Tuesday, December 22, 2009
Fa la la la la
Yesterday, we had an "emergency" pdoc appointment. Christmas season has been rough on Dallas, and on us. So many PTSD triggers, over-stimulation, anticipation and change of routine for his little body and mind to handle, so he's had several bad episodes. His mania cycle has finally wound down some after a solid month (gah!), and now it's swinging to the other side into depression (with some suicidal ideation again). This is his pattern -- mania, depression then stable for a few months. His cycles always seem to run like that.
The 100 mg. Lamictal med increase has helped some, but not as well as we had hoped. His PT had previously noted that though his mania seems more controlled, his inattention and lack of focus is a real problem. At home, he is still explosive and oppositional and unfocused, and a bit...ummm...giddy..
In response to the Lamictal med increase not working as well as we'd hoped, his pdoc prescribed a newly marketed and FDA-approved medication for ADHD/bipolar called Intuniv. We begin a titration pack today, in addition to his Lamictal in hopes that this med cocktail will be the magic bullet that gets and keeps him stable. I hate to send him off to camp, where no one knows his issues or can monitor his moods/behavior, but praying it will all go well.
We enrolled him in sports camp for the Christmas break to help him get out his excess energy, still follow a "get up, dressed, and go" routine, and give me some much-needed quiet time alone. He seems to love camp so far. I told my husband I'd go without any gifts at all, if I had to, just to pay for the camp. It's that worth it. He came home happy, had a good therapy session afterwards, and went to bed happy, so that is wonderful!! Physical activity and sports -- strenuous and prolonged, really seems to help calm him.
Knowing me, I probably won't post another entry until after Christmas, so have a great holiday, and if you are dealing with challenges in your own family, I wish you PEACE, JOY and STABILITY. :-)