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Think like a psychiatrist

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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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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