.webp?h=10 "P-Hat (pink) - It's pink.")
I've been working with a psychiatrist for about 5 years on an interesting study. We got in an argument awhile back about changing a 13 y/o male from lexapro for fluvoxatine. While undergoing majority chemotherapy due to symptoms, he was deemed to not be pediatric despite being under the age of 25.
Some important background includes the patient had anxiety-driven depression, h/o self harm, suicidal ideation, OCD, ADHD, non-Hodgkin's Lymphoma, aplastic anemia and various family hx risks.
What was the reason for the fight? Just a heads up, this kid is on multiple mood stabilizers including adderall so that might help with the med change.
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Little guy is living the (short) life
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Kid was pretty fricked but is thankfully doing well and has been in remission for a couple years. Still a bit of SI and depression but manageable.
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The psychiatrist wanted to add lupron to the mix just for fun and you disagreed.
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NO!
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Transference. Long-repressed feelings regarding your father, now expressed as frustration towards a colleague
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Not sure. They're both SSRI's with the black box warning. I've heard more bad reactions to Prozac than Lexapro though - like manic reactions and agitation. I think they market Lexapro as the friendlier one, but they're still both similar as far as I understand.
Of course when shit is going down, you don't want to change psych meds in the middle of the race unless absolutely necessary. If I were you trying to treat him for cancer, I wouldn't be enthusiastic about playing the 4-6 weeks game on a new antidepressant to see if it completely fricks his mood into one of the holes you mentioned.
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It's weird to change a med in a multi med treatment plan so long as the patient is semi-stable.
Should do a sudden discontinuation off all psych meds and throw the boy to the funny farm so he can pick fruit instead of the mexicans
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it was not an ideal medication regiment but believed to cause least harm during an aggressive chemotherapy regiment and the SI due to mental health disorders.
There were a lot of mood stabilizer medication changes with the psych but were irrelevant for this specific change.
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Testicular cancer
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bounce back to peds.
turf, bounce, repeat.
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Bouncing back to pedes would have saved me too much time. In all honesty, I tried but due to the recommended treatment we had to treat it as an adult case.
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Needs more lithium and cocaine
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I have been working for you for years, for free. I get abused, harassed, threatened, insulted, given death threats, my family insulted and threatened with harm and death, my personal info found and leaked, stalked, I have to see some of the most horrible shit there is and all to keep YOUR website running.
Where is our compensation? If you want to talk about things being fair and equitable, about how people have been expecting things to be free for too long and now it's time to pay the piper, where is OUR pay? I'll take cash, bank transfer, PayPal, or certain goods.
You can't have it both ways, so pay up.
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