Prozac switch?

My 17 year old son has been in a pscyh hospital for three weeks. He has been delusional since he went manic after taking vyvanse 8 weeks ago. He was placed on mood stabilizers. 3 psychiatrists have diagnosed him as bipolar 1 over the past couple of years, but there is drug abuse. His new hopital have diagnosed him as emerging borderline instead. They took him off his moodstabiliser and placed hiim on Prozac. They upped his dose to 30 mg, the next day he was saying things that were odd. His eyes were big. The following day he was withdrawn, guarded and paranoid. He opened up to us and thought he was being controlled by hypnosis by the hospital, because it was an experimental hospital. They were controlling him with colors too. He kept blanking out. The next day he was very agitated and wanted to see his records to see how they were controlling him. When they refused to give them to him he tore up the place, had to receive booty juice. He has never done anything like this before. They think it was because he received the diagnosis and was told a few days before he would be going on to a Wilderness program and reacted because he is borderline. What was this? Psychosis, mania brought on by prozac or borderline behavior, can someone help me answer this? He is now on an antipsychotic, off the prozac, still paranoid but his eyes are normal.

I too have a 17yr old son. And he has mental health issues as well... He sees a tharapist and pdoc to try and keep on top of things but it isn't always easy, especially as a mom. My thoughts and prayers are with you.

Do you think this is bipolar behavior or borderline behavior?

Personally I think it sounds like bipolar, but I'm far from being a doctor. And I don't know that much about borderline. He's a teenager, he's on an AD and he raged out. Sounds like a male with bipolar and don't forget all the testosterone going on at this age. But as I said. This is just my opinion...I AM NOT A DOCTOR!!
My sons pdoc won't give him a diagnosis yet. He said he's too young. He is on meds for his symptoms but thats it.

I agree with 99fairies. I find it highly suspicious that they put him on Prozac and he had this reaction. I’m not a doctor either but that doesn’t sound like borderline to me. I hope your son feels better soon. I know it’s tough to watch your child struggle. Thinking of you.

Prozac made me psychotic. I don't know whether it's BP or BPD. If you don't trust the dr bring him to another psychiatrist when he gets out. Whether it's BP or BPD a good therapist is needed, possibly Dialect Behavior Therapy (DBT) will be helpful.

I'd be very suspicious of a psychosis induced by an antidepressant. Good that he got off it.

I'm surprised they didn't prescribe an Atypical Antipsychotic (Geodon, Seroquel). Heck, they could have given him Haldol. That usually works well for BP1 and Borderline Personality Disorder. I suggest you have a meeting with his Pdoc and get his opinion. I can't imagine what 8 weeks of suffering must be like.

I think it’s the Prozac... they put me on Prozac and I almost ended up in the hospital. My anxiety went up dramatically and with the other med Invega, it felt like you were out of control. My girlfriend said that she almost killed her mom on it!

In the last 8 weeks he has been placed on and off Invega, seroquel, a shot of Haldol and is now on saphris. These work but when he is taken off or the dose is lowered he becomes more agitated and delusional. His current inpatient doc wants him to come off the antipsychotics as soon has he can, his outpatient wants him on. Both docs are highly qualified so I am confused! I guess only time will give the full picture

Uh... wtf is with those doctors?

Psychosis in borderline personality disorder: How assessment and treatment differs from a psychotic disorder | Current Psychiatry

I didn't know this, but I guess it's technically possible to have psychosis with borderline, but honestly... if he had multiple bipolar 1 diagnoses, I'd personally question the new "borderline" diagnosis. But that's just me.

I'm with Jennifer and 99fairies that it sounds more like bipolar to me if he had that kind of reaction. But like them, I am not a dr.

Sorry your son is going through this. If you're really conflicted about opinions and not sure what to do, then I agree with miguel'smom that you should try getting another opinion.

A person can have both its very common... Prozac probably did cause that mess glad he is off of it.

Its hard to know whats really going on in a teenager with all sorts of symptoms hitting the fan.

I hope he can be treated and get into therapy to help him sort himself out.

Your a good Mom , Just keep letting him know you love him.