Re: OCD, Psychosis, or both?

[Guest guest]

, My 22 year old is newly diagnosed with BP, mixed. He had psychosis

symptoms. We noticed this at xmas break, pulled him from college, placed in

psych. hospital, and now in intensive outpatient program. He was hearing voices,

talked rapid fire, up all night and sleeping erractically during the day (4

hours), not eating, no eye contact, very agitated. I am new to this but the

medication has been very helpful and I would not hesitate one minute in my son's

case to use the meds. He was nonfunctional without them. He has been on Xyprexa

(made him too sleepy), abilify (very agitated), Depakote (working) and

Respiradal (working). The pdoc says mixed BP is dif. to treat so is trying to

get the right combo. You have to decide what works for you but med. really

helped the psychosis for my son. As far as turning it off in public, maybe some

people can do this. I am new to this and learning that BP and psychosis can be

very dif. for everyone. My son was not able to control the psychosis anywhere

without the meds. Check out balanced mind. org. Lots of info and support groups

there.

>

> Just heard from 's today and now it will be ANOTHER 4-6 weeks. I'm taking

this somewhat with a grain of salt since it's been " a few more weeks " for the

past few months and I know it's very difficult for them to predict on their end.

>

> Meanwhile back at the farm, my son's behavior is becoming increasingly

concerning. Thankfully nothing about harming himself or anything along those

lines, just bizarre stuff like sitting on the stairs in the dark sometimes for a

few hours doing his tics, not wanting any lights on anywhere in the house, even

at night, still avoiding showers, not brushing teeth, wearing same clothes over

and over, putting shirts on inside out and backwards, eating meals in dark, and

still having bathroom issues. Zero social life, no desire for one, going

anywhere or doing anything is extremely difficult, causes him stress/tics.

>

> He's had a high-ptiched screeching tic for the past 4 month accompanied by a

forceful motor tic. He still has that, but it's far less frequent. Now, for the

past several weeks, he has 2 tics that are nearly constant. One where he kisses

back of hand then looks up, then whispers a " prayer, " the other where he laughs

and then says " you didn't have to do that many, " referring to his previous tics

(he explained the latter to me). Both of the talking/kissing tics are rapid

fire, over, and over, and there's very little time during waking hours where

he's not constantly doing them. To me, although he clearly has Tourette's, these

particular tics seem more like Tourettic OCD to me, then just Tourette's.

>

> He goes to school only 3 days a week and has for the past few months. It's a

HUGE struggle to get him up and off to school, he'll typically take well over 2

hours to get ready and that's with me constantly being on top of him and

literally following him around. If left totally to his own devices, I imagine

he'd take double that time, or more likely never get out of the door.

>

> In the past few weeks, his behavior has become increasingly defiant towards my

husband and I and he basically refuses to do much of anything he's asked to. Now

I'm not talking about anything more than getting up and out of the house in the

morning, getting in and out of the car instead of sitting there, not continually

turning the lights off, and taking showers, brushing teeth.

>

> I emailed his psychiatrist to update him on the above and also to tell him my

concern about it possibly being a few more months (if we're lucky!) for 's.

He called me to say that he had presented my son's case to a group of colleagues

he meets with twice a month and they were all " very adamant " that a lot of these

behaviors are " more than OCD. " The consensus was that some of this is more

psychotic than OCD and therefore he wants to start him on an anti-psychotic like

Risperadal.

>

> Now I did not get a chance to tell him that these behaviors do NOT take place

at school, except of course for his tics which he'll go in the basement to do.

So I have to wonder.......is there such a thing as " selective psychosis " where

someone can turn it on or off depending on their environment or who they are

with? The other thing is that this psychiatrist claims to have a lot of

experience with OCD, but from some of my discussions with him, I'm not super

confident in his abilities in that area.

>

> I'm VERY concerned about putting my son on an anti-psychotic, especially

because of his Tourette's. Now I do know that they use Risperdal for Tourette's

kids, but I have heard some pretty scary stories about side effects, and in some

cases they can be irreversible.

>

> Just wondering what your thoughts are on this and if any of you have ever

dealt with psychosis or psychotic-like behavior with your kids.

>

> Thanks!

> D.

>

[Guest guest]

Thanks, , wow, I'm sorry to hear what you and your son have been through!

I'm glad the medications are working, I know that in many cases these meds can

truly be " miracle " drugs. I will definitely check out the website you suggested.

My son does not in any way appear to be psychotic as far as his speech, eye

contact, sleeping patterns. You can have perfectly normal conversations with

him, no problem, and as I said he's not exhibiting any of the odd behaviors at

school. So this is why I am question the pscyhiatrist's theory that this is

psychosis. I'll be speaking with him again on Monday afternoon, so I'll see what

he says when I explain to him these behaviors are " selective. "

> , My 22 year old is newly diagnosed with BP, mixed. He had psychosis

symptoms. We noticed this at xmas break, pulled him from college, placed in

psych. hospital, and now in intensive outpatient program. He was hearing voices,

talked rapid fire, up all night and sleeping erractically during the day (4

hours), not eating, no eye contact, very agitated. I am new to this but the

medication has been very helpful and I would not hesitate one minute in my son's

case to use the meds. He was nonfunctional without them. He has been on Xyprexa

(made him too sleepy), abilify (very agitated), Depakote (working) and

Respiradal (working). The pdoc says mixed BP is dif. to treat so is trying to

get the right combo. You have to decide what works for you but med. really

helped the psychosis for my son. As far as turning it off in public, maybe some

people can do this. I am new to this and learning that BP and psychosis can be

very dif. for everyone. My son was not able to control the psychosis anywhere

without the meds. Check out balanced mind. org. Lots of info and support groups

there.

>

>

> >

> > Just heard from 's today and now it will be ANOTHER 4-6 weeks. I'm

taking this somewhat with a grain of salt since it's been " a few more weeks " for

the past few months and I know it's very difficult for them to predict on their

end.

> >

> > Meanwhile back at the farm, my son's behavior is becoming increasingly

concerning. Thankfully nothing about harming himself or anything along those

lines, just bizarre stuff like sitting on the stairs in the dark sometimes for a

few hours doing his tics, not wanting any lights on anywhere in the house, even

at night, still avoiding showers, not brushing teeth, wearing same clothes over

and over, putting shirts on inside out and backwards, eating meals in dark, and

still having bathroom issues. Zero social life, no desire for one, going

anywhere or doing anything is extremely difficult, causes him stress/tics.

