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Doctor insights on: Typical And Atypical Child Behavior

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Which is better typical or atypical antipsychotics for aggression and agitation associated with epilepsy?

Which is better typical or atypical antipsychotics  for aggression and agitation associated with epilepsy?

Response: Your question is somewhat generic. Would prefer to use the newer atypical antipsychotics due to less adverse effects and lower incidence of tardive dyskinesia, but am concerned with behavioral events that can accompany complex partial seizures. The latter likely needs better control, but cannot advise further, as you do not provide a medication list. ?Better as Concierge visit? ...Read more

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Does an autistic child with sudden aggressive behavior indicate it getting worse?

Does an autistic child with sudden aggressive behavior indicate it getting worse?

Not necessarily.: It could indicate the environment getting worse for the child - more stress, perhaps bullying, maybe a new problem they are struggling with. Or they are trying to tell you something that you haven't picked up on. ...Read more

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Pediatrics: when should a parent get their child tested for oppositional defiant disorder (odd)? My 4 year old has been acting provocative and oppositional to adults which is beyond our control. The child frequently tantrums, constantly questions rules an

Pediatrics: when should a parent get their child tested for oppositional defiant disorder (odd)? My 4 year old has been acting provocative and oppositional to adults which is beyond our control. The child frequently tantrums, constantly questions rules an

Your's : Your's child's behavior is obviously disrupting his life as well as yours. It sounds like you have tried some behvior modification techniques and haven't been successful. The first place to start is with your pediatrician to help guide you to resources in your area for child psychologists or developmental/ behavioral pediatric specialists. These specialist can help determine if this is a simple behavioral problem that can be managed with behavioral techniques or if there he has a disorder such as odd, adhd. It sounds like it's time to ask for help. ...Read more

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What eating habits causes aggression and agitation in autistic kids?

What eating habits causes aggression and agitation in autistic kids?

Varied : Some children, with or without autism, react poorly to artificial colors, dyes, sweeteners and preservatives. These and certain foods can be found on the feingold diet. Other children seem have negative responses to dairy and/or wheat proteins and others do not do well if their sugars fluctuate. Speak with your provider and visit some of the websites for autism to get more information. ...Read more

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Is it normal for people with tourette's syndrome to have violent outbursts instead of vocal or small motor tics?

Is it normal for people with tourette's syndrome to have violent outbursts instead of vocal or small motor tics?

Not typical: People with tourette's can have violent outbursts that may be tics - in which we would call "vocal tics, ' if the vocalization is stylized and repetitive. But these patients may also have temperament problems that are not tic related. Best to discuss temperament and vocal tics with your doctor. ...Read more

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Is palilalia more often related to tourette's or autism spectrum? My child has asd and multiple motor tics started palilalia 6+ months ago.

Is palilalia more often related to tourette's or autism spectrum?  My child has asd and multiple motor tics started palilalia 6+ months ago.

Statistics unavailab: Palilalia can occur in both. Reports would implicate tourette's as most common, but it has been reported in autism and asperger's. Formal comparative incidence studies appear to be unavailable at this time. Perhaps one of my colleagues in research will comment further. ...Read more

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Can lovesickness be considered the same as social rejection sensitivity of atypical depression (eg lovesickness is atypical depression)?

Can lovesickness be considered the same as social rejection sensitivity of atypical depression (eg lovesickness is atypical depression)?

Lovesickness: could reflect low self-esteem, high anxiety, depression, personality style, etc. Sounds like you may want some help. You can read self-help books or consider seeing a therapist to better understand this self-defeating behavior and make changes. Best wishes. ...Read more

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How can you differentiate between oppositional defiant disorder and just "bad" behavior in 4 year old boy?

How can you differentiate between oppositional defiant disorder and just "bad" behavior in 4 year old boy?

What's "bad"?: Odd is a description of how a child interacts with others by being negative and resistant. "bad" is a moral judgment that can be associated with lots of behaviors. Unacceptable behaviors needed effective correction, hopefully from loving parents who see the good in their child even when the behavior is bad. ...Read more

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What are the chances that a child with selective mutism has episodes later in childhood, life?

What are the chances that a child with selective mutism has episodes later in childhood, life?

Maybe anxiety: Selective mutism is a form of anxiety disorder. Though mutism doesn't typically occur in older children and adults, children with selective mutism are at some increased risk of other kinds of anxiety problems as they get older. ...Read more

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Do a lot of children with oppositional defiant disorder go on to develop anti-social personality disorder?

