confused by psychiatrist's statement......

[Guest guest]

------------------------------

ds' zoloft was increased this past winter/spring, due to increased

obsessiveness and depression. He was under a tremendous amount of stress

from school which I felt precipitated his downslide. Tonight while I was

discussing this with his psychiatrist, she stated emphatically that the

dosage increase was due to changes in ds' metabolism as he approaches his

teens (he is 11), rather than environment.

Now, I understand the role of metabolism and growth, but how could

environment not be a factor? I saw it play out on a day to day basis, the

increased pressure he was feeling from school and his responses to that, a

build up effect that led him to rock bottom after awhile.

I suppose my observations would be considered anectodal, not solid

evidence of the role of environment. But her

comment still puzzles me.

Any thoughts or related experiences?

Fay

[Guest guest]

I'm with you Fay, I think increased anxiety/stress contributes to OCD worsening

and dose increases in meds being needed, even temporarily. I used to give

a bit of extra liquid Celexa for a few weeks at times like this.

Maybe the psych just felt it was due to his age/body and needing to increase,

Zoloft wasn't working as effectively. But, as I said, I'm with you on the

reasons behind the increase in OCD. Dosages vary per person and kids and adults

could take the same dose, anywhere in that low to high range, as symptoms

indicated.

>

> ------------------------------

> ds' zoloft was increased this past winter/spring, due to increased

> obsessiveness and depression. He was under a tremendous amount of stress

> from school which I felt precipitated his downslide. Tonight while I was

> discussing this with his psychiatrist, she stated emphatically that the

> dosage increase was due to changes in ds' metabolism as he approaches his

>

[Guest guest]

I would ask how could it not be environment too? I don't think any one

intervention will work unless the meds, therapy, family dynamics, and everyday

environment meet a child's needs. Kids without anxiety or other concerns are

more flexible and able to adapt - many of our children simply are not.

Bonnie

>

> ------------------------------

> ds' zoloft was increased this past winter/spring, due to increased

> obsessiveness and depression. He was under a tremendous amount of stress

> from school which I felt precipitated his downslide. Tonight while I was

> discussing this with his psychiatrist, she stated emphatically that the

> dosage increase was due to changes in ds' metabolism as he approaches his

> teens (he is 11), rather than environment.

>

> Now, I understand the role of metabolism and growth, but how could

> environment not be a factor? I saw it play out on a day to day basis, the

> increased pressure he was feeling from school and his responses to that, a

> build up effect that led him to rock bottom after awhile.

>

> I suppose my observations would be considered anectodal, not solid

> evidence of the role of environment. But her

> comment still puzzles me.

>

> Any thoughts or related experiences?

>

> Fay

>

>

>

[Guest guest]

I did try to probe her a bit on this. She said that she didn't have the data

to support the role of environment. Every so often she gets weird like that.

It's not like she didn't know what was going on with school this year. Did

she want me to chart it for her? Sheesh!

Fay

> **

>

>

> I would ask how could it not be environment too? I don't think any one

> intervention will work unless the meds, therapy, family dynamics, and

> everyday environment meet a child's needs. Kids without anxiety or other

> concerns are more flexible and able to adapt - many of our children simply

> are not.

>

> Bonnie

>

>

> >

> > ------------------------------

> > ds' zoloft was increased this past winter/spring, due to increased

> > obsessiveness and depression. He was under a tremendous amount of stress

> > from school which I felt precipitated his downslide. Tonight while I was

> > discussing this with his psychiatrist, she stated emphatically that the

> > dosage increase was due to changes in ds' metabolism as he approaches his

> > teens (he is 11), rather than environment.

> >

> > Now, I understand the role of metabolism and growth, but how could

> > environment not be a factor? I saw it play out on a day to day basis, the

> > increased pressure he was feeling from school and his responses t o that,

> a

> > build up effect that led him to rock bottom after awhile.

> >

> > I suppose my observations would be considered anectodal, not solid

> > evidence of the role of environment. But her

> > comment still puzzles me.

> >

> > Any thoughts or related experiences ?

> >

> > Fay

> >

> >

> >

[Guest guest]

I did try to probe her a bit on this. She said that she didn't have the data

to support the role of environment. Every so often she gets weird like that.

It's not like she didn't know what was going on with school this year. Did

she want me to chart it for her? Sheesh!

Fay

> **

>

>

> I would ask how could it not be environment too? I don't think any one

> intervention will work unless the meds, therapy, family dynamics, and

> everyday environment meet a child's needs. Kids without anxiety or other

> concerns are more flexible and able to adapt - many of our children simply

> are not.

>

> Bonnie

>

>

> >

> > ------------------------------

> > ds' zoloft was increased this past winter/spring, due to increased

> > obsessiveness and depression. He was under a tremendous amount of stress

> > from school which I felt precipitated his downslide. Tonight while I was

> > discussing this with his psychiatrist, she stated emphatically that the

> > dosage increase was due to changes in ds' metabolism as he approaches his

> > teens (he is 11), rather than environment.

> >

> > Now, I understand the role of metabolism and growth, but how could

> > environment not be a factor? I saw it play out on a day to day basis, the

> > increased pressure he was feeling from school and his responses t o that,

> a

> > build up effect that led him to rock bottom after awhile.

> >

> > I suppose my observations would be considered anectodal, not solid

> > evidence of the role of environment. But her

> > comment still puzzles me.

> >

> > Any thoughts or related experiences ?

> >

> > Fay

> >

> >

> >

[Guest guest]

I did try to probe her a bit on this. She said that she didn't have the data

to support the role of environment. Every so often she gets weird like that.

It's not like she didn't know what was going on with school this year. Did

she want me to chart it for her? Sheesh!

Fay

> **

>

>

> I would ask how could it not be environment too? I don't think any one

> intervention will work unless the meds, therapy, family dynamics, and

> everyday environment meet a child's needs. Kids without anxiety or other

> concerns are more flexible and able to adapt - many of our children simply

> are not.

>

> Bonnie

>

>

> >

> > ------------------------------

> > ds' zoloft was increased this past winter/spring, due to increased

> > obsessiveness and depression. He was under a tremendous amount of stress

> > from school which I felt precipitated his downslide. Tonight while I was

> > discussing this with his psychiatrist, she stated emphatically that the

> > dosage increase was due to changes in ds' metabolism as he approaches his

> > teens (he is 11), rather than environment.

> >

> > Now, I understand the role of metabolism and growth, but how could

> > environment not be a factor? I saw it play out on a day to day basis, the

> > increased pressure he was feeling from school and his responses t o that,

> a

> > build up effect that led him to rock bottom after awhile.

> >

> > I suppose my observations would be considered anectodal, not solid

> > evidence of the role of environment. But her

> > comment still puzzles me.

> >

> > Any thoughts or related experiences ?

> >

> > Fay

> >

> >

> >