F.E.A.S.T's Around The Dinner Table forum

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Scaredmom2019
Ugh!! 7 days on prozac and RAN 17 year old D is likely hypomanic. She is all over the place and so so silly and goofy. Talking fast, restless, etc etc. She feels better but clearly is worse as far as mental health... the doc and I are pulling her off meds. Daughter said she feels like she is on a different planet. 

To say I'm devastated is an understatement. She had suicidal ideation but now the meds have caused this. Talk about a major blow.

Has anyone had this reaction with one med and found a different one that didn't? This is SO SO hard. I was going to get away tonight with a friend for dinner but now will be on 24/7 safety watch. 
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Enn
Oh man that is rough!
My d is on sertraline and is done well. It can be trial and error unfortunately and I am aware that there are genetic tests that can be done to see which meds would better suit a person. I don’t think those are available here in Canada, though. Maybe you have access to that test? Could you ask the psychiatrist?
hope this phase is very short lived and no issues occur.
When within yourself you find the road, the right road will open.  (Dejan Stojanovic)

Food+more food+time+love+good professional help+ATDT+no exercise+ state not just weight+/- the "right" medicine= healing---> recovery(--->life without ED)
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melstevUK
Hi Scaredmom2019,
What dose is your d on?  I was on 20mg of Prozac for years and am now on a low dose of Citalopram.  Some patients have more sensitivity than others - at one point a GP doubled my dose and after a week I had exactly the same symptoms as your d - my speech was faster, I could not sleep, my thoughts were manic although at the same time I remember thinking that I had some absolutely amazing ideas (!) which I forgot about when the morning came.  I really felt quite ill and realised that the increased dose was not helping at all.  I have other friends who can take 80mg a day and it does nothing other than help a little bit with depression.

I suggest that you reduce the dose straight away and see if that helps.  

Symptoms which can indicate that an ssri may work are excessive weepiness, low self-esteem and self-loathing as well as an inabilty to stop thinking of problems. 

I hope that you can find meds that work.  Olanzapine is often the drug of choice at the beginning for low weight an patients - it helps with anxiety and also helps with sleep at night time.
Believe you can and you're halfway there.
Theodore Roosevelt.
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Scaredmom2019
Thanks for the support. What a weird day! She seems to have calmed down now and is acting more "normal". She went on for depression and anxiety. This manic response was really bizarre. For the time, we are taking her off all meds to see what happens. I have been on meds for many years and they are great for me! At least she seems more collected tonight and is not complaining of being on a different planet.
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Torie
I'm not a doctor, but I think I remember that SSRIs can trigger hypomania in people who have bipolar.  I wonder if the doc mentioned this possibiliy? xx

-Torie
"We are angels of hope, of healing, and of light. Darkness flees from us." -YP 
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Scaredmom2019
Yes! SSRI can cause mania (especially in people that are undiagnosed bipolar). In our case I have never seen bipolar behavior in her. A lot of depression and anxiety but never any mania. The odd behavior today has subsided tonight to anger and food refusal. Really awful day. I felt bipolar myself today. 

Guess we will see what happens in a day or two off the SSRI. If she gets a bipolar diagnosis on top of this AN, I'm not sure what I will do. She really is not functioning well at all....and since starting AN treament intensive outpatient, she has only seemed to decline in functioning.
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Enn
Hi there just checking in. I hope things have settled a bit.
When within yourself you find the road, the right road will open.  (Dejan Stojanovic)

Food+more food+time+love+good professional help+ATDT+no exercise+ state not just weight+/- the "right" medicine= healing---> recovery(--->life without ED)
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Scaredmom2019
Hi Enn,

Thanks for checking in. And to all of you for the support. Wild weekend. Up down and all around. One minute "ok" then hyper then despondent. Almost went to. Hospital today as she seemed to be responding to outside voices...but then she seemed to calm down.

My D is really a good kid. No drugs etc. But I'm starting to wonder if shes making this up? But I can't imagine her doing that or why? Plus it feels real.

On the other hand, could the moods be due to ED? I mean I'm pushing her. Lots food, 40 hours a week in program. Could the ED voice be that loud? To be causing extreme moods? Also, she is 17, out of school, out of life and path changed. I. Suppose the extreme stress and anxiety could also cause some erratic moods? I'm at a loss and we are hour by hour...
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Torie
My D is really a good kid. No drugs etc. But I'm starting to wonder if shes making this up? But I can't imagine her doing that or why? Plus it feels real.

