Guest guest Posted July 9, 2012 Report Share Posted July 9, 2012 Tara, It took us a while to arrive at the diagnosis of OCD, and no time at all to decide to medicate. The Developmental Pediatrician we see told me his own daughter takes the same medication for the same issues, and he said he wouldn’t prescribe anything for his patients that he wasn’t willing to give his own child. My daughter (11 years old) takes Zoloft once a day and it has done wonders for her! I was concerned about appetite changes, specifically the loss of appetite we had seen with ADD meds, but then I read that sometimes kids on SSRIs will actually GAIN weight. So far she has gained about 5 pounds in roughly 8 months, but she is still the right size for her age and nowhere near overweight. I was also worried about personality changes since we had seen her become almost zombie-like on ADD meds, but she is still her quirky little self. She’s just quirky without all the anxiety and she is much, much happier. As with most medications, your side effects may vary. We haven’t experienced any. We looked at the meds this way: if she had a physical disorder that required medication, would we base our decision on the possibility that she might need it the rest of her life or that she might have to deal with side effects? Which is worse, the anxiety/OCD or the side effects? In our case, we felt like we had the opportunity to help her have a better quality of life through medication. That may not be true for everyone. If you try it and decide it’s not for your son you can discontinue it WITH the doctor’s supervision, because some of the meds you can’t just stop cold turkey. And you may still be able to do some exposure work even while he’s on medication, if that’s what you choose to do. Every family has to make the best choice for them. I wish my daughter did not need a prescription to live a full life, but I’m very relieved that we have that option for her. Kim A. From: Tara Montgomery Sent: Monday, July 09, 2012 3:36 PM To: Subject: considering meds, would appreciate any thoughts Hi- Our almost 9 year old son has been diagnosed with OCD since 1st grade. It waxes and wanes but is really tough this summer. Our social worker is great and has worked well with my son on exposures, but it is getting tougher to persuade this little guy to fight being so overwhelmed. My question is: when other families considered meds (SSRI, I think), what was the tipping point for deciding yes or no? A few other facts: My son, upon hearing about medication has been *begging* us to get it for him, he thinks the exposure work is hard. We are in the process of scheduling an appointment with a psych to do the eval. The worries about meds from dad - once we start is this for the rest of his life (and is that ok?) and will it change his personality. My own concerns- weight gain/loss or change in appetite. Thanks for any insight you can share. Tara Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 9, 2012 Report Share Posted July 9, 2012 > Hi- > > Our almost 9 year old son has been diagnosed with OCD since 1st grade. It waxes and wanes but is really tough this summer. Our social worker is great and has worked well with my son on exposures, but it is getting tougher to persuade this little guy to fight being so overwhelmed. > > My question is: when other families considered meds (SSRI, I think), what was the tipping point for deciding yes or no? > Quality of life. Too much suffering. > > A few other facts: My son, upon hearing about medication has been *begging* us to get it for him, he thinks the exposure work is hard. > Meds will help, but the exposure will work will still be hard. But the meds may help things be less overwhelming and make it a little more bearable to do the exposure work and thus make progress and get better. > > We are in the process of scheduling an appointment with a psych to do the eval. > > The worries about meds from dad - once we start is this for the rest of his life (and is that ok?) and will it change his personality. > No and no. If the med is helpful, it will allow him to make more progress with the exposures and ultimately the 2 together (med and CBT/ERP) will allow his true personality, his true self, to shine. It's a guessing game as to which med will work best with which person. If a med makes a person feel uncomfortable (and continues to make the person feel that way even after the several weeks it may take for the body to get used to it) then a different med is tried. If a med is helpful to a person, they usually stay on it for a few years. At some point, the decision will probably be made to try lowering the dose little by little and see how it goes. The med may have done its job by helping the person push thru exposures and achieve enough control that they can continue to do well with just the CBT/ERP. On the other hand (I'm thinking of any medication and any health condition), if a person's suffering were to return after lowering and stopping a med, and if that med made all the difference between a life of thriving vs suffering, I'd vote for continuing the med. It's all a matter of relative risks and benefits. But starting a med for OCD definitely does not mean a commitment to a lifetime of meds. > > My own concerns- weight gain/loss or change in appetite. > The SSRIs may cause weight gain, but not always. > > Thanks for any insight you can share. > > You're welcome. Been there. > > > Tara > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 9, 2012 Report Share Posted July 9, 2012 Hi Tara Tipping point - well, we waited waaay too long. By the time we started meds, son had to be hospitalized. He actually was not put on meds the first 3 days in ER. Then moved to inpatient and still not put on meds until he wouldn't change clothes. They started with very low doses. Each time he hit a new barrier with ERP, they increased dose, until he was able to get in car with dad (contaminant) and go somewhere, and sleep in room after dad had been there. He ended up two weeks later on 40 mg Prozac and .5 Risperdone in evening, .25 in morning. That's been 2 months ago now. Over that time since he's been home, we've