| Prozac and clonidine. My kid is too young for things like DBT or CBT though and we will try those. We did other age appropriate therapies for emotional regulation (which would have been useless without medication). Unfortunately my kid needs meds and fortunately they make a big difference. |
That doesn't mean he doesn't have anxiety. The irritability -- which is really a desire for control/things to be exactly as expected -- is much more likely to be caused by autism/anxiety than ADHD. |
| Anxiety medication was what helped us. |
| Could there be any low level pain or allergies/sensitivities? A constantly upset stomach grinds on patience any complaints of achiness? |
Which one and what has been the impact? |
| Feed him better. |
| Risperdone |
FYI they have dbt programs and many therapists will integrate CBT for kids as young as 7. |
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I have this book on my nightstand that someone recommended and need to read it:
https://www.amazon.com/Freeing-Your-Child-Negative-Thinking/dp/0738285951?source=ps-sl-shoppingads-lpcontext&ref_=fplfs&psc=1&smid=ATVPDKIKX0DER&gQT=1 |
Zoloft first. It worked well, but stopped working after 6-8 months. We then switched him to Cymbalta which has worked well for the past 6 years! |
+1 NP here. For our teen, ADHD lack of impulse control leads to rude or inappropriate comments. But it's ASD anxiety (related to the desire for control/things to be exactly as expected - and many even with very high functioning ASD experience the world as confusing and unexpected) that causes the irritability it stems from. |
Oh good lord |
Op - it’s such a puzzle. I also think he doesn’t really recognize his own feelings. He is still obsessed with competition and winning and fairness too so seems aggrieved often. But conversely is also obsessed with being ‘cool’ and never doing or saying anything embarrassing/ has a real sense of what would land or not land with various parties so because he presents in a complex way it’s hard for us and the therapist to parse out asd from anxiety from depression from puberty etc |
Certain chemicals and artificial sweeteners and dyes can absolutely affect irritability. Also certain food allergies can have this affect as well. |
| Anxiety meds because irritability was a sign of anxiety in our son. When he wasnt so anxious about everything going just right he was less irritable. |