New Meds

We had a retched weekend. My son had one of the most exhausting days with me Saturday. Hubby was gone helping his dad so he wasn't home to help. We like to work as a tag team when GL is raging. It gets so tiring and when tired it is easy to get mad and not be in control. I admit there are days I have to put my son in his room with the alarm on just so I can get refocused and remember getting angry or taking it personal doesn't help.

So, Saturday he started out very disrespectful, hurtful and destructive. He recently acquired a few decorations for his room and they were destroyed. All morning it was time out, time in with mom, strong sitting and finally a call to the doctor for some help. Thankfully, a local church offers a respite program once a month and I dropped my son off for 3 hours so that I could take my daughter bowling and shopping. A tomboy girl day; sports shopping for snowboard equipment. We both had a blast and it was fun to be with someone who is happy and fun. I only hope my son can get there some day.

OK, the doc called me while I was on the way home from work. we discussed his prior meds and suggestions for treatment. We are going to start Lithium and I wanted a prn (as needed) med for rages so we are going to try alprazolam (Xanax). He really wants to wean off the Abilify. My sons A1C test (diabetes) was elevated at 5.9 and this is the pre-diabetes status. A A1C over 6 used to be diabetes but the ADA just revised this to 6.5. Atypical antipsychotics such as Abilify, Geodon,  Seroquel, Risperidone, Zyprexa and others have the adverse effect of increasing the risk for metabolic syndrome and diabetes. If the Lithium works as a mood stabilizer, we will wean the Abilify off. I started the meds tonight. I wondered about the Xanax since it should relax my son but everyone has a different reaction and I know that it can dis-inhibit some patients and cause an opposite reaction. I was glad to see him yawning 20 minutes after receiving it.
Sweet dreams baby boy.