cut back Risperdone to .25 total and are shaving that little pill in half at night. Prozac is still at 40 - we will start taking grains out of those at some point. Side effects? The med accumulates over time. So he started getting more and more tired and could hardly get up from lunch. That's when we started cutting back. His energy is coming back, and he's still voluntarily putting himself into exposures, such as going places with Dad. So overall the med has done what it's supposed to all along - first very high amounts to get through the initial ERPS. Now lower doses as we watch and see what maintenance dose he needs. If he's challenged, I would increase again, knowing I can decrease. We do all the stuff has described - diet sleep, supplements, exercise, all this balances effects of chemicals, I think. Son does not want to eat as much as he used to but I notice that if it's stuff he really likes, he will. He doesn't really like healthy food (imagine!?!). No change in personality - or rather, he is up more than down, very welcome, to see him laugh and joke like he did 5 years ago. Someone recently recommended OCDefense as a substitue for SSRI - might be worth trying for you but not covered by insurance. Hope that helps Rhonda considering meds, would appreciate any thoughts Hi- Our almost 9 year old son has been diagnosed with OCD since 1st grade. It waxes and wanes but is really tough this summer. Our social worker is great and has worked well with my son on exposures, but it is getting tougher to persuade this little guy to fight being so overwhelmed. My question is: when other families considered meds (SSRI, I think), what was the tipping point for deciding yes or no? A few other facts: My son, upon hearing about medication has been *begging* us to get it for him, he thinks the exposure work is hard. We are in the process of scheduling an appointment with a psych to do the eval. The worries about meds from dad - once we start is this for the rest of his life (and is that ok?) and will it change his personality. My own concerns- weight gain/loss or change in appetite. Thanks for any insight you can share. Tara Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 9, 2012 Report Share Posted July 9, 2012 Tara, I think the determining factor is when you see his quality of life is being affected.  I, personally, have not used medication for my son but I would not heitate to do so. He has been very effectively treated so far with vitamins/homeopathic remedies. But that is for him. If they stopped working , I would not hesitate at all to put him on meds.  No, this would not mean he has to be on them his entire life. Again, because of the nature of ocd, he may reach a point he wants to go off the meds and he is fine. Some people, yes, they do have to be on them. It differs so much from person to person. I gained a new perspective last year. I had shingles and was co-hosting a baby shower (though not at my home). The baby had already been born. I asked my dr if I should not go and I was assured that singles were not contagious and absolutely I should go. Well I did go and I did not touch or even go near the baby, but the next day, the baby passed away. The cause was unknown. My mind went into complete panic mode ... the baby caught shingles from me and died. I could not sleep, I could think of nothing else -- I killed the baby. I had nurse friends, other friends, my mom, etc all say that was absolutely ludicrous -- I was not contagious, etc. but I looked on the internet and saw in reality there is a very small chance shingles can be contagious and very harmful to a baby or someone else with a weakened immune system. I could not function. Well it turned out the cause of death was something else completely and then i was okay, but I gained such sympathy for an OCD sufferer. The worry and guilt was so intense and unrelenting. I was absolutey exhausted. Our poor kids.  I wish you luck in your decision. Kind Regards, To: Sent: Monday, July 9, 2012 12:36 PM Subject: considering meds, would appreciate any thoughts  Hi-  Our almost 9 year old son has been diagnosed with OCD since 1st grade. It waxes and wanes but is really tough this summer. Our social worker is great and has worked well with my son on exposures, but it is getting tougher to persuade this little guy to fight being so overwhelmed.  My question is: when other families considered meds (SSRI, I think), what was the tipping point for deciding yes or no?  A few other facts: My son, upon hearing about medication has been *begging* us to get it for him, he thinks the exposure work is hard.  We are in the process of scheduling an appointment with a psych to do the eval.  The worries about meds from dad - once we start is this for the rest of his life (and is that ok?) and will it change his personality.  My own concerns- weight gain/loss or change in appetite.  Thanks for any insight you can share.  Tara   Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 9, 2012 Report Share Posted July 9, 2012 Hi , Looks like lots of good insights already today. One thought that comes to mind to put out there for feedback from the group is this-- SSRI's and or Anxiety meds ( any of them ) definitely have their place. I love your question about if it is a life long pill or not? Good question.... one thing I would ask the doctors is if we put our daughter (almost 8) on meds and at some point decide to take her off or she ages and wants to go off them -- what does that look like?? Are there withdrawals? How much anxiety is added when going off ananti depressant or anti anxiety med? I have heard some meds are smoother to go off of than others. We are currently not using meds for our child, yet like other people if needed will use them. However, I am not sure we would use anti anxiety meds due to some things I have learned about withdrawals from them. SSRI's have a much better transition off them slowly with a doctors care. I do know of some people (all adults ) that had a lot of trouble going off any of the benzo drugs. Any input from the group on this would be helpful to know about. A few years ago when a very close relative of mine passed