Behavior Problems of a Mentally Disabled Adult & Geodon
[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:  Behavior Problems of a Mentally Disabled Adult & Geodon

My friend is developmentally disabled and just started taking 180mg of the drug Geodon.  He also takes Lamictal 375mg, Topamax 500mg.  Is this drug affective in treating behavior problems for a mentally disabled adult and is it safe to take such a high does.  The doctors we speak to will not give us a clear answer.

Thank you.

Dear Hillary -- 
Just guessing, I'd bet the problem with the lack of clear answers you've been experiencing comes from...the lack of clear answers, sorry to say.  There is extremely little research on treating behavior problems in people with "mentally disabling" conditions.  Most doctors attempting to treat folks with such problems target the symptoms that are causing the most trouble, using medications that have benefited people with similar symptoms -- and unfortunately, that's about as sophisticated as it gets.  So, are these medications effective for your friend's problem?  There is no research to answer the question, which will have to be answered instead by looking at how he does on them.  These are full doses of each medication, high but not excessive.   His doctors will need to be careful not to cause problems with these doses that look like target symptoms for another medication -- e.g. sedation from Geodon or Topomax; or confusion from Topomax or Lamictal.  But otherwise, this is not an unwise strategy based on what we do for other folks with what I would presume are similar symptoms.  Aggressive treatment, we would call it, but not excessive necessarily. 

Dr. Phelps

Published December, 2004


Bipolar World   1998, 1999, 2000, 2001, 2002, 2003, 2004, 2005, 2006, 2007, 2008, 2009, 2010, 2011, 2012, 2013, 2014
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?