On the other hand, could the moods be due to ED? I mean I'm pushing her. Lots food, 40 hours a week in program. Could the ED voice be that loud? To be causing extreme moods?

My guess is that she is NOT making it up.  ED does such weird things to their brain, there is no telling what they will do.  

Are you keeping a journal?  That might help you see patterns, and perhaps everything will gradually resolve - a journal would help you see that, too.  It is hard to assess changes when you live with them every day.

My d's moods were very unpredictable during the thick of things.  And what her mood SEEMED to be didn't seem to have any kind of relationship to what she claimed to be feeling at the time.  For example, I would think she was having a good week, and then I would get a call from the school that she was talking about suicide.  So in my experience, there is just no telling.

Keep swimming, my friend. xx

-Torie
"We are angels of hope, of healing, and of light. Darkness flees from us." -YP 
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Scaredmom2019
Journaling is a good idea Torie!

Today her psych doctor at ED program is wondering if ED is best treatment or maybe needs mental health intensive type of treatment. I don't know!! 
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Torie
If she is suffering from RAN, for sure that is a treatment priority.  Do they think she might be bipolar as well?  xx

-Torie
"We are angels of hope, of healing, and of light. Darkness flees from us." -YP 
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Scaredmom2019
I think we are all trying to figure out the mental health piece which has declined significantly since program started. The strange response to SSRIs and the increasing erratic moods. The doctor even questioned if she had a psychotic break last week. 
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ValentinaGermania
These kids do such strange things while manurished and all the doctors tend to send them into other regions like bipolar, autistic, borderline, whatever.
In most cases all this behaviour slowly fades away just with nutrition and weight gain. Unless this problem is not fixed it is way too early to start to diagnose anything else. My personal opinion.
Keep feeding. There is light at the end of the tunnel.
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Scaredmom2019
This is good to know. D is under extreme stress as a junior in high school (not enrolled), RAN etc. 

On the other side we have gained 9lbs in 5 weeks which I'm happy about. We have about 10 more to go to be above suggested weight. 

Will they tell me when she is ready to discharge from PHP or do most of you make those decisions based on what you know about your child?
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Torie
Will they tell me when she is ready to discharge from PHP or do most of you make those decisions based on what you know about your child?

Hmmm ... I always got the best advice here - sometimes the "experts" give very bad advice.

Yay for 9 pounds in 5 weeks!!!  You rock!! xx

-Torie
"We are angels of hope, of healing, and of light. Darkness flees from us." -YP 
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ValentinaGermania
This is good to know. D is under extreme stress as a junior in high school (not enrolled), RAN etc. 

On the other side we have gained 9lbs in 5 weeks which I'm happy about. We have about 10 more to go to be above suggested weight. 

Will they tell me when she is ready to discharge from PHP or do most of you make those decisions based on what you know about your child?


9 lbs in 5 weeks is really great!
Best is if the program offers a slow transition to home and not a hard break between php and home. Transition at home is tricky and you need someone to be there to supervise her and plate all meals.
Ask for a transition program. Best is if they offer some meals at home and if that works then an overnight stay or a weekend to check if she is ready.
Keep feeding. There is light at the end of the tunnel.
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Torie


9 lbs in 5 weeks is really great!
Best is if the program offers a slow transition to home and not a hard break between php and home. Transition at home is tricky and you need someone to be there to supervise her and plate all meals.
Ask for a transition program. Best is if they offer some meals at home and if that works then an overnight stay or a weekend to check if she is ready.

Agree! xx

-Torie
"We are angels of hope, of healing, and of light. Darkness flees from us." -YP 
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MKR
Wow! Excellent weight gain!

I agree with ValentinaGermania about focusing on nutrition first. The brain is still trying to recover.

I admit I am against drugs, so won't comment on this any more.

Whatever you can achieve with refeeding is helpful for body and mind.

All the best and well done on the 9 lbs in 5 weeks!!
❤❤
Mum's Kitchen

14-y-o "healthy living" led to AN in 2017 and WR at 16. Current muscle dysmorphia.
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