Reply to How did you decide to start/not start your child on SSRIs for anxiety?

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Reply to "How did you decide to start/not start your child on SSRIs for anxiety?"

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[quote=Anonymous][quote=Anonymous]OP, your original post made it seem like nothing was working but you subsequently made it seem like his anxiety is completely under control except for a single event every 2 or 3 months.  Don't take it personally that we are confused, we are trying to help.  Its just difficult to offer advice when we aren't sure what the real issue is.

If the anxiety is so rare, why does the psychiatrist think he won't be able to access the CBT?  And why are you afraid he will harm himself on an SSRI?

If your concern about SSRIs have to do with the black box warnings about suicide please know that most child psychiatrists believe that there really isn't a basis for the black box warnings.  Since they have gone on SSRIs, teen suicide rates have gone up because parents are afraid to use these meds.  Unless there is something particular about your child, and you haven't indicated anything, I think you can take this off the list of concerns.
[/quote]

Thank you for your reply.

The social worker was the person that felt that DS would not be able to access the CBT. I bought the workbook she recommended for the CBT and DS brought it with him for his session yesterday. She told me that the session went quite well and they had come up with an agreed upon reward strategy for doing the workbook.

I am afraid of the black box warnings on SSRIs especially since DS is on two different meds for his ADHD (Vyvanse and Intuniv). I have an older son who also has ADHD who is simply on one med and has done CBT (with the same workbook approach) in the past. But older DS' medication management is handled by our pediatrician.

So I guess I am simply not a real fan of the psychiatrist. I don't really trust him and think he is just playing chemical experiments with my DS. If anything I would like to back off the ADHD meds and not add yet another med into the mix.[/quote]

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