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Re: Remeron and Zoloft for MDD, my 13 yo daughter europerep

Posted by laurah952 on June 23, 2013, at 10:38:24

In reply to Re: Remeron and Zoloft for MDD, my 13 yo daughter laurah952, posted by europerep on June 22, 2013, at 12:38:48

2.) What do you mean exactly by mood swings? Does your daughter's mood vary from depressed to "normal", or to the opposite of depressed: being happy, talkative, outgoing, impulsive, possibly even reckless and "over the top"? If the latter is the case, this would suggest that she may actually not be suffering from "pure" depression (MDD), but from some type of bipolar disorder. This would require a different treatment strategy.

Hello,

I looked for my reply and found only the header - must have checked "no message"? Not sure that makes sense.

Anyway, thank you very much for your reply. I believe my daughter is going from normal happy to depressed all throughout the day. I've only observed over-the-top "moods" as it pertains to her recklessness. She engaged in activity that, with a little imbalance, would have ended her life. When asked about this, she replied, "If I live, cool - if I die, cool" Totally broke my heart, so I'm working on informing myself of her condition, considering bipolar II, (which I was recently diagnosed with myself), and trying to get direct answers to my questions from her Adolescent Psychiatrist - that's been difficult. The doc says she may be bipolar, but isn't sure yet. How long would a diagnosis take? She's seen her 3 times, and has her therapists reports, along w/ reports from all the docs at the inpatient hospital.

I asked for a mood stabilizer for her (instead of the anti-psychotic, Seroquel, which I know has an off-label use for bipolar) along with the Zoloft 100mg, but she decided on Remeron. I can't get a straight answer from the doc as to why not a new mood stabilizer - she tends to go off on a tangent. I'm sure she has her reasons - one of which was stated that she had the worst depression/suicidal ideation she'd ever seen. Terrifying right there...

I do suspect bi-polar, so maybe we should stick w/ the Seroquel? The doc said to do what I wanted as it refers to Remeron vs. Seroquel. (is that a red flag that I need a new doc? - there are no others in my plan for adolescents)

Taylor needs sleep she can wake from more easily, and something so her moods don't drop/dip, etc... along with an antidepressant.

I'm so confused...

I'm in NY, and have insurance...

Thanks for any light you may be able to shed on this! I just really appreciate it

Laura


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poster:laurah952 thread:1045685
URL: http://www.dr-bob.org/babble/20130617/msgs/1045725.html