> >

> > He's had a high-ptiched screeching tic for the past 4 month accompanied by a

forceful motor tic. He still has that, but it's far less frequent. Now, for the

past several weeks, he has 2 tics that are nearly constant. One where he kisses

back of hand then looks up, then whispers a " prayer, " the other where he laughs

and then says " you didn't have to do that many, " referring to his previous tics

(he explained the latter to me). Both of the talking/kissing tics are rapid

fire, over, and over, and there's very little time during waking hours where

he's not constantly doing them. To me, although he clearly has Tourette's, these

particular tics seem more like Tourettic OCD to me, then just Tourette's.

> >

> > He goes to school only 3 days a week and has for the past few months. It's a

HUGE struggle to get him up and off to school, he'll typically take well over 2

hours to get ready and that's with me constantly being on top of him and

literally following him around. If left totally to his own devices, I imagine

he'd take double that time, or more likely never get out of the door.

> >

> > In the past few weeks, his behavior has become increasingly defiant towards

my husband and I and he basically refuses to do much of anything he's asked to.

Now I'm not talking about anything more than getting up and out of the house in

the morning, getting in and out of the car instead of sitting there, not

continually turning the lights off, and taking showers, brushing teeth.

> >

> > I emailed his psychiatrist to update him on the above and also to tell him

my concern about it possibly being a few more months (if we're lucky!) for

's. He called me to say that he had presented my son's case to a group of

colleagues he meets with twice a month and they were all " very adamant " that a

lot of these behaviors are " more than OCD. " The consensus was that some of this

is more psychotic than OCD and therefore he wants to start him on an

anti-psychotic like Risperadal.

> >

> > Now I did not get a chance to tell him that these behaviors do NOT take

place at school, except of course for his tics which he'll go in the basement to

do. So I have to wonder.......is there such a thing as " selective psychosis "

where someone can turn it on or off depending on their environment or who they

are with? The other thing is that this psychiatrist claims to have a lot of

experience with OCD, but from some of my discussions with him, I'm not super

confident in his abilities in that area.

> >

> > I'm VERY concerned about putting my son on an anti-psychotic, especially

because of his Tourette's. Now I do know that they use Risperdal for Tourette's

kids, but I have heard some pretty scary stories about side effects, and in some

cases they can be irreversible.

> >

> > Just wondering what your thoughts are on this and if any of you have ever

dealt with psychosis or psychotic-like behavior with your kids.

> >

> > Thanks!

> > D.

> >

>

>

[Guest guest]

Hi , looking at one definition for psychosis:

" Psychosis: In the general sense, a mental illness that markedly interferes with

a person's capacity to meet life's everyday demands. In a specific sense, it

refers to a thought disorder in which reality testing is grossly impaired.

Symptoms can include seeing, hearing, smelling, or tasting things that are not

there; paranoia; and delusional thoughts. Depending on the condition underlying

the psychotic symptoms, symptoms may be constant or they may come and go.

Psychosis can occur as a result of brain injury or disease, and is seen

particularly in schizophrenia and bipolar disorders. Psychotic symptoms can

occur as a result of drug use, but this is not true psychosis. Diagnosis is by

observation and interview. "

http://www.medterms.com/script/main/art.asp?articlekey=5110

You're in the midst of it all, with him, so I say go with your gut. But I think

a lot of it is OCD, at least I can see the possibilities of OCD causing it (so

not sure what the doc/colleagues are referring to). Kissing his hand, sounds

like a reaction/compulsion/ritual to some OCD need. I'm wondering, too, if

there is any type of scrupulosity OCD going on (which my 23 year old son has)

since you mentioned the " prayer. " My son will also do what I call " mumble " as

he will say something (i.e., talking to himself?) and I can just *see* that it

is OCD related. I also can hear him praying sometimes, upset. But he'll do

that mumbling too at other times, and I've asked is he talking to " anyone " .

Risperdal has been a great med for a lot of people, including those already

using an OCD medication. I suggest trying it to see if it helps any symptoms,

could give you answers if it does. I think it is one of those meds that often

causes weight gain, but still a try to see if some symptoms improve with it

might give some answers if no OCD med has helped yet.

Even with an OCD med, there are the different SSRIs to try (one doesn't work for

everyone), and then some find OCD benefits more from a non-SSRI like Anafranil

or an SNRI med (Effexor is one I think). So it's still a lot to go through,

just trying to find an effective medication to help with OCD. (We were lucky,

our only one tried helped)

Hate that is still so far away in weeks/months! How does your son feel

about going there?

Just some thoughts and ((hugs)),

>

> Just heard from 's today and now it will be ANOTHER 4-6 weeks. I'm taking

this somewhat with a grain of salt since it's been " a few more weeks " for the

past few months and I know it's very difficult for them to predict on their end.

>

> Meanwhile back at the farm, my son's behavior is becoming increasingly

concerning. Thankfully nothing about harming himself or

[Guest guest]

Thanks SO much, I really appreciate all of your help and support.

> " In the general sense, a mental illness that markedly interferes with a

person's capacity to meet life's everyday demands "

>

>

I'd say that portion of the psychosis definition would definitely apply in my

son's case, but then again, it would also apply in a lot of kids that have OCD

to varying degrees. In my son's case, he basically has two talking/praying

" tics " that are always the same over and over, so he doesn't vary with wording

or anything. The first one he kisses back of hand, looks up to sky, then

whispers loudly " God, thank you for letting my tics...... " and I can't make out

the rest, he says it really fast in rapid-fire succession. The second one, he

laughs, then says " you didn't have to do that many, gosh " while also contracting

his shoulder quite hard, again rapid fire, very quickly over and over. He's told

me the latter is referring to how many times he did the other tic, I know,

crazy!

It really does seem like Tourettic OCD, especially because there are some motor

tic movements involved. He still has the screeching tic, but thankfully that has

subsided a lot in the past few weeks.The other two, however are nearly constant.

The psychiatrist and colleagues I think were focusing more on the things like

bathroom/hygiene avoidance, sitting in dark for hours at a time, sitting in car

for hour or two in garage, eating in the dark, etc. But again, these things do

*not* happen at school, so it makes me question the psychosis theory.

I think I've mentioned before, that he also has chronic Lyme and Herpes, which

makes his case especially complicated= Before we dive into Risperdal, I'm

thinking of giving antibiotics another shot to see if it makes any difference,

and/or an anti-viral to address the Herpes. He was on antibiotics about a year

ago for several months after he was first diagnosed with Lyme. At the time, the

OCD was not really an issue and he didn't have any of these other things going

on like bathroom/hygiene avoidance, the strange tics, sitting in the dark, etc.

