Are all SSRIs activating?

Anonymous
Anonymous wrote:
Anonymous wrote:For anxious kids who are activated on SSRIs, what have been successful alternatives?


Strattera


We tried Straterra and there was no effect. We tried guanfacine and my son became unbelievably violent. We went back to stimulants.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Do the genetic test to see which meds your child can tolerate. So much simpler than trial and error.


our psych said results were unreliable enough that it wasn't worth it - even if cost no issue.


Not true. After months of painful, dangerous trial and error with our child the genetic tests were able to guide us to an appropriate treatment. I wish I’d done that first. I was trying to save you similar heartache. I think your psychiatrist is misinformed.


I think it would be your doctor that is misinformed.

"experts with no financial interest in genetic testing have repeatedly recommended that genetic tests should not be used in choosing treatments for depression (see here and here). The American Psychiatric Association convened a task force that reviewed the evidence and agreed: the tests should not be ordered.

Recently, the FDA advised that the tests had no proven value and should not be used. Then they went two steps further, stating that use of the tests could lead to inappropriate treatment choices that might harm patients. "

https://www.health.harvard.edu/blog/gene-testing-to-guide-antidepressant-treatment-has-its-time-arrived-2019100917964#:~:text=Currently%20available%20genetic%20test%20panels,yet%20apply%20in%20treating%20depression.


Hookay. Well it worked for us after many months of painful trial and error. If you find asking random questions of internet strangers to be a preferable method of selecting a psychiatric drug for your child…I guess you do you?
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Do the genetic test to see which meds your child can tolerate. So much simpler than trial and error.


our psych said results were unreliable enough that it wasn't worth it - even if cost no issue.


Not true. After months of painful, dangerous trial and error with our child the genetic tests were able to guide us to an appropriate treatment. I wish I’d done that first. I was trying to save you similar heartache. I think your psychiatrist is misinformed.


I think it would be your doctor that is misinformed.

"experts with no financial interest in genetic testing have repeatedly recommended that genetic tests should not be used in choosing treatments for depression (see here and here). The American Psychiatric Association convened a task force that reviewed the evidence and agreed: the tests should not be ordered.

Recently, the FDA advised that the tests had no proven value and should not be used. Then they went two steps further, stating that use of the tests could lead to inappropriate treatment choices that might harm patients. "

https://www.health.harvard.edu/blog/gene-testing-to-guide-antidepressant-treatment-has-its-time-arrived-2019100917964#:~:text=Currently%20available%20genetic%20test%20panels,yet%20apply%20in%20treating%20depression.


Hookay. Well it worked for us after many months of painful trial and error. If you find asking random questions of internet strangers to be a preferable method of selecting a psychiatric drug for your child…I guess you do you?

You do you is right. I would first like to know what pushback & influence the pharm co's had- implied or anticipated- over what these agencies & organizations were officially recommending. Fear of monster lawsuits would be my first guess.
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