away I took Celexa for 1.5 years at a low dose and went off it with minor withdrawals. That was in my early 30's. I did have some odd withdrawal symptoms but they only lasted two weeks. That said, I do not have OCD and I cannot imagine my daughter going through the withdrawals I did with her OCD. Even if only a few weeks. Each person has differnt experiences with meds. I would even with my experience use SSRI's if I felt it was necessary for our child's safety and well-being. If it was just to make her life " better " I would personally --just me look for a natural alternative --and do the CBT and ERP as much as possible. Even if my daughter does not want to do CBT and ERP I can work it into our day without her fully seeing I am doing so--sometimes. Often I put things in the day that will challenge her without her realizing it and by the time it is done she says " hey, I just did that! " . I say " really, wow that is very cool " . We move on, I don't make a big deal of it. I have heard from several adult friends with OCD that the CBT and ERP are mandatory that just taking meds alone wont do the job. I have not tried meds but could guess they definitely could help. I am just very cautious about Benzo drugs and the withdrawals that would come at some point later. Yet, in the correct situation if it were life threatening, would use these drugs if it was the only way to help my child. I know Benzo's are used for anxiety and yet would not want anyone to go through the withdrawals if they could avoid them. Worth looking into before getting on any of the meds. Also, recommend that any drug that is proposed for your child that you go online to the manufacture and read about side effects etc....first. So you can watch for signs if you do use a drug. It is hard for me at times not to feel desperate for a solution to one of my childs needs " right now " . However, I have found when I take the time and do my homework on any med or even just interviewing a thearpist to see if I can handle working with their personality type-- I end up much better off a few weeks later than if I just take the first thing that is in front of me. Sometimes this is easier said than done. Warmly and wishing you the best! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 9, 2012 Report Share Posted July 9, 2012 Wow that is an incredible story, thanks . I could " be there " and understand how that whole association thing works now. Rhonda Re: considering meds, would appreciate any thoughts Tara, I think the determining factor is when you see his quality of life is being affected. I, personally, have not used medication for my son but I would not heitate to do so. He has been very effectively treated so far with vitamins/homeopathic remedies. But that is for him. If they stopped working , I would not hesitate at all to put him on meds. No, this would not mean he has to be on them his entire life. Again, because of the nature of ocd, he may reach a point he wants to go off the meds and he is fine. Some people, yes, they do have to be on them. It differs so much from person to person. I gained a new perspective last year. I had shingles and was co-hosting a baby shower (though not at my home). The baby had already been born. I asked my dr if I should not go and I was assured that singles were not contagious and absolutely I should go. Well I did go and I did not touch or even go near the baby, but the next day, the baby passed away. The cause was unknown. My mind went into complete panic mode ... the baby caught shingles from me and died. I could not sleep, I could think of nothing else -- I killed the baby. I had nurse friends, other friends, my mom, etc all say that was absolutely ludicrous -- I was not contagious, etc. but I looked on the internet and saw in reality there is a very small chance shingles can be contagious and very harmful to a baby or someone else with a weakened immune system. I could not function. Well it turned out the cause of death was something else completely and then i was okay, but I gained such sympathy for an OCD sufferer. The worry and guilt was so intense and unrelenting. I was absolutey exhausted. Our poor kids. I wish you luck in your decision. Kind Regards, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 9, 2012 Report Share Posted July 9, 2012 I started my daughter on medication when she was in 2nd grade because her OCD had become very difficult for her and it was affecting her willingness to eat so many things. Before she went on medication, she was much more " off " in her thinking with regard to her fears, and the medication made her thinking more on target and thus she was better able to fight her fears. I started my son on medication when he was in about sixth grade because he was becoming so depressed about how anxious he was all the time and how his mind wouldn't rest. He is so different when on medication. Both my kids were only able to comply with exposures when they started on medication. For both my children, the medication allows my kids' real personalities to shine, less encumbered by fears, obsessions, and compulsions. This then allows them to do so much better socially and to be so much happier. I have had OCD for as long as I can remember, but medication for OCD only became available in this country when I was an adult. I have been on medication for OCD for most of the last 30 years, give or take a year or so in between. I have found that I need it to have a good quality of life, and if this is true for my children, then I am thrilled that it is available. considering meds, would appreciate any thoughts Hi- Our almost 9 year old son has been diagnosed with OCD since 1st grade. It waxes and wanes but is really tough this summer. Our social worker is great and has worked well with my son on exposures, but it is getting tougher to persuade this little guy to fight being so overwhelmed. My question is: when other families considered meds (SSRI, I think), what was the tipping point for deciding yes or no? A few other facts: My son, upon hearing about medication has been *begging* us to get it for him, he thinks the exposure work is hard. We are in the