He did have some pretty debilitating tics, and when he first went on the

antibiotics, literally within a few days the tics went way down. We thought, oh

great, this is it, but not to be! Slowly but surely, the tics crept back up in

severity and frequency and have since gone through many changes, and now the OCD

has ramped up quite a bit.

Just like Tourette's, Lyme waxes and wanes , and so does Herpes, all three can

be exacerbated by stress and all three can manifest with similar symptoms,

including tics, OCD, even psychosis, so the whole thing is pretty crazy-making

to say the least! When I stop and think about all of the possibilities for

diagnostics, meds, doctors, specialists, etc. it makes my head spin and I don't

know which way to turn first!

From what I've heard, 's is phenomenal with treating OCD, anxiety,

Tourette's, etc., but their Lyme expertise is not quite up to par. We've had my

son to a psychiatrist in NJ who specializes in neuropsychiatric Lyme disease and

he felt that my son's symptoms are *not* Lyme-induced, but again there's no way

to know for sure. I'm leaning pretty heavily towards giving antibiotics another

shot right now because it's a lot less risky than Risperdal and we would know

pretty quickly whether or not it will make a difference.

> Hi , looking at one definition for psychosis:

>

> " Psychosis: In the general sense, a mental illness that markedly interferes

with a person's capacity to meet life's everyday demands. In a specific sense,

it refers to a thought disorder in which reality testing is grossly impaired.

>

> Symptoms can include seeing, hearing, smelling, or tasting things that are not

there; paranoia; and delusional thoughts. Depending on the condition underlying

the psychotic symptoms, symptoms may be constant or they may come and go.

Psychosis can occur as a result of brain injury or disease, and is seen

particularly in schizophrenia and bipolar disorders. Psychotic symptoms can

occur as a result of drug use, but this is not true psychosis. Diagnosis is by

observation and interview. "

> http://www.medterms.com/script/main/art.asp?articlekey=5110

>

> You're in the midst of it all, with him, so I say go with your gut. But I

think a lot of it is OCD, at least I can see the possibilities of OCD causing it

(so not sure what the doc/colleagues are referring to). Kissing his hand, sounds

like a reaction/compulsion/ritual to some OCD need. I'm wondering, too, if there

is any type of scrupulosity OCD going on (which my 23 year old son has) since

you mentioned the " prayer. " My son will also do what I call " mumble " as he will

say something (i.e., talking to himself?) and I can just *see* that it is OCD

related. I also can hear him praying sometimes, upset. But he'll do that

mumbling too at other times, and I've asked is he talking to " anyone " .

>

> Risperdal has been a great med for a lot of people, including those already

using an OCD medication. I suggest trying it to see if it helps any symptoms,

could give you answers if it does. I think it is one of those meds that often

causes weight gain, but still a try to see if some symptoms improve with it

might give some answers if no OCD med has helped yet.

>

> Even with an OCD med, there are the different SSRIs to try (one doesn't work

for everyone), and then some find OCD benefits more from a non-SSRI like

Anafranil or an SNRI med (Effexor is one I think). So it's still a lot to go

through, just trying to find an effective medication to help with OCD. (We were

lucky, our only one tried helped)

>

> Hate that is still so far away in weeks/months! How does your son feel

about going there?

>

> Just some thoughts and ((hugs)),

>

>

>

>

> >

> > Just heard from 's today and now it will be ANOTHER 4-6 weeks. I'm

taking this somewhat with a grain of salt since it's been " a few more weeks " for

the past few months and I know it's very difficult for them to predict on their

end.

> >

> > Meanwhile back at the farm, my son's behavior is becoming increasingly

concerning. Thankfully nothing about harming himself or

>

>

[Guest guest]

my son had severe OCD at age 8 that was veering into psychosis, due to his

fears/suspicions that we were not really his parents, that we had kidnapped

him,etc., that i was going to plant a bomb in his bedroom.  We put him on

risperdal immediately and it helped a lot.  If i were experiencing what you are,

i would not hesitate.  my son did gain some weight and was hungry a lot, but we

had no other side effects. I will say he was not on a high dose.  Risperdal also

amplifies the effect of anti-depressants with OCD.  Just thought i'd share my

experience.

Anne

[Guest guest]

From what you said, I think I'd give the antibiotics another try too. He may be

one, if he shows improvement, that would have to stay on them a while, hopefully

at a low dose. Can he take something for Lyme and Herpes at the same time? That

would be good, though maybe treating one and looking for improvement would be

better to see which is the cause....

Will his doctors work with you on giving him a prescription to try?

Be good to try before calls!

>

>>

> I think I've mentioned before, that he also has chronic Lyme and Herpes, which

makes his case especially complicated= Before we dive into Risperdal, I'm

thinking of giving antibiotics another shot to see if it makes any difference,

and/or an anti-viral to address the Herpes. He was on antibiotics about a year

ago for several months after he was first diagnosed with Lyme. At the time, the

OCD was not really an issue and he didn't have any of these other things going

on like bathroom/hygiene avoidance, the strange tics, sitting in the dark, etc.

>

> He did have some pretty debilitating tics, and when he first went on the

antibiotics, literally within a few days the tics went way down. We thought, oh

great, this is it, but not to be! Slowly but surely, the tics crept back up in

severity and frequency and have since gone through many changes, and now the OCD

has ramped up quite a bit.

>

>

[Guest guest]

Anne, glad it helped so well! Good points. Can you recall, did it take long to

know if Risperdal helped or not, days or weeks...?

>

> my son had severe OCD at age 8 that was veering into psychosis, due to his

fears/suspicions that we were not really his parents, that we had kidnapped

him,etc., that i was going to plant a bomb in his bedroom.  We put him on

risperdal immediately and it helped a lot.  If i were experiencing what you are,

i would not hesitate.  my son did gain some weight and was hungry a lot, but we

had no other side effects. I will say he was not on a high dose.  Risperdal also

amplifies the effect of anti-depressants with OCD.  Just thought i'd share my

experience.

>

> Anne

>

>

[Guest guest]

Wow, Anne, that must have been really difficult, especially at such a young

age!! I'm so glad to hear that the Risperdal has helped and he hasn't had any

other side effects. My gut is steering me away from Risperdal because although I

know everyone reacts differently to meds, my entire family is extremely

sensitive to meds. I look at a pill and get side effects, and I'm not talking

mild ones, I'm talking horrific. I think I may go the antibiotics route first

and then if that does nothing, we may give Rispderdal a shot.

If my son was exhibiting this type of behavior at school as well, then I'd say

it is a psychosis-like situation, but the fact that they have seen absolutely no

differences or changes in his behavior there, and he's not doing any of the

things he's doing at home, leads me to believe that it's not psychosis.