Do a lot of children with oppositional defiant disorder go on to develop anti-social personality disorder?

About 1 in 16: 25% of children who have oppositional defiant disorder develop conduct disorder, and 25 to 40% of those children go on to develop antisocial personality disorder. According to loeber, r, et al (1985) journal of abnormal child psychology, 21, 377-410 and zocccolillo, m., et al (1992) psychological medicine, 22, 971-986. ...Read more

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What are symptoms of a school-aged child with depression?

What are symptoms of a school-aged child with depression?

Many: Social withdrawal, change in school performance, diminished enjoyment or participation in doing things for fun, irritability, anxiety, changes in sleep, etc. Any suspicion of depression should be evaluated by a physician. ...Read more

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Is someone with inattentive ADHD much less likely to be diagnosed with the disorder by the age of 7 as compared to the classic hyperactive ADHD child?

Is someone with inattentive ADHD much less likely to be diagnosed with the disorder by the age of 7 as compared to the classic hyperactive ADHD child?

Yes it is harder to: Diagnosing add usually takes longer than adhd. You cannot miss the hyperactive child with attention deficit. They can't sit still and get in trouble in school pretty quickly when they are expected to sit and listen. When a child just has add their symptoms are more subtle. They are often seen as lazy since they have difficulty completing tasks and are diagnosed later or not diagnosed but failing. ...Read more

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Is epilepsy associated with a violent behavior?

Is epilepsy associated with a violent behavior?

Seizures: Seizures are the physical manifestation of epilepsy. A seizure cannot be controlled by the individual and is characterized by rhythmic jerking activity that can appear to be violent. Depending on the location of the seizure focus in the brain, some individuals may have more aggression. See your neurologist for further discussion. http://www.nlm.nih.gov/medlineplus/epilepsy.html ...Read more

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My son is on risperidone for autism and aggressive behavior but his aggression has got significantly worse with each dose increase.Should that happen?

My son is on risperidone for autism and aggressive behavior but his aggression has got significantly worse with each dose increase.Should that happen?

While risperidone : Decreases aggression in many individuals with autism, it can aggravate & increase aggression in some which is considered intolerable. Work with your prescriber to determine if the aggression you now see is from autism & circumstances happening in your son's life or an actual side effect to the risperdione. Keeping a daily log of behavior & situations can assist you & prescriber. Best wishes to you. ...Read more

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Bipolar disorder in an 11 year old? Symptoms and concerns?

Bipolar disorder in an 11 year old? Symptoms and concerns?

Seems awfully young: See a professional. While anything is possible, it seems young to be developing this disorder. If you are concerned that the person is having severe depression with episodes of mania, then seek medical help from a pediatrician or psychiatrist. This should be evaluated by a physician. ...Read more

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Is OCD a typical part of autism or can someone just have OCD and autism?

Is OCD a typical part of autism or can someone just have OCD and autism?

No: Each is a separate condition. However, many autistic people engage in repetitive acts. These often do not seem to be compulsive, however, in that rather than feeling like they must do them many autistic people enjoy the repetitions (even if those around them do not.). ...Read more

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Are children with ADHD always hyperactive? Can a child have ADHD and not show symptoms of hyperactivity? .

Are children with ADHD always hyperactive? Can a child have ADHD and not show symptoms of hyperactivity? 

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1) No. 2) Yes: Adhd-primarily inattentive type (ia) replaced add as a diagnosis when research showed that the underlying neurobiological & neurochemical bases were the same as for adhd-combined type, which has significant symptoms of both inattention & hyperactivity/impulsivity.Adhd-ia is the most common type but c (or h/i in preschoolers) is more commonly referred. Ia is related to academic difficulties. ...Read more

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Dr. Alan Ali Dr. Ali
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Taking 200mg of citalopram while drinking alcohol is it possible to show aggressive or violent behavior? Also displaying confusion and panic behavior?

Dr. Alan Ali Dr. Ali
3 doctors agreed:
Taking 200mg of citalopram while drinking alcohol is it possible to show aggressive or violent behavior? Also displaying confusion and panic behavior?

Celexa (citalopram): 200 mg. Dose is unheard of. Maximum daily dose is 40 mg. Also, combining alcohol with medication can affect your moods & cause erratic behaviors. ...Read more