process of scheduling an appointment with a psych to do the eval. The worries about meds from dad - once we start is this for the rest of his life (and is that ok?) and will it change his personality. My own concerns- weight gain/loss or change in appetite. Thanks for any insight you can share. Tara Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 9, 2012 Report Share Posted July 9, 2012 Rhonda, although I'm not a dr., I would imagine that it is the Risperidone that causes that tiredness. It is a serious medication, so I totally understand wanting your son off that, if it is possible and he still does well. On the other hand, if your son continues to do well with the Prozac, I wouldn't be too fast on cutting that back. Many with OCD need the SSRI or Anafranil in order to function at their best. The obsessional thinking tends to recur for many when it is discontinued. Re: considering meds, would appreciate any thoughts Hi Tara Tipping point - well, we waited waaay too long. By the time we started meds, son had to be hospitalized. He actually was not put on meds the first 3 days in ER. Then moved to inpatient and still not put on meds until he wouldn't change clothes. They started with very low doses. Each time he hit a new barrier with ERP, they increased dose, until he was able to get in car with dad (contaminant) and go somewhere, and sleep in room after dad had been there. He ended up two weeks later on 40 mg Prozac and .5 Risperdone in evening, .25 in morning. That's been 2 months ago now. Over that time since he's been home, we've cut back Risperdone to .25 total and are shaving that little pill in half at night. Prozac is still at 40 - we will start taking grains out of those at some point. Side effects? The med accumulates over time. So he started getting more and more tired and could hardly get up from lunch. That's when we started cutting back. His energy is coming back, and he's still voluntarily putting himself into exposures, such as going places with Dad. So overall the med has done what it's supposed to all along - first very high amounts to get through the initial ERPS. Now lower doses as we watch and see what maintenance dose he needs. If he's challenged, I would increase again, knowing I can decrease. We do all the stuff has described - diet sleep, supplements, exercise, all this balances effects of chemicals, I think. Son does not want to eat as much as he used to but I notice that if it's stuff he really likes, he will. He doesn't really like healthy food (imagine!?!). No change in personality - or rather, he is up more than down, very welcome, to see him laugh and joke like he did 5 years ago. Someone recently recommended OCDefense as a substitue for SSRI - might be worth trying for you but not covered by insurance. Hope that helps Rhonda considering meds, would appreciate any thoughts Hi- Our almost 9 year old son has been diagnosed with OCD since 1st grade. It waxes and wanes but is really tough this summer. Our social worker is great and has worked well with my son on exposures, but it is getting tougher to persuade this little guy to fight being so overwhelmed. My question is: when other families considered meds (SSRI, I think), what was the tipping point for deciding yes or no? A few other facts: My son, upon hearing about medication has been *begging* us to get it for him, he thinks the exposure work is hard. We are in the process of scheduling an appointment with a psych to do the eval. The worries about meds from dad - once we start is this for the rest of his life (and is that ok?) and will it change his personality. My own concerns- weight gain/loss or change in appetite. Thanks for any insight you can share. Tara Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 10, 2012 Report Share Posted July 10, 2012 Our son was dx at age 3 and meds recommended at that time. We did not do it then, did CBT/ERP and diet, vitamins etc. Took about 2.5 years but he got better and had about 2 good years. Then got bad again at age 8 and stopped eating due to contamination fears- that is when we started. He too, BEGGED us for meds and we held off because of his young age, but when he was not eating we felt we had not choice. The meds were a rollercoaster finding the right one and the right dose, dealing with side effects ( no weight issues, but problems with " activation " and disinhibition as well as suicidal on prozac). He ended up on 175 mg Zoloft at age 8 with good enough OCD control to CBT/ERP and we began backing down on dose. Got down to 25 mg and then went off for several months but he asked to go back on because the thoughts were coming back. he is now almost 16 and I would love to see him off meds all together and think he could be off them if he was willing to work his ERP which I think would be a better option, but it is his disease, and he is a teen and we are giving him the choice and he wants to be on- so he is on. Is it safe? I have no idea. I do know that he is living a happy successful life as opposed to being tortured 20 hours a day and not able to leave the house or a room or be able to attend to school etc. I will say that playing with the meds and finding the right one can be a nightmare, sorting out what is OCD, what is side effects, what is your kid- all a huge tangle. But in the end, the meds helped give him his life back and we can see him , not him under the infulence of OCD for every action. I dread if he ever needs to go up on dose or change meds, but we will cross that bridge if we come to it. I think it is appropriate to be concerned about putting any child on meds, but that does not mean it should not be done- it is a risk benefit analysis. The problem is that you dont know the risk associated with medicating or not medicating so it is like asking you to pick what is behind door number one vs what is behind door number 2 , not knowing what is behind either and your child's life hanging in the balance. Very hard decision for sure.Good luck with it. