So, M has been on Celexa for about 6 weeks total (4 wks at 20 mg's) and 4 1/2 weeks on the Tenex. I'm slowly seeing his level of tolerance decrease...he's becoming more irritable and I'm starting to see a return to the less stable M that we knew before the meds. We're not *at that point* yet, but I'm waiting for the other shoe to drop.
Last night apparently he just flicked a switch in his head and decided to be a pain for dh while I was a work and then refused to take a shower or bath. By the time I got home, he was a whiney mess. Right before bed he was complaining about a itch/spot on his finger that if he pressed on it or itched it it made a spot on his wrist "feel funny" and he was rolling all over the couch and kicking his legs and throwing a nice little fit. After several attempts at remedying the situation, I finally convinced him to go to bed.
I don't know how to sort out whether this is solely in reaction to the fact that he started the Summer Program at school or if it's also the med's not working enough or what. M has a pdoc appt in a week and then his first tdoc appt at the end of next month.
Monday, July 16, 2007
Thursday, July 12, 2007
1st Meltdown Post-Phosp (jinxed myself)
I knew it as soon as I did it. I opened my datebook today and counted the weeks since M's last phosp admit (3 1/2 weeks- WOOHOO! A new record!) and as soon as I rejoiced and commented to myself- out loud- that we've been meltdown-free the entire time, I knew I jinxed myself! Doh!
M got off the bus from his Summer Program at his theraputic school and when asked how his day was, gave me his standard "good" answer. Shortly after he got home, the neighborhood kids started showing up, one by one, until we had three of them here. They went downstairs to play and M was clearly on edge and easily aggitated by EVERYTHING...every sound, every comment, every thing! I eventually told M that perhaps it would be better if he took a break from his friends and have them go home for a while. I went upstairs to use the bathroom and by the time I was out, his friends were gone and M was on the couch wrapped in a blanket with his forehead all tense.
Then he started telling me about how angry he was and I asked him how long he's been feeling angry and he said all WEEK..wednesday, tuesday, and monday (he started the Summer Camp Program on Monday). He went onto the floor and started with his comment about how his body felt funny (which he sometimes says before he goes into a full blown rage) and then started kicking and rolling around and going on and on about how he had to stop going to the camp. He shared a few things like how some of the other kids kick and bang on the walls which really annoys him and makes him angry and how because the camp makes him angry he thinks he'll get sent back to the hospital. He also said that his class size is larger than his typical class size...10-15 as opposed to 7, which he feels is too many kids, which he also thinks is making him angry.
So, after about 20-30 minutes of him going on and on, I was able to talk to him and I told him that we had a couple of options...if he feels there are too many kids in his class at camp, then I will call the school tomorrow morning and talk to someone and see if anything can be done about maybe getting an adult to work with him more one-on-one or check in with him throughout the day to see how he's feeling and I asked him how he felt about that...he said that sounded good and he wants me to call FIRST THING in the morning! LOL Then I said the second option was that if that wasn't enough and he was still feeling really angry, then perhaps his medication wasn't helpful enough or at the right doses, so we could call the pdoc and get an appt to talk to him about how he's feeling and see what pdoc says (we don't have a tdoc appt until late next month yet). He said OK with tears in his eyes. I grabbed his hand and told him that I was glad he told me how he was feeling and that I was SO proud of him for how well behaved he's been at camp and that we were going to work hard to make sure that he feels better.
I *SO* hope this is not the begining of a downward spiral...that it's just a blip...a bump in the road...a wrinkle that can be ironed out.
M got off the bus from his Summer Program at his theraputic school and when asked how his day was, gave me his standard "good" answer. Shortly after he got home, the neighborhood kids started showing up, one by one, until we had three of them here. They went downstairs to play and M was clearly on edge and easily aggitated by EVERYTHING...every sound, every comment, every thing! I eventually told M that perhaps it would be better if he took a break from his friends and have them go home for a while. I went upstairs to use the bathroom and by the time I was out, his friends were gone and M was on the couch wrapped in a blanket with his forehead all tense.
Then he started telling me about how angry he was and I asked him how long he's been feeling angry and he said all WEEK..wednesday, tuesday, and monday (he started the Summer Camp Program on Monday). He went onto the floor and started with his comment about how his body felt funny (which he sometimes says before he goes into a full blown rage) and then started kicking and rolling around and going on and on about how he had to stop going to the camp. He shared a few things like how some of the other kids kick and bang on the walls which really annoys him and makes him angry and how because the camp makes him angry he thinks he'll get sent back to the hospital. He also said that his class size is larger than his typical class size...10-15 as opposed to 7, which he feels is too many kids, which he also thinks is making him angry.
So, after about 20-30 minutes of him going on and on, I was able to talk to him and I told him that we had a couple of options...if he feels there are too many kids in his class at camp, then I will call the school tomorrow morning and talk to someone and see if anything can be done about maybe getting an adult to work with him more one-on-one or check in with him throughout the day to see how he's feeling and I asked him how he felt about that...he said that sounded good and he wants me to call FIRST THING in the morning! LOL Then I said the second option was that if that wasn't enough and he was still feeling really angry, then perhaps his medication wasn't helpful enough or at the right doses, so we could call the pdoc and get an appt to talk to him about how he's feeling and see what pdoc says (we don't have a tdoc appt until late next month yet). He said OK with tears in his eyes. I grabbed his hand and told him that I was glad he told me how he was feeling and that I was SO proud of him for how well behaved he's been at camp and that we were going to work hard to make sure that he feels better.
I *SO* hope this is not the begining of a downward spiral...that it's just a blip...a bump in the road...a wrinkle that can be ironed out.
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