Three medications for the win!

Having had Nicole on Sertraline or Zoloft 100 mg for about 6 weeks now I can say we have found a way to beat her anxiety, but as soon as she skips a dose the thoughts will creep right back in.

She missed yesterday mornings dose and by bedtime she was feeling anxious again. “I feel scared mom, and don’t know why” Asking when her sister would be home, until I told her she was safe at her boyfriends place for the night. I gave her one pill last night and in an hour she was doing OK again, but she wasn’t back to her perky self until this morning after her morning dose. It is fantastic seeing such an improvement with the medication. She is definitely a more confident person. Braver, more likely to speak up when she needs to. For example she got her hair cute last week and was able to tell the hair dresser that she wanted it shorter. Didn’t need to hang off of me or be comforted by my side.  She has been to two sleepovers this summer and she is more comfortable doing things on her own. HUGE improvements with regard to anxiety.

As well we started her on Trazadone for insomnia. This too has helped. She is now able to fall asleep without the aid of melatonin, which I know seems like switching one aid for another. But the melatonin she could beat, push against it until she was past the I’m tired point, and it was not working any longer. With Trazadone she is not able to fight the effects of this medication. She falls asleep within 30 minutes. I feel once we get back into a school routine she will be able to fall asleep at the appointed time. Ending morning struggles. The best thing is that she is able to get up in the morning with out much argument. Which is something we HUGELY struggle with. There have been some mornings when she has gotten up without me asking her too, before 9 am!

Next week is the third part of the medication trial. In this part we are adding a medication to treat the ADHD.  We will be adding Vyvanse 10 mg in the morning and slowly increasing it until we get a desired effect. Both the Psychiatrist and the family doctor both rate it highly. Have seen many people take to it right away. It is still a stimulant but it works differently in the brain. It doesn’t affect serotonin levels just norepinephrine and dopamine. The body breaks it down differently as well. I have read reviews and did the necessary research, and I am hopefully and enthusiastic. The only thing we can do is give it to her and hope for the best. I am positive that she can do better this year in school. With some help from medication, and hopefully patient teachers.

I am hoping for a change in teachers this year, and am very much looking forward to grade 9 when she will go to a new school, with new technology and new teachers.

Overall this summer has been a more upbeat one. We have done some day trips, we have been doing spelling tests with her and she has started working on her first book report on Wonder…Little bugger just remembered the whole thing from when someone read it to her in grade 6. Making her read a new book this month! Gosh she HATES to read!

Anyone have experience with Vyvanse? Good or bad we would love to hear about it.

Chill mom Julia

Advertisements

Another Medication!

So we had our first appointment with a psychiatrist. I didn’t know what to expect, but I figured it would be like all the other appointments. It basically was. We talked, he talked, he explained, but most important…HE UNDERSTOOD.

Oh the relief. The physical strain of having to explain that Nicole does not sleep, she does not want to sleep has been lifted from my shoulders. Her thoughts keep her up at night, this in turn is keeping her from waking in the morning when she should. I now have it in writing that this is why she has a hard time getting up and going to school in the morning. It has her restless and irritable. He gave her a diagnoses of insomnia and generalized anxiety, along with the ADHD.

Now I’m not saying that because she hasn’t slept really well for most of her life is the cause of her ADHD, but I’m sure it does not help! As I type this she is sleeping away…because she didn’t get to sleep until 1 am. So in turn she has to sleep later to catch up. And it is not a good sleep. So when she does finally pull herself from the depths of sleep she is never fully rested.

But I digress. He prescribed a sleeping pill. All I could think was “Finally” I have only been asking for the past five years that my daughter be put on something that could get her brain trained to sleep when it is suppose to and keep her asleep.

He has also taken her off her third medication…Strattera and put her on an anti-depressant, sertraline. His goal is to treat the anxiety first and see where that takes us. Maybe if she starts getting sleep and feeling less nervous and scared she will overall feel better.

She left his office with a HUGE smile on her face, for she hated the medication and felt that it was the cause of all her negative thoughts and feelings. And since she has been off the Strattera she hasn’t had a panic attack. Her sleep hasn’t gotten better but we had to wake a couple of weeks to let the other medication out of her system before starting the sleeping pill, so far no luck. I gave it to her last night (fourth night taking it) and still no luck getting her to fall asleep easily, or keeping her asleep.

She is starting the sertraline today and we will see how it goes. I will keep everyone posted as to how she is doing with it. I hope with these posts someone learns something, although not every medication works the same for everyone, some people have fantastic results on all three of the previous medications she has taken. But I want people to understand that it does take a while, sometimes, to find just the right combination of medication and therapy to help. We have had three years since her diagnoses of ADHD and we are really no further ahead than we were four years ago. Although we do have a better understanding of ADHD and anxiety. And we know what doesn’t work for her.

Now we are going into summer vacation next week, and I know that her sleep will not get any better through the summer. Routines are thrown out the window with the sunny days and late nights.

We are hoping that by September we will have the kinks worked out and she will have a more positive outlook for school and be a little more organized. That is our goal anyway!