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 10, 2012 Report Share Posted July 10, 2012 Our son was dx at age 3 and meds recommended at that time. We did not do it then, did CBT/ERP and diet, vitamins etc. Took about 2.5 years but he got better and had about 2 good years. Then got bad again at age 8 and stopped eating due to contamination fears- that is when we started. He too, BEGGED us for meds and we held off because of his young age, but when he was not eating we felt we had not choice. The meds were a rollercoaster finding the right one and the right dose, dealing with side effects ( no weight issues, but problems with " activation " and disinhibition as well as suicidal on prozac). He ended up on 175 mg Zoloft at age 8 with good enough OCD control to CBT/ERP and we began backing down on dose. Got down to 25 mg and then went off for several months but he asked to go back on because the thoughts were coming back. he is now almost 16 and I would love to see him off meds all together and think he could be off them if he was willing to work his ERP which I think would be a better option, but it is his disease, and he is a teen and we are giving him the choice and he wants to be on- so he is on. Is it safe? I have no idea. I do know that he is living a happy successful life as opposed to being tortured 20 hours a day and not able to leave the house or a room or be able to attend to school etc. I will say that playing with the meds and finding the right one can be a nightmare, sorting out what is OCD, what is side effects, what is your kid- all a huge tangle. But in the end, the meds helped give him his life back and we can see him , not him under the infulence of OCD for every action. I dread if he ever needs to go up on dose or change meds, but we will cross that bridge if we come to it. I think it is appropriate to be concerned about putting any child on meds, but that does not mean it should not be done- it is a risk benefit analysis. The problem is that you dont know the risk associated with medicating or not medicating so it is like asking you to pick what is behind door number one vs what is behind door number 2 , not knowing what is behind either and your child's life hanging in the balance. Very hard decision for sure.Good luck with it. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 10, 2012 Report Share Posted July 10, 2012 As an addition to what you wrote below, one of the very real issues that waiting to medicate can have is allowing the child to be stigmatized by other children for " odd " behavior that is really the OCD. Until my daughter got on the right medication, her OCD made her think and react quite differently than other kids, and the damage had been done as far as how the kids in her grade treated her and still view her today, years later. Also, not being on medication can prevent the child from achieving normal social and academic milestones because the OCD is so overwhelming and then it can be hard to play catch up: growing up is hard enough for typical kids, but being out of synch with age mates can be even more anxiety producing for anxious kids. Re: considering meds, would appreciate any thoughts Our son was dx at age 3 and meds recommended at that time. We did not do it then, did CBT/ERP and diet, vitamins etc. Took about 2.5 years but he got better and had about 2 good years. Then got bad again at age 8 and stopped eating due to contamination fears- that is when we started. He too, BEGGED us for meds and we held off because of his young age, but when he was not eating we felt we had not choice. The meds were a rollercoaster finding the right one and the right dose, dealing with side effects ( no weight issues, but problems with " activation " and disinhibition as well as suicidal on prozac). He ended up on 175 mg Zoloft at age 8 with good enough OCD control to CBT/ERP and we began backing down on dose. Got down to 25 mg and then went off for several months but he asked to go back on because the thoughts were coming back. he is now almost 16 and I would love to see him off meds all together and think he could be off them if he was willing to wo rk his ERP which I think would be a better option, but it is his disease, and he is a teen and we are giving him the choice and he wants to be on- so he is on. Is it safe? I have no idea. I do know that he is living a happy successful life as opposed to being tortured 20 hours a day and not able to leave the house or a room or be able to attend to school etc. I will say that playing with the meds and finding the right one can be a nightmare, sorting out what is OCD, what is side effects, what is your kid- all a huge tangle. But in the end, the meds helped give him his life back and we can see him , not him under the infulence of OCD for every action. I dread if he ever needs to go up on dose or change meds, but we will cross that bridge if we come to it. I think it is appropriate to be concerned about putting any child on meds, but that does not mean it should not be done- it is a risk benefit analysis. The problem is that you dont know the risk associated with medicating or not medicating so it is like asking you to pick what is behind door number one vs what is behind door number 2 , not knowing what is behind either and your child's life hanging in the balance. Very hard decision for sure.Good luck with it. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 10, 2012 Report Share Posted July 10, 2012 As an addition to what you wrote below, one of the very real issues that waiting to medicate can have is allowing the child to be stigmatized by other children for " odd " behavior that is really the OCD. Until my daughter got on the right medication, her OCD made her think and react quite differently than other kids, and the damage had been done as far as how the kids in her grade treated her and still view her today, years later. Also, not being on medication can prevent the child from achieving normal social and academic milestones because the OCD is so overwhelming and then it can be hard to play catch up: growing up is hard enough for typical kids, but being out of synch with age mates can be even more anxiety producing for anxious kids. Re: considering meds, would appreciate any thoughts Our son was dx at age 3 and meds recommended at that time. We did not do