Reply to Medication for Anxiety but not SSRI

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[quote=Anonymous][quote=Anonymous]OP, sounds very challenging.  I'm sorry.  I have a child for whom SSRIs did absolutely nothing, but we didn't have the adverse reaction you describe.  This did happen to my niece who was in high school and it turned out she was bipolar as a PP describes.  Bipolar tends to show up later, but it is not unheard of in a younger child.

You say the thyroid was elevated.  I assume that means his TSH was higher than lab normals.  Know that lab test normals for TSH are set too high.  If his was above the lab normals, I would definitely get it checked out with an endocrinologist because it means they are quite a bit higher than they should be.

He could have Hashimotos, which causes thyroid levels to swing widely, and I definitely could see that evidencing as behavior problems.  Hashimotos is widely viewed as a middle aged female thing, but males, including young males, do get it, but it often remains undiagnosed because they don't fit the profile.  (My DS was dx'ed with this.)

I also think PANDAS, which you raised, is worth exploring.  Checking it out means a rapid strep test plus culture.  In addition, his ASO and anti-DNASE B levels should be checked.  My Hashimotos DS also has PANDAS.[/quote]

Thank you for replying.  My mom has Hashimotos, so that is something to look into.  He did go to pediatric endocrinologist, so I would hope she would check, but maybe she didn't look for that?  He is extremely skinny.  PANDAS, I am also bringing up at his next pediatrician and psychiatrist appointments. It is just so disheartening to see him struggle so much. I don't know about bipolar, I read about it, and I will ask about it, but he just seems more like deer in the headlights and there is no hyper or maniac behavior even on SSRI that is described, but maybe his unhinged talking is that maniac symptom?  When not on SSRIs he shows no maniac behavior.[/quote]

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