AS & Bipolar? or something else...

iVillage Member
Registered: 04-02-2003
AS & Bipolar? or something else...
3
Tue, 06-29-2010 - 2:18pm

My son (AS, age 11) has always had issues with aggression.

iVillage Member
Registered: 10-03-2004
Tue, 06-29-2010 - 6:15pm

Hi and welcome. I just want to say that I am bothered by your description of a psychiatrist who spends no time with your son. We have worked with 2 different psychiatrists and both doctors spent quite a bit of time with our son, esp. if there was anything untoward going on and we were considering changes in medication. The doctor he is seeing for medication at the moment he has seen every time we have changed a dose or added or subtracted any medication and always for at least an hour each time. And our son has his own therapist as well, so one might even argue that our psychiatrists are going overboard, but I have always appreciated it. Our doctors have also stayed in touch with the school and their team, so they get input from many fronts besides ours.

((((((Hugs)))))) to you. I know how hard this all is. There are other moms here who can answer more to the particulars of your situation, and I hope they chime in here.

yours,

Sara

iVillage Member
Registered: 02-28-2008
Tue, 06-29-2010 - 8:41pm

I'm not surprised that the psych is dealing more with you than your son directly. Ours does the same thing - she gets better descriptions of problematic behavior from me than she would talking to my 11 yo son. He is largely mono-communicative with her when they meet. He'll answer questions as briefly as possible, sometimes just a shrug. She likes to see him a couple of times a year, but that's about it. Mostly she deals with me and my reports. Med management is about all she does. We see a social worker for emotional/behavioral issues.

We have some issues with aggression and revenge type behavior as well. The low dose of Seroquel has helped some, but just this evening he bit me as I was physically removing him from a bad situation with his brother. Once he gets riled up, he can get very physical about it. It seems that he's got some control because the physical issues don't happen at school anymore, mostly at home. He's very verbally aggressive at school at times, but at least he's not choking people any more.

So, I'm thinking it's an immature Aspie thing in our case - it's not extreme enough to make me think BP.

If you're not happy with the med management you are getting, then seeking a second opinion seems wise to me. If you're looking for more hands on, talking it through type stuff, then a therapist like a SW would be a better choice. For a full work up - probably a dev. pediatrition, neuropsychologist, or experienced pyschologist is your best bets. But you're talking thousands of dollars for a full evaluation.

You haven't mentioned what state you're in.....but available services can vary from state to state. I"m sorry your insurance and financial status isn't sufficient to do more. These kids can get to be very expensive to manage. {{HUGS}} It's hard when you have an aggressive child but remember, it's the autism/disease that is at fault. Not you.

Andrea, mom to

Graham
Miles
Anson

Andrea, mom to

Graham
Miles
Anson
iVillage Member
Registered: 06-03-2006
Wed, 06-30-2010 - 6:08pm

son & i attended psych together. each of would leave the office for a few minutes so the other could speak to the dr alone. son also has a private therapist who did not deal with asd or bp directly. prozac made my son high. that's how we confirmed bp. the dr said to get the mood disorder under control then deal with asd.