> my son had severe OCD at age 8 that was veering into psychosis, due to his

fears/suspicions that we were not really his parents, that we had kidnapped

him,etc., that i was going to plant a bomb in his bedroom. We put him on

risperdal immediately and it helped a lot. If i were experiencing what you are,

i would not hesitate. my son did gain some weight and was hungry a lot, but we

had no other side effects. I will say he was not on a high dose. Risperdal also

amplifies the effect of anti-depressants with OCD. Just thought i'd share my

experience.

>

> Anne

>

>

[Guest guest]

We put my 11 year old daughter on Risperadal a few months ago and the positive

effects were almost immediate. While it certainly didn't cure her or anything

like that, It did calm her her down quite a bit which she needed. She hasn't

had any side effects or weight gain and I've kept her on a very low dose. We

are still working on her OCD behaviors which are primarily bad thoughts and

confessions and have just recently morphed into hand washing. She has pretty

significant ADHD which we are struggling with and can't seem to find a

medication that works for that but I think the Risperadal may have at least

helped withed the hyperactivity piece because she does seem calmer. Filling

that prescription was gut wrenching because I was aware of the side effects but,

at the time, there didn't seem to be much choice as she was driving everyone in

the family crazy and our pediatrician swore that it was a safe choice and I

should try it if it was what both our psychologist and psychiatrist were

recommending.

> > >

> > > Just heard from 's today and now it will be ANOTHER 4-6 weeks. I'm

taking this somewhat with a grain of salt since it's been " a few more weeks " for

the past few months and I know it's very difficult for them to predict on their

end.

> > >

> > > Meanwhile back at the farm, my son's behavior is becoming increasingly

concerning. Thankfully nothing about harming himself or anything along those

lines, just bizarre stuff like sitting on the stairs in the dark sometimes for a

few hours doing his tics, not wanting any lights on anywhere in the house, even

at night, still avoiding showers, not brushing teeth, wearing same clothes over

and over, putting shirts on inside out and backwards, eating meals in dark, and

still having bathroom issues. Zero social life, no desire for one, going

anywhere or doing anything is extremely difficult, causes him stress/tics.

> > >

> > > He's had a high-ptiched screeching tic for the past 4 month accompanied by

a forceful motor tic. He still has that, but it's far less frequent. Now, for

the past several weeks, he has 2 tics that are nearly constant. One where he

kisses back of hand then looks up, then whispers a " prayer, " the other where he

laughs and then says " you didn't have to do that many, " referring to his

previous tics (he explained the latter to me). Both of the talking/kissing tics

are rapid fire, over, and over, and there's very little time during waking hours

where he's not constantly doing them. To me, although he clearly has Tourette's,

these particular tics seem more like Tourettic OCD to me, then just Tourette's.

> > >

> > > He goes to school only 3 days a week and has for the past few months. It's

a HUGE struggle to get him up and off to school, he'll typically take well over

2 hours to get ready and that's with me constantly being on top of him and

literally following him around. If left totally to his own devices, I imagine

he'd take double that time, or more likely never get out of the door.

> > >

> > > In the past few weeks, his behavior has become increasingly defiant

towards my husband and I and he basically refuses to do much of anything he's

asked to. Now I'm not talking about anything more than getting up and out of the

house in the morning, getting in and out of the car instead of sitting there,

not continually turning the lights off, and taking showers, brushing teeth.

> > >

> > > I emailed his psychiatrist to update him on the above and also to tell him

my concern about it possibly being a few more months (if we're lucky!) for

's. He called me to say that he had presented my son's case to a group of

colleagues he meets with twice a month and they were all " very adamant " that a

lot of these behaviors are " more than OCD. " The consensus was that some of this

is more psychotic than OCD and therefore he wants to start him on an

anti-psychotic like Risperadal.

> > >

> > > Now I did not get a chance to tell him that these behaviors do NOT take

place at school, except of course for his tics which he'll go in the basement to

do. So I have to wonder.......is there such a thing as " selective psychosis "

where someone can turn it on or off depending on their environment or who they

are with? The other thing is that this psychiatrist claims to have a lot of

experience with OCD, but from some of my discussions with him, I'm not super

confident in his abilities in that area.

> > >

> > > I'm VERY concerned about putting my son on an anti-psychotic, especially

because of his Tourette's. Now I do know that they use Risperdal for Tourette's

kids, but I have heard some pretty scary stories about side effects, and in some

cases they can be irreversible.

> > >

> > > Just wondering what your thoughts are on this and if any of you have ever

dealt with psychosis or psychotic-like behavior with your kids.

> > >

> > > Thanks!

> > > D.

> > >

> >

> >

>

>

>

>

[Guest guest]

Thanks for sharing your daughter's experience. I'm so glad to hear that it

is working well for her, and especially that she has no side effects, that is

wonderful! If you don't mind me asking, what dose is she on? My son does not

exhibit any hyperactivity, in fact, most of the time it's kind of the opposite,

aside from the fact that his tics are pretty constant. I think a calming effect

would definitely be beneficial for him because although he doesn't outwardly

exhibit a lot of anxiety, I know by his articulations to me that he is

experiencing a lot.

> We put my 11 year old daughter on Risperadal a few months ago and the positive

effects were almost immediate. While it certainly didn't cure her or anything

like that, It did calm her her down quite a bit which she needed. She hasn't had

any side effects or weight gain and I've kept her on a very low dose. We are

still working on her OCD behaviors which are primarily bad thoughts and

confessions and have just recently morphed into hand washing. She has pretty

significant ADHD which we are struggling with and can't seem to find a

medication that works for that but I think the Risperadal may have at least

helped withed the hyperactivity piece because she does seem calmer. Filling that

prescription was gut wrenching because I was aware of the side effects but, at

the time, there didn't seem to be much choice as she was driving everyone in the

family crazy and our pediatrician swore that it was a safe choice and I should

try it if it was what both our psychologist and psychiatrist were recommending.

>

>

>

>

> > > >

> > > > Just heard from 's today and now it will be ANOTHER 4-6 weeks. I'm

taking this somewhat with a grain of salt since it's been " a few more weeks " for

the past few months and I know it's very difficult for them to predict on their

end.

> > > >

> > > > Meanwhile back at the farm, my son's behavior is becoming increasingly

concerning. Thankfully nothing about harming himself or anything along those

lines, just bizarre stuff like sitting on the stairs in the dark sometimes for a

few hours doing his tics, not wanting any lights on anywhere in the house, even

at night, still avoiding showers, not brushing teeth, wearing same clothes over

and over, putting shirts on inside out and backwards, eating meals in dark, and

still having bathroom issues. Zero social life, no desire for one, going

anywhere or doing anything is extremely difficult, causes him stress/tics.

