U.S. doctors online nowAsk doctors free
A member asked:

My 10 yr old adhd, bipolar, odd responds violently to all types of meds! i need a hospital/doc that can help find the right meds? diagnosed at 5 with aspergers, adhd, tourettes, mood disorder, odd. risperidone worked for a year, strattera for 6 mos., and

2 doctor answers6 doctors weighed in
Dr. Heidi Fowler
Psychiatry 26 years experience
Behavioral : Behavioral health is not an exact science. Children can be harder to figure out than adults, as often they are too young to express what is happening. Additionally, a condition like bipolar disorder can present quite differently at her age than it does in an adult. If a child has any one of those diagnoses, it is challenging for the family. She obviously has some serious conditions. Many of the psychiatric medications used for adults, have not been tested for children, which can be limiting. Children are more likely than adults to have paradoxic reactions to medications which are used to stabilize mood disorders. The truth of the matter, is that most likely she will not respond to mono-therapy and is likely to require a number of medications at the same time. In this type of situation, it is usually a matter of a really good child trained psychiatrist, working through one medication combination after another, until she has a good response. It is not uncommon in this type of case, for it to take several years to come up with a good psychiatric medication plan. Obviously, medications must be mixed with other modalities like family therapy and individual counseling. I have one suggestion, after reading about your situation. Ask your psychiatrist about doing a formal consultation with a psychopharmacologist to see what he or she recommends. I know this situation has to be exhausting and very trying your you, your daughter and the rest of the family. This very complicated type of situation usually takes longer to find workable solutions. Do not give up hope.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Sabah Hadi
Psychiatry 34 years experience
I : I agree completely with the past response and understand the level of frustration you have to go through to take care of your daughter, but when we are dealing with several diagnosis as well as dangerous behavior we have to weigh our options when it comes to combination of medications that can help. A second opinion with psycho-pharmacologist is a good idea in combination with other treatment modalities (behavioral plan, family therapy and educational plan).
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Oct 3, 2016

Disclaimer:

Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.