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Old Dec 22, 2009, 09:08 AM
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spiritual_emergency spiritual_emergency is offline
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Hello Batmom,
It's so terribly worrisome when they're far away and you know they're in trouble. I would expect your own stress levels will subside a bit once you can actually see your daughter, be with her, offer up some hugs and then, start getting a grip on what is happening for her in terms of treatment and her response to it. The situation with her past doctor does sound confusing but hopefully, with you there and her being assigned a new doctor, the situation will start to improve.

Something I have found helpful for myself is to learn about the various medications that can be used in treatment. You'd noted earlier that your daughter was previously prescribed: Klonopin (Clonazepam), Ativan and Lexapro.

Klonopin is an anti-convulsant / mood stabilizer and was likely introduced as an alternative treatment to Lithium. As I understand it, Lithium is considered to be more effective against mania than depression and this, coupled with any negative effects your daughter experienced previously, may be why the doctor has been slow to prescribe it. Ativan is an anti-anxiety agent and Lexapro is an anti-depressant. Anti-depressants are used selectively for those with bipolar disorder as it's been found they can trigger manic episodes in some people. Anti-psychotics are also being increasingly used as a treatment for individuals with bipolar disorder. It would not surprise me if they have since been or will soon be introduced to her treatment protocol.

Two sites I've found very helpful when researching medications have been askapatient.com and rxlist.com. The latter is medically oriented but provides reliable information on par with a drug insert while the former offers consumer reports and ratings from people who have personal experience with that specific medication. Reviewing both seems to offer a more rounded perspective on what the medication is and how it actually impacts people taking it.

Meantime, depending on the individual doctor or hospital you may find they are extremely reluctant to share any details related to your (adult) daughter's treatment with you (i.e. the medications she is currently being prescribed). If your daughter is in the frame of mind where she can reliably share that information herself it might not be a problem; if she's incapable of doing so at this time, try to secure her verbal/written consent to release that information so the hospital will share those details with you.

Please do let us know how it's going, and good luck.

~ Namaste

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