> > > >

> > > > He's had a high-ptiched screeching tic for the past 4 month accompanied

by a forceful motor tic. He still has that, but it's far less frequent. Now, for

the past several weeks, he has 2 tics that are nearly constant. One where he

kisses back of hand then looks up, then whispers a " prayer, " the other where he

laughs and then says " you didn't have to do that many, " referring to his

previous tics (he explained the latter to me). Both of the talking/kissing tics

are rapid fire, over, and over, and there's very little time during waking hours

where he's not constantly doing them. To me, although he clearly has Tourette's,

these particular tics seem more like Tourettic OCD to me, then just Tourette's.

> > > >

> > > > He goes to school only 3 days a week and has for the past few months.

It's a HUGE struggle to get him up and off to school, he'll typically take well

over 2 hours to get ready and that's with me constantly being on top of him and

literally following him around. If left totally to his own devices, I imagine

he'd take double that time, or more likely never get out of the door.

> > > >

> > > > In the past few weeks, his behavior has become increasingly defiant

towards my husband and I and he basically refuses to do much of anything he's

asked to. Now I'm not talking about anything more than getting up and out of the

house in the morning, getting in and out of the car instead of sitting there,

not continually turning the lights off, and taking showers, brushing teeth.

> > > >

> > > > I emailed his psychiatrist to update him on the above and also to tell

him my concern about it possibly being a few more months (if we're lucky!) for

's. He called me to say that he had presented my son's case to a group of

colleagues he meets with twice a month and they were all " very adamant " that a

lot of these behaviors are " more than OCD. " The consensus was that some of this

is more psychotic than OCD and therefore he wants to start him on an

anti-psychotic like Risperadal.

> > > >

> > > > Now I did not get a chance to tell him that these behaviors do NOT take

place at school, except of course for his tics which he'll go in the basement to

do. So I have to wonder.......is there such a thing as " selective psychosis "

where someone can turn it on or off depending on their environment or who they

are with? The other thing is that this psychiatrist claims to have a lot of

experience with OCD, but from some of my discussions with him, I'm not super

confident in his abilities in that area.

> > > >

> > > > I'm VERY concerned about putting my son on an anti-psychotic, especially

because of his Tourette's. Now I do know that they use Risperdal for Tourette's

kids, but I have heard some pretty scary stories about side effects, and in some

cases they can be irreversible.

> > > >

> > > > Just wondering what your thoughts are on this and if any of you have

ever dealt with psychosis or psychotic-like behavior with your kids.

> > > >

> > > > Thanks!

> > > > D.

> > > >

> > >

> > >

> >

> >

> >

> >

[Guest guest]

I'm not sure if he can take both the anti-viral and antibiotics, I have to check

with the dr. We have a great doc we work with for the Lyme as well as other

medical issues, so no problem getting an Rx for abx. My son stopped taking them

around end of July, so it should be interesting to see what happens if we

reintroduce them.

> From what you said, I think I'd give the antibiotics another try too. He may

be one, if he shows improvement, that would have to stay on them a while,

hopefully at a low dose. Can he take something for Lyme and Herpes at the same

time? That would be good, though maybe treating one and looking for improvement

would be better to see which is the cause....

>

> Will his doctors work with you on giving him a prescription to try?

>

> Be good to try before calls!

>

>

>

>

> >

> >>

> > I think I've mentioned before, that he also has chronic Lyme and Herpes,

which makes his case especially complicated= Before we dive into Risperdal, I'm

thinking of giving antibiotics another shot to see if it makes any difference,

and/or an anti-viral to address the Herpes. He was on antibiotics about a year

ago for several months after he was first diagnosed with Lyme. At the time, the

OCD was not really an issue and he didn't have any of these other things going

on like bathroom/hygiene avoidance, the strange tics, sitting in the dark, etc.

> >

> > He did have some pretty debilitating tics, and when he first went on the

antibiotics, literally within a few days the tics went way down. We thought, oh

great, this is it, but not to be! Slowly but surely, the tics crept back up in

severity and frequency and have since gone through many changes, and now the OCD

has ramped up quite a bit.

> >

> >

>

>

[Guest guest]

We started her on .25mg and then increased her to .5mg and that's just once a

day, which I believe is a pretty low dose. The pediatrician she goes to, who is

very conservative and who I trust completely, said that she has 6 other patients

on it, all who have benefited greatly from it and none who have experienced

negative side effects. You can always try it for a few weeks and see if it

helps. The effects for us were pretty immediate.

> > > > >

> > > > > Just heard from 's today and now it will be ANOTHER 4-6 weeks.

I'm taking this somewhat with a grain of salt since it's been " a few more weeks "

for the past few months and I know it's very difficult for them to predict on

their end.

> > > > >

> > > > > Meanwhile back at the farm, my son's behavior is becoming increasingly

concerning. Thankfully nothing about harming himself or anything along those

lines, just bizarre stuff like sitting on the stairs in the dark sometimes for a

few hours doing his tics, not wanting any lights on anywhere in the house, even

at night, still avoiding showers, not brushing teeth, wearing same clothes over

and over, putting shirts on inside out and backwards, eating meals in dark, and

still having bathroom issues. Zero social life, no desire for one, going

anywhere or doing anything is extremely difficult, causes him stress/tics.

> > > > >

> > > > > He's had a high-ptiched screeching tic for the past 4 month

accompanied by a forceful motor tic. He still has that, but it's far less

frequent. Now, for the past several weeks, he has 2 tics that are nearly

constant. One where he kisses back of hand then looks up, then whispers a

" prayer, " the other where he laughs and then says " you didn't have to do that

many, " referring to his previous tics (he explained the latter to me). Both of

the talking/kissing tics are rapid fire, over, and over, and there's very little

time during waking hours where he's not constantly doing them. To me, although

he clearly has Tourette's, these particular tics seem more like Tourettic OCD to

me, then just Tourette's.

> > > > >

> > > > > He goes to school only 3 days a week and has for the past few months.

It's a HUGE struggle to get him up and off to school, he'll typically take well

over 2 hours to get ready and that's with me constantly being on top of him and

literally following him around. If left totally to his own devices, I imagine

he'd take double that time, or more likely never get out of the door.

> > > > >

> > > > > In the past few weeks, his behavior has become increasingly defiant

towards my husband and I and he basically refuses to do much of anything he's

asked to. Now I'm not talking about anything more than getting up and out of the

house in the morning, getting in and out of the car instead of sitting there,

not continually turning the lights off, and taking showers, brushing teeth.

