Progress with Psych. and treatment...

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Registered: 03-26-2003
Progress with Psych. and treatment...
1
Tue, 05-06-2003 - 6:16pm
(I posted this earlier this morning, but it isn't to be found anywhere!!! So, if this ends up as a double post at some point....I apologize!! LOL)

Last night was our appt. with Tristan's psych. As usual, we weren't really looking forward to it, seeing as how we normally leave rather irritated! (well, (un?)fortunately, my allergies acted up so I stayed home with Hollyann and Michael took Tristan.)

This time, Michael didn't hold anything back - nothing! Told how we have been seriously arguing with Tristan lately, ALLLLLL the stuff that Tristan has been doing, trouble he has been getting into, etc. And, amazingly enough, she listened this time! The appt that normally lasts *maybe* 15mins, this time took almost an hour. She was also able to see Tristan's lethargy that comes after he is very upset (he got in trouble about 40mins before they left, to which he cried and then just crashed on the sofa). This is the first she has seen this for herself. She was also told about the episode a few weeks ago, and she apparently became rather "offended" that we didn't call or come in to see her. Well, we didn't know we were to do that - all she ever does is say, "see you next time.... and be sure to get into psychotherapy." So, she corrected herself and apologized for not being clear in the past.

Tristan is now on a second medication (while still on the Tenex). This on is Abilify - actually meant for schizophrenia, but given to T to help level out and take the edge off of his moods. We just started this morning and it should take about 2wks (naturally) for things to level off. A cute thing she actually said about this med is that most people that have taken it that initially reported any sense of nausea with it, said that eating it with a peanut butter sandwich took away any nausea at all! So, we are bypassing any possibility of "icky tummies" and he is taking it with peanut butter toast every morning! LOL (also, even tho he isn't taking it at school, I sent in a letter today telling his teacher and the school nurse that a new med was introduced in case he has any side effects)

Another thing that was discussed at this appointment was Michael's work schedule. The psych said that this rotating shift work is REALLY taking its toll on Tristan - pretty much beginning to set his mood cycles for his, with his highs being when daddy is on "normal" hours, and the lows being when he's working evenings and nights. Basically, she said that we are slowly destroying our structure from within, and if we want to get a grip on Tristan's "chaos" we need to get him on a constant, steady work schedule. (can't say I disagree with that one!) Her suggestion? Get onto Day Staff, which will have him working basically 8-4 every weekday, off weekends. Now, that may *sound* easy enough, but getting a military schedule shifted isn't that simple! She said that she would write a letter to put into his record stating that this is imperative - at least for the here and now - for the health of Tristan and the entire family structure, but that it would probably be best for him to talk to his supervisors first, before the letter. We were full well prepared for a fight from this. BUT - he called from work this morning asking for the office phone number...he told work, complete with ALL dx's, and they are almost bending over backwards to accommodate us. This is virtually unheard of! (so please, pray that this continues!!!) I don't know how this will affect the rest of our military career (we still have almost 5yrs left), but for right now it seems that things are working out for us.

As for the psychotherapy - I finally found one that accepts our insurance. Initially I was told that they weren't taking any new patients, but after telling them everything involved, they are doing their best to work us in with one of the docs. I played phone tag with her yesterday, but since she is only in the office for a few hours a day, I assume she will call back this afternoon. Sounds like she is willing to take Tristan on, so that's a good thing.

You know, I may have had a frustration breakdown a few weeks ago, but I think that is sometimes necessary. Once I regained my mind(lol), I set headlong into doing something about this. It forced us to open up; no holds barred. At first, we were watching whom we told what and/or how much, because of how it could affect our next duty station, etc. Now we have come to realize that unless we are straight about it all, our next assignment could make things that much worse. Sure, we may end up on the west coast which is something that we really didn't want to do, but if that is the only duty station we can get that has the most routine scheduling, we'll have to take it. And we are now fine with it all.

~Carrie

Avatar for suitemadameblue
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Registered: 03-26-2003
Tue, 05-06-2003 - 6:24pm
Yes, I am replying to myself! lol

I logged on to give a little update, only to find that my post wasn't even around. I didn't feel like re-typing all of that again, so I just cut&pasted it from another board I am on so I could also give the update! Ugh....can you tell it's a rainy day around here?!

Well, we aren't too sure about the new meds, now. The school nurse called around 10:30 this morning, saying that Tristan was sick and we needed to get him. I knew this was serious, because he rarely ever gets sick, and this nurse is even more rare in sending kids home from school!

Apparently, he was as white as a ghost and extremely lethargic and nauseas. He fell asleep in the nurse's office, and slept until 3:30. Even now he is still "out of it." Hopefully this is just him adjusting to the medication, so we have decided that he will stay home tomorrow and Thurs, so we can watch him a little closer. We are also going to contact his psych (she's on call today, so that's good!) and see if we will be able to switch from this being a morning med to a nighttime med.......let him take it and go to sleep before the "ickies" even start. Praying that this will work.

With DH's work schedule....for the next week and a half, he is on days already, so there's no change there. But, it sounds as if he will never go back to rotating shifts while we are here. His Chiefs already told him that, while they need the letter from the psych, they are already working on making a spot for him on day staff, so this is fantastic!

I just feel horrible for how yucky Tristan feels. I know how horrid nausea is, especially when medication-induced.

~Carrie