited expertise with OCD). When we decided to do this I emailed the two top docs for OCD that I had emails for. Thought you might like to read their recommendations to us, so have quoted below. These are both very dedicated docs who have treated thousands of people with OCD, so I respect what they have to say. Going as slowly as you can is probably the best advice, reduce as minimally as you can and wait a month, if not more, to see effect. Since it takes three months to see optimal effect when starting a med, it might be a good principle to follow with reducing. We clearly saw when it shifted, and reduced by 5mg at a time. Might have to ask for lower dose pills to cut up easier. Barb Here are the quotes - Dr. Jenike - " As for tapering, it is best to go slowly, over months, I think. This has not been carefully studied, but it is my observation over decades that slow taper is more likely to prevent relapse. It is also crucial to do serious CBT while tapering and get on top of any OCD symptoms that return. Maybe 1/3 to 1/2 of OCD patients are able to manage with CBT alone; others require some medication. " Dr. Penzell- " It is important to understand that OCD has both behavioral and biological components, and that both need to be addressed if one is to recover successfully. I wouldn't jump to conclusions about meds. Most sufferers, except for those with very mild OCD, do need an assist from meds, and because OCD is chronic, they need to stay on those meds. Discontinuation studies show very high rates of relapse when meds are withdrawn. This is not to say that this would be true of everyone, but is true for the majority. I have seen many relapses among otherwise recovered people who felt they were in a good place with their symptoms and who then stopped taking their meds. " > > My dd (16yo) is going to start weaning off of Prozac, after almost 7 years! > > We tried once a long time ago but after just a few days on 10mg from 20mg the bad thoughts went crazy so we went back to 20mg. > > Now after years of great ERP therapy with a wonderful therapist and an entire awesome year of high school, 4.0 gpa,(her very first year in public school, we homeschooled),where she endured and was helped immensely by the ultimate in Exposure every single day, typical highschoolers, she wants to try and get off the meds. > > She has no idea how it feels to not be on meds, she is tired of being unmotivated and tired - side effects of Prozac. > > We are nervous and excited, she has some idea what to expect or what may happen but we feel like if she can get past the initial differences she will do well, she also knows we are ready to be patient and understanding as she goes through this. > > I have read that people who have the greatest success in coming off of medication are in therapy during the transition, she is not and has not been in therapy for about 6 months and does not plan to see her therapist at this time, we do have her Psych Nurse checking things with her weekly at least for a few weeks. > > Question: Does anyone have experience with their child coming off of meds after so long, is it wishful thinking? We are all very aware that OCD is lifelong, it waxes and wanes, but there have never been any real long term studies with kids and prozac, besides the awful side effects. My beautiful girl is so bright and has so much to look forward to and so much she wants to do and accomplish in life, I sometimes worry that OCD and/or meds will hold her back. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2012 Report Share Posted June 4, 2012 Sarame here. I take 1/2 standard dose Lexapro (5 mg.) for 9 months, along with using the light and exercise alot. In the past, I could go down to 2.5 mg. in summer. We are dealing with so much stuff now that I prob. will not be able to go down this summer. Anyway, your son really has to know his body and mind and how to monitor all of that. It is htard when younger to be so in tune to what he needs. Easier as an adult and so easier to go on most minimum dose. If you read Kay Renfield Jamison books, she talks alot about her dosing for her BP and how she got to a dose that made her the most functional. Good luck with trying to figure this out. I know with our son, he felt like he was so trapped at first by being on the meds but now feels so much better and is stable and seems not so concerned about being " addicted " and needing them his whole life. We try to go one day at a time. > > > > My dd (16yo) is going to start weaning off of Prozac, after almost 7 years! > > > > We tried once a long time ago but after just a few days on 10mg from 20mg the bad thoughts went crazy so we went back to 20mg. > > > > Now after years of great ERP therapy with a wonderful therapist and an entire awesome year of high school, 4.0 gpa,(her very first year in public school, we homeschooled),where she endured and was helped immensely by the ultimate in Exposure every single day, typical highschoolers, she wants to try and get off the meds. > > > > She has no idea how it feels to not be on meds, she is tired of being unmotivated and tired - side effects of Prozac. > > > > We are nervous and excited, she has some idea what to expect or what may happen but we feel like if she can get past the initial differences she will do well, she also knows we are ready to be patient and understanding as she goes through this. > > > > I have read that people who have the greatest success in coming off of medication are in therapy during the transition, she is not and has not been in therapy for about 6 months and does not plan to see her therapist at this time, we do have her Psych Nurse checking things with her weekly at least for a few weeks. > > > > Question: Does anyone have experience with their child coming off of meds after so long, is it wishful thinking? We are all very aware that OCD is lifelong, it waxes and wanes, but there have never been any real long term studies with kids and prozac, besides the awful side effects. My beautiful girl is so bright and has so much to look forward to and so much she wants to do and accomplish in life, I sometimes worry that OCD and/or meds will hold her back. > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2012 Report Share Posted June 4, 2012 Sarame here. I take 1/2 standard dose Lexapro (5 mg.) for 9 months, along with using the light and exercise alot. In the past, I could go down to 2.5 mg. in summer. We are dealing with so much stuff now that I prob. will