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Reply to ""Double" medication or not?"

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[quote=Anonymous]My DS is in 5th grade and is being treated by a psychiatrist for anxiety with a low-dose of generic Prozac.  He has had anxiety ever since kindergarten, but it was beginning to be debilitating the higher the grade and there is a family history, so we started medicating in November.  He is thankfully improving.

Complicating matters is that we, and the psych, are fairly certain he has ADD-inattentive as well.  Psych wanted to tease out the anxiety problem first, as it seems to be the largest problem at the moment, and treating for ADD can make anxiety worse.  We are slowly and incrementally increasing the Prozac until he seems to reach the sweet spot.  It looks like a fairly low dose will do the job.

In the meantime, his public school, which has always been very supportive, is giving us a lot of nudging that his focus issues need something more now – despite the fact that he gets A's and B's and is never getting in trouble at school.  I had been told by friends that have gone through this that medication for ADD can be a long and difficult road and to only go after it if his was not able to function in school well.  He is struggling a little with all the academic expectations, but he is still fairly organized and is playing in band and doing some other things he wants to do and still managing it all.  He has a social life as well. Yes, I would love for him to be able to focus more (he daydreams a lot), but I'm also worried about muddying the waters as we get a hold on the anxiety problem.  I feel like the teachers want to make it easier for them to teach him, not necessarily that he needs it.  He already has an IEP with supports.

Do we really want to attempt medicating for BOTH anxiety and ADD if it's really mostly the anxiety that is debilitating right now?  [/quote]

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