> > > > >

> > > > > I emailed his psychiatrist to update him on the above and also to tell

him my concern about it possibly being a few more months (if we're lucky!) for

's. He called me to say that he had presented my son's case to a group of

colleagues he meets with twice a month and they were all " very adamant " that a

lot of these behaviors are " more than OCD. " The consensus was that some of this

is more psychotic than OCD and therefore he wants to start him on an

anti-psychotic like Risperadal.

> > > > >

> > > > > Now I did not get a chance to tell him that these behaviors do NOT

take place at school, except of course for his tics which he'll go in the

basement to do. So I have to wonder.......is there such a thing as " selective

psychosis " where someone can turn it on or off depending on their environment or

who they are with? The other thing is that this psychiatrist claims to have a

lot of experience with OCD, but from some of my discussions with him, I'm not

super confident in his abilities in that area.

> > > > >

> > > > > I'm VERY concerned about putting my son on an anti-psychotic,

especially because of his Tourette's. Now I do know that they use Risperdal for

Tourette's kids, but I have heard some pretty scary stories about side effects,

and in some cases they can be irreversible.

> > > > >

> > > > > Just wondering what your thoughts are on this and if any of you have

ever dealt with psychosis or psychotic-like behavior with your kids.

> > > > >

> > > > > Thanks!

> > > > > D.

> > > > >

> > > >

> > > >

> > >

> > >

> > >

> > >

[Guest guest]

My son has bipolar disorder. He was hospitalized at age 16 for 'psychosis' and

during the hospitalization, a mood stabilizer was found that finally worked for

his bipolar. What became evident after his mood was stabilized was that he had

very severe anxiety from OCD (scary thoughts). The OCD-specialist psychologist

he has worked with since the OCD diagnosis thinks it probably wasn't psychosis

he had when he was hospitalized--that it was the OCD thoughts and

thought-rituals which looked like psychosis. On the other hand, since he has

bipolar, he needed a mood-stabilizing medication that worked for him before the

OCD could be identified and tackled. So it's not the same situation as your

son's, but it is an example of how OCD can look like psychosis.

I agree with you--in your shoes, I'd definitely want to try antibiotics next

since they worked before.

> Wow, Anne, that must have been really difficult, especially at such a young

age!! I'm so glad to hear that the Risperdal has helped and he hasn't had any

other side effects. My gut is steering me away from Risperdal because although I

know everyone reacts differently to meds, my entire family is extremely

sensitive to meds. I look at a pill and get side effects, and I'm not talking

mild ones, I'm talking horrific. I think I may go the antibiotics route first

and then if that does nothing, we may give Rispderdal a shot.

>

> If my son was exhibiting this type of behavior at school as well, then I'd say

it is a psychosis-like situation, but the fact that they have seen absolutely no

differences or changes in his behavior there, and he's not doing any of the

things he's doing at home, leads me to believe that it's not psychosis.

>

>> my son had severe OCD at age 8 that was veering into psychosis, due to his

fears/suspicions that we were not really his parents, that we had kidnapped

him,etc., that i was going to plant a bomb in his bedroom. We put him on

risperdal immediately and it helped a lot. If i were experiencing what you are,

i would not hesitate. my son did gain some weight and was hungry a lot, but we

had no other side effects. I will say he was not on a high dose. Risperdal also

amplifies the effect of anti-depressants with OCD. Just thought i'd share my

experience.

>>

>> Anne

>>

>>

[Guest guest]

Thanks, , that is good to know. It's also good that it takes effect quickly

so you know whether or not it's going to work.

> We started her on .25mg and then increased her to .5mg and that's just once a

day, which I believe is a pretty low dose. The pediatrician she goes to, who is

very conservative and who I trust completely, said that she has 6 other patients

on it, all who have benefited greatly from it and none who have experienced

negative side effects. You can always try it for a few weeks and see if it

helps. The effects for us were pretty immediate.

>

>

>

>

> > > > > >

> > > > > > Just heard from 's today and now it will be ANOTHER 4-6 weeks.

I'm taking this somewhat with a grain of salt since it's been " a few more weeks "

for the past few months and I know it's very difficult for them to predict on

their end.

> > > > > >

> > > > > > Meanwhile back at the farm, my son's behavior is becoming

increasingly concerning. Thankfully nothing about harming himself or anything

along those lines, just bizarre stuff like sitting on the stairs in the dark

sometimes for a few hours doing his tics, not wanting any lights on anywhere in

the house, even at night, still avoiding showers, not brushing teeth, wearing

same clothes over and over, putting shirts on inside out and backwards, eating

meals in dark, and still having bathroom issues. Zero social life, no desire for

one, going anywhere or doing anything is extremely difficult, causes him

stress/tics.

> > > > > >

> > > > > > He's had a high-ptiched screeching tic for the past 4 month

accompanied by a forceful motor tic. He still has that, but it's far less

frequent. Now, for the past several weeks, he has 2 tics that are nearly

constant. One where he kisses back of hand then looks up, then whispers a

" prayer, " the other where he laughs and then says " you didn't have to do that

many, " referring to his previous tics (he explained the latter to me). Both of

the talking/kissing tics are rapid fire, over, and over, and there's very little

time during waking hours where he's not constantly doing them. To me, although

he clearly has Tourette's, these particular tics seem more like Tourettic OCD to

me, then just Tourette's.

> > > > > >

> > > > > > He goes to school only 3 days a week and has for the past few

months. It's a HUGE struggle to get him up and off to school, he'll typically

take well over 2 hours to get ready and that's with me constantly being on top

of him and literally following him around. If left totally to his own devices, I

imagine he'd take double that time, or more likely never get out of the door.

> > > > > >

> > > > > > In the past few weeks, his behavior has become increasingly defiant

towards my husband and I and he basically refuses to do much of anything he's

asked to. Now I'm not talking about anything more than getting up and out of the

house in the morning, getting in and out of the car instead of sitting there,

not continually turning the lights off, and taking showers, brushing teeth.

> > > > > >

> > > > > > I emailed his psychiatrist to update him on the above and also to

tell him my concern about it possibly being a few more months (if we're lucky!)

for 's. He called me to say that he had presented my son's case to a group

of colleagues he meets with twice a month and they were all " very adamant " that

a lot of these behaviors are " more than OCD. " The consensus was that some of

this is more psychotic than OCD and therefore he wants to start him on an

anti-psychotic like Risperadal.

> > > > > >

> > > > > > Now I did not get a chance to tell him that these behaviors do NOT

take place at school, except of course for his tics which he'll go in the

basement to do. So I have to wonder.......is there such a thing as " selective

psychosis " where someone can turn it on or off depending on their environment or

who they are with? The other thing is that this psychiatrist claims to have a

lot of experience with OCD, but from some of my discussions with him, I'm not

super confident in his abilities in that area.