not be able to go down this summer. Anyway, your son really has to know his body and mind and how to monitor all of that. It is htard when younger to be so in tune to what he needs. Easier as an adult and so easier to go on most minimum dose. If you read Kay Renfield Jamison books, she talks alot about her dosing for her BP and how she got to a dose that made her the most functional. Good luck with trying to figure this out. I know with our son, he felt like he was so trapped at first by being on the meds but now feels so much better and is stable and seems not so concerned about being " addicted " and needing them his whole life. We try to go one day at a time. > > > > My dd (16yo) is going to start weaning off of Prozac, after almost 7 years! > > > > We tried once a long time ago but after just a few days on 10mg from 20mg the bad thoughts went crazy so we went back to 20mg. > > > > Now after years of great ERP therapy with a wonderful therapist and an entire awesome year of high school, 4.0 gpa,(her very first year in public school, we homeschooled),where she endured and was helped immensely by the ultimate in Exposure every single day, typical highschoolers, she wants to try and get off the meds. > > > > She has no idea how it feels to not be on meds, she is tired of being unmotivated and tired - side effects of Prozac. > > > > We are nervous and excited, she has some idea what to expect or what may happen but we feel like if she can get past the initial differences she will do well, she also knows we are ready to be patient and understanding as she goes through this. > > > > I have read that people who have the greatest success in coming off of medication are in therapy during the transition, she is not and has not been in therapy for about 6 months and does not plan to see her therapist at this time, we do have her Psych Nurse checking things with her weekly at least for a few weeks. > > > > Question: Does anyone have experience with their child coming off of meds after so long, is it wishful thinking? We are all very aware that OCD is lifelong, it waxes and wanes, but there have never been any real long term studies with kids and prozac, besides the awful side effects. My beautiful girl is so bright and has so much to look forward to and so much she wants to do and accomplish in life, I sometimes worry that OCD and/or meds will hold her back. > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2012 Report Share Posted June 4, 2012 Sarame here. I take 1/2 standard dose Lexapro (5 mg.) for 9 months, along with using the light and exercise alot. In the past, I could go down to 2.5 mg. in summer. We are dealing with so much stuff now that I prob. will not be able to go down this summer. Anyway, your son really has to know his body and mind and how to monitor all of that. It is htard when younger to be so in tune to what he needs. Easier as an adult and so easier to go on most minimum dose. If you read Kay Renfield Jamison books, she talks alot about her dosing for her BP and how she got to a dose that made her the most functional. Good luck with trying to figure this out. I know with our son, he felt like he was so trapped at first by being on the meds but now feels so much better and is stable and seems not so concerned about being " addicted " and needing them his whole life. We try to go one day at a time. > > > > My dd (16yo) is going to start weaning off of Prozac, after almost 7 years! > > > > We tried once a long time ago but after just a few days on 10mg from 20mg the bad thoughts went crazy so we went back to 20mg. > > > > Now after years of great ERP therapy with a wonderful therapist and an entire awesome year of high school, 4.0 gpa,(her very first year in public school, we homeschooled),where she endured and was helped immensely by the ultimate in Exposure every single day, typical highschoolers, she wants to try and get off the meds. > > > > She has no idea how it feels to not be on meds, she is tired of being unmotivated and tired - side effects of Prozac. > > > > We are nervous and excited, she has some idea what to expect or what may happen but we feel like if she can get past the initial differences she will do well, she also knows we are ready to be patient and understanding as she goes through this. > > > > I have read that people who have the greatest success in coming off of medication are in therapy during the transition, she is not and has not been in therapy for about 6 months and does not plan to see her therapist at this time, we do have her Psych Nurse checking things with her weekly at least for a few weeks. > > > > Question: Does anyone have experience with their child coming off of meds after so long, is it wishful thinking? We are all very aware that OCD is lifelong, it waxes and wanes, but there have never been any real long term studies with kids and prozac, besides the awful side effects. My beautiful girl is so bright and has so much to look forward to and so much she wants to do and accomplish in life, I sometimes worry that OCD and/or meds will hold her back. > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2012 Report Share Posted June 14, 2012 > > My dd (16yo) is going to start weaning off of Prozac, after almost 7 years! > My son is weaning down his Zoloft from 200mg daily-he's now at 175. This is happening slowly with the supervision of his docs. It just started last week and is an attempt to deal with flat affect, decreased motivation. This is a very helpful thread. Thanks to all who contributed. Judy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2012 Report Share Posted June 14, 2012 I am a newbie to the group so please forgive if I missed the history on this discussion. I was on Prozac for 11 years for clinical depression. I have been using supplements from True Hope called Empower Plus which is well researched and after one year I have weaned off Prozac. My son has OCD which is now the focus. Check it out. Worked for me. > > > > My dd (16yo) is going to start weaning off of Prozac, after almost 7 years! > > > My son is weaning down his Zoloft from 200mg daily-he's now at 175. This is happening slowly with the supervision of his docs. It just started last week and is an attempt to deal with flat affect, decreased motivation. > > This is a very helpful thread. Thanks to all who contributed. > > Judy > Quote Link to comment Share on other sites More sharing options...
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