Evaluation over..new dx

iVillage Member
Registered: 03-25-2003
Evaluation over..new dx
Mon, 05-05-2003 - 4:30pm
Well the pdoc did not want to call it bipolar but wants to treat it as bipolar. He said he would like to make a formal dx but wants to try the meds first to see how Jamie responds. He is assuming he will respond to them and he wants him off clonodine and stimulants NOW.

As soon as his primary pdoc calls with the dosages he will start depakote and seroquel. So sometime this week I'll get a call to tell him where to send the prescriptions too.

So we are calling him dx with "a" mood disorder. I guess that's better than no dx at all.

For anyone who's child takes depakote, do you do monthly blood draws on kids? I'm thinking that probably wouldn't be happening, Jamie's terrified of blood and needles.


Avatar for kathy_in_ga
iVillage Member
Registered: 03-26-2003
Mon, 05-05-2003 - 9:50pm
Hi Elspeth. When Joiner was first DXed they called it an impulse disorder, then a mood disorder, even now they hate to actually say BP. BUT he is treated with meds that treat BP. Finally the psych has said THE word to me. Of course I already knew. Anyway, Joiner takes Seroquel and Depakote. The Depakote levels need to be drawn to make sure it is at a therapeutic level, and they check the liver enzymes. After they get the desired level they will check it every 8 weeks or so. Bribery helps in getting Joiner to do the blood draw. I also get him laughing, I will always say something like "I think your blood will be blue this time". He is pretty much used to it by now. When he was fist put on Depakote he was 5. The first tme he was scared, so he sat in my lap, and I help his hand. He was about to start having a fit & all the nurses came out to help, but I told them that would make things worse. They used a butterfly needle (ones they use on infants) and Joiner did just fine, he got to pick out a toy afterwards at the toy store. Good luck & keep us posted on how he is doing.
iVillage Member
Registered: 04-15-2003
Mon, 05-05-2003 - 10:07pm
Hi Elspeth,

Sounds like a great first step! Most pdocs are reluctant to come right out and call it bp, but unless the dx is necessary for school services, it doesn't matter what they call it, so long as they treat it right. And it sounds like he is treating it right.

Can't add anything to what Kathy already told you about Depakote, b/c we're on Trileptal here. We do actually give Niels an evening dose of Clonidine (0.025 mg) to get him to sleep, b/c he has terrible insomnia. Only thing with the Clonidine, I'm not sure how much Jamie is on, but if you discontinue too fast it can cause dangerous rebound hypertension. I'm sure the pdoc warned you about that tho.

About the blood draws, can you use EMLA cream? It works wonders for Niels.

Good luck, I really believe the new meds will help and things will get easier.