> > > > > >

> > > > > > I'm VERY concerned about putting my son on an anti-psychotic,

especially because of his Tourette's. Now I do know that they use Risperdal for

Tourette's kids, but I have heard some pretty scary stories about side effects,

and in some cases they can be irreversible.

> > > > > >

> > > > > > Just wondering what your thoughts are on this and if any of you have

ever dealt with psychosis or psychotic-like behavior with your kids.

> > > > > >

> > > > > > Thanks!

> > > > > > D.

> > > > > >

> > > > >

> > > > >

> > > >

> > > >

> > > >

> > > >

[Guest guest]

,

Sounds like you've been through quite a lot with your son, so sorry! I think

sometimes it's hard to decipher between OCD and psychosis as it seems like there

can be some crossover with symptoms, behaviors, etc. When you think about it,

OCD is sort of like a form of " psychosis, " depending on the severity, the

behaviors, etc.

What bothers me about my son's psychiatrist is that he said he and his

colleagues feel " it's beyond OCD, " as if to say that these behaviors have

nothing to do with OCD and therefore it's psychosis/psychotic behavior. He's

supposed to have a " special interest " in treating OCD kids and complex cases,

which is why we went to him, but as time goes by I'm losing more confidence in

his abilities to decipher/diagnose things with my son. He had many behaviors

that were unmistakable for anything other than OCD, and the psychiatrist kept

saying " I'm just not seeing or hearing OCD, " and that it was all about his

tics/Tourette's. I finally got it across to him that yes, the tics are certainly

problematic, but they are being mainly driven by his OCD/anxiety.

I'm calling the MD who's been treating my son for Lyme this week to make an

appt. We haven't been in a while so it's time for a recheck anyway and I need to

catch him up to speed on everything. Going to have a heart to heart about things

and see about another course of antibiotics and/or anti-viral meds.

> My son has bipolar disorder. He was hospitalized at age 16 for 'psychosis' and

during the hospitalization, a mood stabilizer was found that finally worked for

his bipolar. What became evident after his mood was stabilized was that he had

very severe anxiety from OCD (scary thoughts). The OCD-specialist psychologist

he has worked with since the OCD diagnosis thinks it probably wasn't psychosis

he had when he was hospitalized--that it was the OCD thoughts and

thought-rituals which looked like psychosis. On the other hand, since he has

bipolar, he needed a mood-stabilizing medication that worked for him before the

OCD could be identified and tackled. So it's not the same situation as your

son's, but it is an example of how OCD can look like psychosis.

>

> I agree with you--in your shoes, I'd definitely want to try antibiotics next

since they worked before.

>

>

>

>

>

> > Wow, Anne, that must have been really difficult, especially at such a young

age!! I'm so glad to hear that the Risperdal has helped and he hasn't had any

other side effects. My gut is steering me away from Risperdal because although I

know everyone reacts differently to meds, my entire family is extremely

sensitive to meds. I look at a pill and get side effects, and I'm not talking

mild ones, I'm talking horrific. I think I may go the antibiotics route first

and then if that does nothing, we may give Rispderdal a shot.

> >

> > If my son was exhibiting this type of behavior at school as well, then I'd

say it is a psychosis-like situation, but the fact that they have seen

absolutely no differences or changes in his behavior there, and he's not doing

any of the things he's doing at home, leads me to believe that it's not

psychosis.

> >

> >> my son had severe OCD at age 8 that was veering into psychosis, due to his

fears/suspicions that we were not really his parents, that we had kidnapped

him,etc., that i was going to plant a bomb in his bedroom. We put him on

risperdal immediately and it helped a lot. If i were experiencing what you are,

i would not hesitate. my son did gain some weight and was hungry a lot, but we

had no other side effects. I will say he was not on a high dose. Risperdal also

amplifies the effect of anti-depressants with OCD. Just thought i'd share my

experience.

> >>

> >> Anne

> >>

> >>

[Guest guest]

We do have a file in our PANDAS folder about what psychiatrists should know

about Lyme disease. Don't know if that might be helpful for the " OCD " doctor.

>

> ,

>

> Sounds like you've been through quite a lot with your son, so sorry! I think

sometimes it's hard to decipher between OCD and psychosis as it seems like there

can be some crossover with symptoms, behaviors, etc. When you think about it,

OCD is sort of like a form of " psychosis, " depending on the severity, the

behaviors, etc.

>

> What bothers me about my son's psychiatrist is that he said he and his

colleagues feel " it's beyond OCD, " as if to say that these behaviors have

nothing to do with OCD and therefore it's psychosis/psychotic behavior. He's

supposed to have a " special interest " in treating OCD kids and complex cases,

which is why we went to him, but as time goes by I'm losing more confidence in

his abilities to decipher/diagnose things with my son. He had many behaviors

that were unmistakable for anything other than OCD, and the psychiatrist kept

saying " I'm just not seeing or hearing OCD, " and that it was all about his

tics/Tourette's. I finally got it across to him that yes, the tics are certainly

problematic, but they are being mainly driven by his OCD/anxiety.

>

> I'm calling the MD who's been treating my son for Lyme this week to make an

appt. We haven't been in a while so it's time for a recheck anyway and I need to

catch him up to speed on everything. Going to have a heart to heart about things

and see about another course of antibiotics and/or anti-viral meds.

>

[Guest guest]

Thanks, Chris. Unfortunately, he's one of the psychiatrists is not on the Lyme

" bandwagon " so to speak. It's frustrating trying to deal with that, but we just

take what we can from each doc and then put things together and go from there.

It's a shame that the medical community has to be so divided on Lyme, PANDAS,

etc. while all of these kids (and adults) are suffering!

> We do have a file in our PANDAS folder about what psychiatrists should know

about Lyme disease. Don't know if that might be helpful for the " OCD " doctor.

>

>

>

>

> >

> > ,

> >

> > Sounds like you've been through quite a lot with your son, so sorry! I think

sometimes it's hard to decipher between OCD and psychosis as it seems like there

can be some crossover with symptoms, behaviors, etc. When you think about it,

OCD is sort of like a form of " psychosis, " depending on the severity, the

behaviors, etc.

