John is a 7 year old 50 pound boy in his 6th
week of taking 10 mg TID (am, noon and 4 pm) of mixed amphetamine salts for
presumed ADHD who now shows prominent impulsive rageful aggression with 5
lb weight loss and new 2 hour sleep onset delay.
Cherie is an 8 year old girl dressed in
excessive “jewelry”, gaudy self made purse, and tight teen “fashion”
clothes her mother abhors but can’t stop. She has just begun, totally on
her own, collecting cash door to door to save the rain forest. She was irritable
and very down for 2 months but is now way up. She has always been
moody.Academics, peer and family
relationships have suffered.She’s
skipping meals and sleeps 4 hours: “I don’t need to eat or sleep”.Maternal aunt has BD.
Connor is a 16 year old in a boarding school for
boys with serious substance abuse.Even in this group he is loud, volatile, and moody.He calmly tells you he wants off the Trileptal
he was given while living at home.His history is dramatic for athletic skill unfulfilled by
consequences for drug use, drug deals, promiscuity, impulsivity, fights and
property damage, and impressive risk taking.
Ann is a 13 year old athlete and dancer who was
started on Depakote by her neurologist for seizures (no BD SSx).In the first month she gained 5 unneeded
excess lbs which upsets Ann and her mother.Her mother, whom you know through the kids’ sports asks your