it then, did CBT/ERP and diet, vitamins etc. Took about 2.5 years but he got better and had about 2 good years. Then got bad again at age 8 and stopped eating due to contamination fears- that is when we started. He too, BEGGED us for meds and we held off because of his young age, but when he was not eating we felt we had not choice. The meds were a rollercoaster finding the right one and the right dose, dealing with side effects ( no weight issues, but problems with " activation " and disinhibition as well as suicidal on prozac). He ended up on 175 mg Zoloft at age 8 with good enough OCD control to CBT/ERP and we began backing down on dose. Got down to 25 mg and then went off for several months but he asked to go back on because the thoughts were coming back. he is now almost 16 and I would love to see him off meds all together and think he could be off them if he was willing to wo rk his ERP which I think would be a better option, but it is his disease, and he is a teen and we are giving him the choice and he wants to be on- so he is on. Is it safe? I have no idea. I do know that he is living a happy successful life as opposed to being tortured 20 hours a day and not able to leave the house or a room or be able to attend to school etc. I will say that playing with the meds and finding the right one can be a nightmare, sorting out what is OCD, what is side effects, what is your kid- all a huge tangle. But in the end, the meds helped give him his life back and we can see him , not him under the infulence of OCD for every action. I dread if he ever needs to go up on dose or change meds, but we will cross that bridge if we come to it. I think it is appropriate to be concerned about putting any child on meds, but that does not mean it should not be done- it is a risk benefit analysis. The problem is that you dont know the risk associated with medicating or not medicating so it is like asking you to pick what is behind door number one vs what is behind door number 2 , not knowing what is behind either and your child's life hanging in the balance. Very hard decision for sure.Good luck with it. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 10, 2012 Report Share Posted July 10, 2012 Tara, the tipping point for us was the first time at 8, he basically could not function in second grade (jan til May). We put him on meds. in May and things def. turned around for the better, so we took him off the meds. He had severe general anxiety disorder. I guess the OCD was more thoughts, no rituals that I saw. It waxed and waned, with some odd tourettes type stuff but back again in vengence at 14. Tipping point there was severe diarrhea and again unable to cope in school or any social situation. Med. was lifesaver. Still on meds. by his choice. Change in appetite/weight gain-Roy is also on Adderall for his ADD so prob. balances the weight gain issue. Always a little nauseaus with each increase in med. dosage but then levels off. Our family does not tend to gain weight on meds. so maybe depends on your family. The pdoc should talk with your son that the magic formula is meds. with the ERP/CBT and that the meds. won't take away all his troubles. My son tends toward the depressive side and has gotten alot better, but he is beginning to understand the key word is " manage " and not that it will be all taken away. Yes, we have thought the same about changing his personality and is this lifelong with the med. Especially with the costs of meds. and his need to pay for this once he is off of our health plan. (yes, my mind does get working overtime). He has accepted this b/c his quality of life is really pretty good now on the meds. So we don't know his REAL personality without meds but i can guess, he prob. would be suicidal and unhappy, based on previous experience. In retrospect, I wish we would have had him on meds. and followed by a pdoc, continually from age 8. He would have had an easier time and not suffered so much with the anxiety and self-doubt. Thinking of you and your family.. in WI-55. PT in schools Roy-17. Anxiety/depression,OCD ADD. Lexapro 60 mg., Busbar 30 mg., Adderall XR 30 mg. 504 in schools. > > Hi- > > Our almost 9 year old son has been diagnosed with OCD since 1st grade. It waxes and wanes but is really tough this summer. Our social worker is great and has worked well with my son on exposures, but it is getting tougher to persuade this little guy to fight being so overwhelmed. > > My question is: when other families considered meds (SSRI, I think), what was the tipping point for deciding yes or no? > > A few other facts: My son, upon hearing about medication has been *begging* us to get it for him, he thinks the exposure work is hard. > > We are in the process of scheduling an appointment with a psych to do the eval. > > The worries about meds from dad - once we start is this for the rest of his life (and is that ok?) and will it change his personality. > > My own concerns- weight gain/loss or change in appetite. > > Thanks for any insight you can share. > > Tara > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 10, 2012 Report Share Posted July 10, 2012 Thanks Jordana - I was wondering if I'm doing the right thing since we're not really working with a doc but so far seems good. I expect he will stay on some dose of Prozac but hoping we can go a bit lower. He is working with me and letting me know how he's doing, etc. I will keep working on getting off of R. for now. So good to hear how long you've been on your med and no probs for you. My mom has been on blood pressure meds, etc, etc and has had problems with all of them - eventually mental health meds (and the risks) will just be seen as meds like all the rest of them!! warmly, Rhonda considering meds, would appreciate any thoughts Hi- Our almost 9 year old son has been diagnosed with OCD since 1st grade. It waxes and wanes but is really tough this summer. Our social worker is great and has worked well with my son on exposures, but it is getting tougher to persuade this little guy to fight being so overwhelmed. My question is: when other families considered meds (SSRI, I think), what was the tipping point for deciding