> >

> > What bothers me about my son's psychiatrist is that he said he and his

colleagues feel " it's beyond OCD, " as if to say that these behaviors have

nothing to do with OCD and therefore it's psychosis/psychotic behavior. He's

supposed to have a " special interest " in treating OCD kids and complex cases,

which is why we went to him, but as time goes by I'm losing more confidence in

his abilities to decipher/diagnose things with my son. He had many behaviors

that were unmistakable for anything other than OCD, and the psychiatrist kept

saying " I'm just not seeing or hearing OCD, " and that it was all about his

tics/Tourette's. I finally got it across to him that yes, the tics are certainly

problematic, but they are being mainly driven by his OCD/anxiety.

> >

> > I'm calling the MD who's been treating my son for Lyme this week to make an

appt. We haven't been in a while so it's time for a recheck anyway and I need to

catch him up to speed on everything. Going to have a heart to heart about things

and see about another course of antibiotics and/or anti-viral meds.

> >

>

>

[Guest guest]

What is the Yale scale for OCD? Should my daughter have gotten one done? I'm

curious and want to measure the severity o her OCD. Does this do that?

Sent from my iPhone

> We do have a file in our PANDAS folder about what psychiatrists should know

about Lyme disease. Don't know if that might be helpful for the " OCD " doctor.

>

>

>

>

> >

> > ,

> >

> > Sounds like you've been through quite a lot with your son, so sorry! I think

sometimes it's hard to decipher between OCD and psychosis as it seems like there

can be some crossover with symptoms, behaviors, etc. When you think about it,

OCD is sort of like a form of " psychosis, " depending on the severity, the

behaviors, etc.

> >

> > What bothers me about my son's psychiatrist is that he said he and his

colleagues feel " it's beyond OCD, " as if to say that these behaviors have

nothing to do with OCD and therefore it's psychosis/psychotic behavior. He's

supposed to have a " special interest " in treating OCD kids and complex cases,

which is why we went to him, but as time goes by I'm losing more confidence in

his abilities to decipher/diagnose things with my son. He had many behaviors

that were unmistakable for anything other than OCD, and the psychiatrist kept

saying " I'm just not seeing or hearing OCD, " and that it was all about his

tics/Tourette's. I finally got it across to him that yes, the tics are certainly

problematic, but they are being mainly driven by his OCD/anxiety.

> >

> > I'm calling the MD who's been treating my son for Lyme this week to make an

appt. We haven't been in a while so it's time for a recheck anyway and I need to

catch him up to speed on everything. Going to have a heart to heart about things

and see about another course of antibiotics and/or anti-viral meds.

> >

>

>

>

>

> TODAY(Beta) • Powered by Yahoo!

> LeBron threatens to beat up heckler

> The NBA superstar erupts in anger after a fan makes light of a sensitive

situation.

> Privacy Policy

[Guest guest]

The Yale scale - google YBOCS. I've seen more than one type form when I do

this, but basically you answer questions and it rates the severity of the OCD

with the final score. Sort of goes by " do they do this? " and then how

frequently (all day, an hour...) some behaviors are.

About the YBOCS:

http://ocd.stanford.edu/about/diagnosis.html

Like here is one long form:

http://www.stlocd.org/handouts/YBOC-Symptom-Checklist.pdf

Short form:

http://www.bethmd.com/pdfs/ybocs.pdf

Hope this helps.

> > >

> > > ,

> > >

> > > Sounds like you've been through quite a lot with your son, so sorry! I

think sometimes it's hard to decipher between OCD and psychosis as it seems like

there can be some crossover with symptoms, behaviors, etc. When you think about

it, OCD is sort of like a form of " psychosis, " depending on the severity, the

behaviors, etc.

> > >

> > > What bothers me about my son's psychiatrist is that he said he and his

colleagues feel " it's beyond OCD, " as if to say that these behaviors have

nothing to do with OCD and therefore it's psychosis/psychotic behavior. He's

supposed to have a " special interest " in treating OCD kids and complex cases,

which is why we went to him, but as time goes by I'm losing more confidence in

his abilities to decipher/diagnose things with my son. He had many behaviors

that were unmistakable for anything other than OCD, and the psychiatrist kept

saying " I'm just not seeing or hearing OCD, " and that it was all about his

tics/Tourette's. I finally got it across to him that yes, the tics are certainly

problematic, but they are being mainly driven by his OCD/anxiety.

> > >

> > > I'm calling the MD who's been treating my son for Lyme this week to make

an appt. We haven't been in a while so it's time for a recheck anyway and I need

to catch him up to speed on everything. Going to have a heart to heart about

things and see about another course of antibiotics and/or anti-viral meds.

> > >

> >

> >

> >

> >

> > TODAY(Beta) • Powered by Yahoo!

> > LeBron threatens to beat up heckler

> > The NBA superstar erupts in anger after a fan makes light of a sensitive

situation.

> > Privacy Policy

>

>

[Guest guest]

Thanks!!!

Sent from my iPhone

> The Yale scale - google YBOCS. I've seen more than one type form when I do

this, but basically you answer questions and it rates the severity of the OCD

with the final score. Sort of goes by " do they do this? " and then how frequently

(all day, an hour...) some behaviors are.

>

> About the YBOCS:

> http://ocd.stanford.edu/about/diagnosis.html

>

> Like here is one long form:

> http://www.stlocd.org/handouts/YBOC-Symptom-Checklist.pdf

>

> Short form:

> http://www.bethmd.com/pdfs/ybocs.pdf

>

> Hope this helps.

>

>

>

>

> > > >

> > > > ,

> > > >

> > > > Sounds like you've been through quite a lot with your son, so sorry! I

think sometimes it's hard to decipher between OCD and psychosis as it seems like

there can be some crossover with symptoms, behaviors, etc. When you think about

it, OCD is sort of like a form of " psychosis, " depending on the severity, the

behaviors, etc.

> > > >

> > > > What bothers me about my son's psychiatrist is that he said he and his

colleagues feel " it's beyond OCD, " as if to say that these behaviors have

nothing to do with OCD and therefore it's psychosis/psychotic behavior. He's

supposed to have a " special interest " in treating OCD kids and complex cases,

which is why we went to him, but as time goes by I'm losing more confidence in

his abilities to decipher/diagnose things with my son. He had many behaviors

that were unmistakable for anything other than OCD, and the psychiatrist kept

saying " I'm just not seeing or hearing OCD, " and that it was all about his

tics/Tourette's. I finally got it across to him that yes, the tics are certainly

problematic, but they are being mainly driven by his OCD/anxiety.

> > > >

> > > > I'm calling the MD who's been treating my son for Lyme this week to make

an appt. We haven't been in a while so it's time for a recheck anyway and I need

to catch him up to speed on everything. Going to have a heart to heart about

things and see about another course of antibiotics and/or anti-viral meds.

> > > >

> > >

> > >

> > >

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