Son age 9 - BP, Anxiety, OCD
[Home] [Bipolar News] [Bipolar Disorder] [Medications] [Treatments] [Bipolar Disorder/Job/School] [Disabilities] [Ask the Doctor] [Ask David] [Self-Injury] [Personal Stories] [Graham's Column] [Steven's Column] [Storm's Column] [Columnist Archives] [Suicide] [Community Support] [Family Members] [Expressions] [Greeting Cards] [Books] [Awards] [Links & Rings] [About Us] [Contact Us]

 


Q:  Son age 9 - BP, Anxiety, OCD


9 yr old son first dx w/severe ocd, depression,anxiety, skin picking Jan of 2000. Akathasia side effect to all ssris, effexor, anafranil, and antipsychotics... Dec 2001 dx w/bp. Thought now is that it was mania and not akathasia. Trial and error w/meds because he needs the anafranil for the ocd but seems to rapid cycle daily.  Current meds are 175mg anafranil, 30mg buspar, 600mg lithium and 1.5mg risperdal.  Still rapid cycling but not as much, ocd and skin picking stable, hallucinates occasionally, depression still present but not suicidal any more. What are your suggestions for a child w/comorbid dx of ocd, anxiety and bp?


Dear Ms. A -- 
I remember hearing several years ago some expert type saying that the combination of OCD and bipolar was a bad one because the AD's one needs for the OCD can cause the BP to cycle.  However, in my experience, if one targets the bipolar disorder primarily, there's a chance that what looks like OCD will come under some degree of control.  I've seen that happen at least twice.  Further, if one then, after establishing that the "bipolar part" (to the extent that you can separate these, which I think is probably not really accurate) is under control (no cycling, no obvious bipolar symptoms like sleep problems, irritability, profound depression/anergy); then cautious reintroduction of the antidepressant may allow for identifying the optimum balance of OCD control versus BP dyscontrol, as the AD is increased.  That' how I go about it, anyway.  See what your son's doc' thinks about that; she/he may have a different, equally legitimate approach.  

Dr. Phelps

Published July, 2002

 

 

Bipolar World   1998, 1999, 2000, 2001, 2002, 2003, 2004, 2005, 2006, 2007, 2008, 2009, 2010, 2011, 2012, 2013, 2014
Owners: 
Allie Bloom, David Schafer, M.Ed. (Blackdog)
Partners:  John Haeckel, Judith (Duff) 
Founder:  Colleen Sullivan
 

Email Us at Bipolar World

 

About Us  Add a Link  Advance Directives  Alternative Treatments  Ask the Doctor   Ask Dr. Plyler about Bipolar Disorder   Ask The Doctor/ Topic Archives  Awards  Benny the Bipolar Puppy  Bipolar Chat  Bipolar Children  Bipolar Disorder News  Bipolar Help Contract  Bipolar World Forums  Book Reviews  Bookstore  BP & Other mental Illness   Clinical Research Trials & FDA Drug Approval   Community Support   Contact Us  The Continuum of Mania and Depression   Coping   Criteria    Criteria and Diagnosis  Criteria-World Health Disabilities,  DSMV-IV   Dual Diagnosis  eGroups  Expressions (Poetry, Inspiration, Humor, Art Gallery, Memorials  Family Members   Getting Help for a Loved One who Refuses Treatment  Greeting Cards  History of Mental Illness  Indigo  Job and School  Links  Manage Your Medications  Medications   Medication and Weight Gain    News of the Day  Parent Chat  Pay for Meds  Personal Stories  Self Help  Self Injury  Significant Others  Stigma and Mental Health Law  Storm's Column  Suicide!!!  The Suicide Wall  Table of Contents   Treatments  Treatment Compliance  US Disability  Veteran's Chat  What's New?