yes or no? A few other facts: My son, upon hearing about medication has been *begging* us to get it for him, he thinks the exposure work is hard. We are in the process of scheduling an appointment with a psych to do the eval. The worries about meds from dad - once we start is this for the rest of his life (and is that ok?) and will it change his personality. My own concerns- weight gain/loss or change in appetite. Thanks for any insight you can share. Tara Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 10, 2012 Report Share Posted July 10, 2012 I just got back from having lunch with two friends whom I went to grad school with about 25 years ago. We are all special ed teachers, so we have the summer off and we use it to get together because we live rather far apart. Anyway, they became my friends just as I was finishing my first round of intensive behavior therapy and was on my first round of medication. We became extremely close friends and they know all about my OCD and my ups and downs over the years. It felt so good for one of my friends to ask, " How are you doing? You look terrific! " What she meant was a silent recognition that I must be doing well OCD/depression-wise, yet I haven't gained a lot of weight from the med I am on. I am writing this to let you know that it is wonderful to have some friends who have been there for me for so very many years and know I need to take medication and it is no big deal to them. Re: considering meds, would appreciate any thoughts Thanks Jordana - I was wondering if I'm doing the right thing since we're not really working with a doc but so far seems good. I expect he will stay on some dose of Prozac but hoping we can go a bit lower. He is working with me and letting me know how he's doing, etc. I will keep working on getting off of R. for now. So good to hear how long you've been on your med and no probs for you. My mom has been on blood pressure meds, etc, etc and has had problems with all of them - eventually mental health meds (and the risks) will just be seen as meds like all the rest of them!! warmly, Rhonda considering meds, would appreciate any thoughts Hi- Our almost 9 year old son has been diagnosed with OCD since 1st grade. It waxes and wanes but is really tough this summer. Our social worker is great and has worked well with my son on exposures, but it is getting tougher to persuade this little guy to fight being so overwhelmed. My question is: when other families considered meds (SSRI, I think), what was the tipping point for deciding yes or no? A few other facts: My son, upon hearing about medication has been *begging* us to get it for him, he thinks the exposure work is hard. We are in the process of scheduling an appointment with a psych to do the eval. The worries about meds from dad - once we start is this for the rest of his life (and is that ok?) and will it change his personality. My own concerns- weight gain/loss or change in appetite. Thanks for any insight you can share. Tara Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 10, 2012 Report Share Posted July 10, 2012 , a nice thing to know is that the med for OCD that my son and I are taking is the generic Prozac, so it is not expensive. Many of the meds for OCD will be generics when he is older. Re: considering meds, would appreciate any thoughts Tara, the tipping point for us was the first time at 8, he basically could not function in second grade (jan til May). We put him on meds. in May and things def. turned around for the better, so we took him off the meds. He had severe general anxiety disorder. I guess the OCD was more thoughts, no rituals that I saw. It waxed and waned, with some odd tourettes type stuff but back again in vengence at 14. Tipping point there was severe diarrhea and again unable to cope in school or any social situation. Med. was lifesaver. Still on meds. by his choice. Change in appetite/weight gain-Roy is also on Adderall for his ADD so prob. balances the weight gain issue. Always a little nauseaus with each increase in med. dosage but then levels off. Our family does not tend to gain weight on meds. so maybe depends on your family. The pdoc should talk with your son that the magic formula is meds. with the ERP/CBT and that the meds. won't take away all his troubles. My son tends toward the depressive side and has gotten alot better, but he is beginning to understand the key word is " manage " and not that it will be all taken away. Yes, we have thought the same about changing his personality and is this lifelong with the med. Especially with the costs of meds. and his need to pay for this once he is off of our health plan. (yes, my mind does get working overtime). He has accepted this b/c his quality of life is really pretty good now on the meds. So we don't know his REAL personality without meds but i can guess, he prob. would be suicidal and unhappy, based on previous experience. In retrospect, I wish we would have had him on meds. and followed by a pdoc, continually from age 8. He would have had an easier time and not suffered so much with the anxiety and self-doubt. Thinking of you and your family.. in WI-55. PT in schools Roy-17. Anxiety/depression,OCD ADD. Lexapro 60 mg., Busbar 30 mg., Adderall XR 30 mg. 504 in schools. > > Hi- > > Our almost 9 year old son has been diagnosed with OCD since 1st grade. It waxes and wanes but is really tough this summer. Our social worker is great and has worked well with my son on exposures, but it is getting tougher to persuade this little guy to fight being so overwhelmed. > > My question is: when other families considered meds (SSRI, I think), what was the tipping point for deciding yes or no? > > A few other facts: My son, upon hearing about medication has been *begging* us to get it for him, he thinks the exposure work is hard. > > We are in the process of scheduling an appointment with a psych to do the eval. > > The worries about meds from dad - once we start is this for the rest of his life (and is that ok?) and will it change his personality. > > My own concerns- weight gain/loss or change in appetite. > > Thanks for any insight you can share. > > Tara > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 10, 2012 Report Share Posted July 10, 2012 , a nice thing to know is that the med for OCD that my son and I are taking is the generic Prozac, so it is not expensive. Many of the meds for OCD will be generics when he is older. Re: considering meds, would appreciate any thoughts Tara, the tipping point for us was the first time at 8, he basically could not function in second grade (jan til May). We put him on meds. in May and things def. turned around for the better, so we took him off the meds. He had severe general anxiety disorder. I guess the OCD was more thoughts, no rituals that I saw. It waxed and waned, with some odd tourettes type stuff but back again in vengence at 14. Tipping point there was severe diarrhea and again unable to cope in school or any social situation. Med. was lifesaver. Still on meds. by his choice. Change in appetite/weight gain-Roy is also on Adderall for his ADD so prob. balances the weight gain issue. Always a little nauseaus with each increase in med. dosage but then levels off. Our family does not tend to gain weight on meds. so maybe depends on your family. The pdoc should talk with your son that the magic formula is meds. with the ERP/CBT and that the meds. won't take away all his troubles. My son tends toward the depressive side and has gotten alot better, but he is beginning to understand the key word is " manage " and not that it will be all taken away. Yes, we have thought the same about changing his personality and is this lifelong with the med. Especially with the costs of meds. and his need to pay for this once he is off of our health plan. (yes, my mind does get working overtime). He has accepted this b/c his quality of life is really pretty good now on the meds. So we don't know his REAL personality without meds but i can guess, he prob. would be suicidal and unhappy, based on previous experience. In retrospect, I wish we would have had him on meds. and followed by a pdoc, continually from age 8. He would have had an easier time and not suffered so much with the anxiety and self-doubt. Thinking of you and your family.. in WI-55. PT in schools Roy-17. Anxiety/depression,OCD ADD. Lexapro 60 mg., Busbar 30 mg., Adderall XR 30 mg. 504 in schools. > > Hi- > > Our almost 9 year old son has been diagnosed with OCD since 1st grade. It waxes and wanes but is really tough this summer. Our social worker is great and has worked well with my son on exposures, but it is getting tougher to persuade this little guy to fight being so overwhelmed. > > My question is: when other families considered meds (SSRI, I think), what was the tipping point for deciding yes or no? > > A few other facts: My son, upon hearing about medication has been *begging* us to get it for him, he thinks the exposure work is hard. > > We are in the process of scheduling an appointment with a psych to do the eval. > > The worries about meds from dad - once we start is this for the rest of his life (and is that ok?) and will it change his personality. > > My own concerns- weight gain/loss or change in appetite. > > Thanks for any insight you can share. > > Tara > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 10, 2012 Report Share Posted July 10, 2012 Thanks for sharing, Jordana, that is special. I'm just glad the meds are there for you to take! Otherwise you would not even be here sharing with all of us, and your perspective is so helpful! Anyone tries to look down on my son for taking meds will have me to deal with! (me? overprotective???) Rhonda considering meds, would appreciate any thoughts Hi- Our almost 9 year old son has been diagnosed with OCD since 1st grade. It waxes and wanes but is really tough this summer. Our social worker is great and has worked well with my son on exposures, but it is getting tougher to persuade this little guy to fight being so overwhelmed. My question is: when other families considered meds (SSRI, I think), what was the tipping point for deciding yes or no? A few other facts: My son, upon hearing about medication has been *begging* us to get it for him, he thinks the exposure work is hard. We are in the process of scheduling an appointment with a psych to do the eval. The worries about meds from dad - once we start is this for the rest of his life (and is that ok?) and will it change his personality. My own concerns- weight gain/loss or change in appetite. Thanks for any insight you can share. Tara Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 10, 2012 Report Share Posted July 10, 2012 Thanks for sharing, Jordana, that is special. I'm just glad the meds are there for you to take! Otherwise you would not even be here sharing with all of us, and your perspective is so helpful! Anyone tries to look down on my son for taking meds will have me to deal with! (me? overprotective???) Rhonda considering meds, would appreciate any thoughts Hi- Our almost 9 year old son has been diagnosed with OCD since 1st grade. It waxes and wanes but is really tough this summer. Our social worker is great and has worked well with my son on exposures, but it is getting tougher to persuade this little guy to fight being so overwhelmed. My question is: when other families considered meds (SSRI, I think), what was the tipping point for deciding yes or no? A few other facts: My son, upon hearing about medication has been *begging* us to get it for him, he thinks the exposure work is hard. We are in the process of scheduling an appointment with a psych to do the eval. The worries about meds from dad - once we start is this for the rest of his life (and is that ok?) and will it change his personality. My own concerns- weight gain/loss or change in appetite. Thanks for any insight you can share. Tara Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 11, 2012 Report Share Posted July 11, 2012 My daughter (14) had been on a few different meds, and the miracle drug for her is Luvox. It has quieted her OCD so now she can enjoy life. She started it about a month ago. Judy Hawkinson judyhawkinson@... cell: Quote Link to comment Share on other sites More sharing options...
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