Running Out of Options- Stimulants?
[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:  Running Out of Options - Stimulants?


Although my 16 yr old has been dx with bipolar, we have had him on just about all the meds for this group to no avail.  We  as parents never really believed he  fit the dx that well. We do know he  fits ODD to a tee.  Are we out of line to ask about the amphedamine group of drugs because we are running out of options. Would one month be too much to ask for?

Thank You,
Outofmind
 

Dear Mr. O' -- 
There's an old maxim in medicine: when treatment fails, re-examine the diagnosis.  So what you're advocating here is definitely justified on that basis.  On the other hand, to my knowledge mood stabilizers have not been shown nor suspected to make ODD worse (probably the opposite is true to a degree).  By comparison, the stimulants have been discussed as capable of making bipolar disorder worse; not as clearly the case as it is for antidepressants, but it's been a concern.  So, on that basis, it would make sense (perhaps as his doc' has done) to lean away from the ODD hypothesis based on another famous medical maxim: primum non nocere, first do no harm.  Now you're probably in a position to say, okay, we've leaned one way, can we try leaning the other and see what happens, knowing you may be taking some risk of making something worse that hasn't been worsened, at least, so far (not better, perhaps, but not, hopefully, worse; that's an odd yardstick by which to measure our work, I'll grant you).  

Balancingly yours,
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?