Question re Seroquel

Jennifer - posted on 10/19/2012 ( 4 moms have responded )

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Hi Everyone



My husband and I have a youg boy from the foster care system. ADHD/a little Aspergery/Mood disorder (honestly therapists are saying Narcissistic Personality Disorder.)



He came to us on a few meds, and we had to introduce Ritalin and Zoloft to help with PM crashes from Concerta, and to help with anxiety.



He is on Seroquel XR (50mg) and 1mg of Intuniv at night. We want him off. We want to see what type of child he really is without all these drugs (and we've already figured out the hyperactivity and attention piece.) The psychiatrist said he can help us de-tox him, but that behaviors could be severe.



Anyone's young child been on Seroquel XR? Anyone out there who was able to detox or titrate down and if so,what were the immediate and long term results?



Thanks

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Jennifer - posted on 10/20/2012

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Hi Jennifer



I am a special ed teacher and have run the course of everything on him, including psych assessment, OT, and SLP assessments.

I know that children his age cannot be formally diagnosed with NPD, I totally get that in theory..but the way his personality is "developing" is that he has 85% of the signs of NPD. I know that Seroquel has nothing to do with this.



I have talked with the psychiatrist about titrating it down, and doing it very slowly or in a safe setting, like you said. We just wonder what he'd be like "behaviorally" without it. He honestly is a tough tough little boy and my husband and I are trying everything we can to keep his placement stable in our home..not sure if we can. We are working with the top professionals and they are saying that they are not sure where he will go along the path with his lack of empathy, disregard for others, etc. That is just downright scary to us.



I appreciate your post

Jennifer - posted on 10/19/2012

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Ok, could not fix that last part of my post. After medication issues fixed, you may consider having psychological testing done. This would ensure accurate and thorough diagnoses, as well as identifying his strengths, weaknesses, and learning style.



Good luck! I think what you are doing is tremendous!

Jennifer - posted on 10/19/2012

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No, but I am a psychologist and a mom. First of all, someone under the age of 18 yrs cannot be given the diagnosis of Narcissistic Personality Disorder, or any other personality disorder. The reason is because he is still developing.



Seroquel is a very powerful anti-psychotic medication. It is also a last resort medication for insomnia. It would be extremely sedating for the average person. If the psychiatrist feels your boy may become violent coming off of Seroquel, then I suggest doing this while he is in a child and adolescent inpatient psychiatric unit. This way he receives medical supervision 24/7, and his safety, as well as the safety of those around him, is assured.



Another option is to ask the psychiatrist if your boy's Seroquel dose can be gradually lowered rather than abruptly discontinued. I would ask if this would also lessen the risk of your boy becoming violent.



Perhaps when the medicationissues

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