Wednesday, September 2, 2009

Back to Square One

There are breaks in the screaming an hitting, so we can occasionally sally forth on minor quests that have been neglected of late. Last week GL went from screaming most of the day to screaming almost continually from 2-5 p.m. This week he screams for about 2-3 hours per day, but spread throughout the day, with late afternoons being most difficult. Hitting is random, but decreased.

This all started about 6 weeks ago, when his meds stopped controlling his aggression, as I described before. We believe the one he'd been on for two years, and was at an unbelievably high dose needed to be replaced with something else. Instead, his doctor took away his OCD meds, which he'd been on for a much shorter time, at a much lower dose. We tapered him off those meds, rather than cut him off cold turkey, (this was the week of camp and the week before) then tried doing without them for a week. This doctor won't revise a med change unless we've tried it for at least a week. Unsurprisingly, he acted as if he were totally unmedicated. We called the doctor, and he gave one back. After a week under siege, we called again, and he gave the other one back. After two weeks back on the original meds at the original doses, he's not as violent as if he were totally unmedicated, only as bad as when we told the doctor his meds weren't controlling his aggression six weeks ago. Sigh.

We've tried to find another doctor, but either they're not taking new patients, or they don't take his insurance.

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