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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]OP here.  The psychiatrist has a long term plan (a 2-3 year plan), but nothing seems to be getting better, and these rages are destroying our other kids (and us, but whatever).  They pop up at random times and there is no stopping them until they run their course.  And in the meantime, he's not going to school and is not functioning in society.  And we have less than a year until he's 18 and we lose some levers to get him care.  I'm just at a loss. [/quote]

I am concerned that the doctor cannot control the outbursts with meds. This alone is a good reason to hospitalize and tweek meds under 24 hour supervision.  Have you seeked a second opinion? [/quote]

OP here. This is his fourth psychiatrist, although the first since he had a real breakdown in his ability to deal with anxiety at all.  The biggest problem is his lack of sleep.  The doc keeps tinkering with his meds, but nothing seems to enable him to sleep at night and function during the day (the meds that make him sleep render him totally nonfunctional).[/quote]

Have you talked to the doc about the big guns, like Abilify? Have you done a genetic test for med absorbtion (genesight)? [/quote]

Was going to suggest something similar.  My DD had SSRI-resistant anxiety and was put on Zyprexa, an anti-psychotic.  While I am not a fan of this class of drugs (and have written here before about that, extreme caution is required), Zyprexa has helped a lot and she is now on a quite low dose doing fine.  Her anxiety attacks were terrible and very destructive.  Not rage exactly but she would scream hateful things and would systematically and almost robotically trash everything around her as though she were in a trance.[/quote]

Sorry but that is NOT anxiety. [/quote]

I disagree. Anxiety can definitely drive rage behavior, especially in kids. OP, you should also be looking into the possibility of some kind of guardianship once he is 18--you want to start the process ahead of time. Made a big difference for some parents I know. [/quote]

Severe anxiety can definitely cause this kind of rage.[/quote]

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