HELP FOR PARENTS WITH STRONG-WILLED, OUT-OF-CONTROL CHILDREN AND ADOLESCENTS

Education and Counseling for Individuals Affected by Oppositional Defiant Disorder and ADHD

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ODD/Bipolar

I have a 16 year old that was diagnosed in K-5 she had ODD/ADHD. And nothing worked for her. Then 2 years ago I found out she has ODD/Bipolar instead of ADHD/ODD. The medicine has not worked for her. Her Dr. told me yesterday there is no medicine for ODD. But he has put her on a lot and nothing so far has helped her. She does not want to be told no you can not do that and she gets real mad at me and demands why. I don't know what else to do to help her. We have to drive to Amarillo for her Dr. She does not want to away from me. Do you know if there is medicine for her Bipolar/ODD that would help her. She is in 11th grade. She wants to go to collage and go into medical field. I could use all the info I can get. Thank you.

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Re: Meds for Bipolar—

The medication used most often over the years to combat a manic "high" is lithium. It is unusual to find mania without a subsequent or preceding period of depression. Lithium evens out mood swings in both directions, so that it is used not just for acute manic attacks or flare-ups of the illness, but also as an ongoing treatment of bipolar disorder.

Lithium will diminish severe manic symptoms in about 5 to 14 days, but it may be anywhere from days to several months until the condition is fully controlled. Antipsychotic medications are sometimes used in the first several days of treatment to control manic symptoms until the lithium begins to take effect. Likewise, antidepressants may be needed in addition to lithium during the depressive phase of bipolar disorder.

Not all patients with symptoms of mania benefit from lithium. Some have been found to respond to another type of medication, the anticonvulsant medications that are usually used to treat epilepsy. Carbamazepine (Tegretol) is the anticonvulsant that has been most widely used. Individuals with bipolar disorder who cycle rapidly, (changing from mania to depression and back again over the course of hours or days, rather than months) seem to respond particularly well to carbamazepine.

In 1995, the anticonvulsant divalproex sodium (Depakote) was approved by the Food and Drug Administration for manic-depressive illness. Clinical trials have shown it to have an effectiveness in controlling manic symptoms equivalent to that of lithium; it is effective in both rapid-cycling and non-rapid-cycling bipolar.

Re: Meds for ODD—

Medication for ODD is not recommended. Rather, Parent Education Training (PET) is the preferred method for dealing with this disorder. And you will get that education in my eBook: My Out-of-Control Teen.

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