J.F. asks from New Hampton, IA on March 19, 2009
Children on Prozac or Zoloft?
My child has been a "difficult, strong-willed, etc" type child since he was old enough to talk. When he was two, he used to throw the wildest tantrums when his clothes didn't fit just right (shirt had to come to a specific part of his body, pants had to come to certain point on his shoes). He was fearful of getting sticky or dirty and would refuse to eat syrup on his waffles for an entire year. We had him evaluated by the local AEA when he was three and they thought he might have a mild case of sensory integration disorder, but didn't really think it was that. They suggested that we send him to preschool and that might help. It did help a little bit, but now he is in kindergarten and just turned six. He has fears now of chemicals or germs on his body and washes his hands quite frequently. They have been cracked and bloody most of the winter. He has seen a couple of therapists. His newest psychologist thinks that he may have OCD (obsessive compulsive disorder), but really thinks that he is an anxious kid. He is suggesting that we medicate him. When I asked which drugs they would most likely prescribe, he thought either zoloft or prozac. In reading the side effects of these drugs, I am very hesitant to put him on any type of depression/anxiety medication. I'm really fearful of the effects - especially the suicidal tendancies in children and young adults. I don't want to be treating my child for possible OCD and end up having him become suicidal due to meds. Any insight on the topic would be helpful. Experiences with natural treatments would especially be helpful. Thanks!!
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K.S. answers from Minneapolis on March 20, 2009
I highly recommend seeking occupational therapy for the sensory issues first. If these have not been addressed then he is under a lot of stress which could make any anxiety more pronounced. Have you read "The Out-of-Sync Child"? It helped me understand my son's sensory processing disorder.
Secondly, I have a friend with a child suffering from anxiety and OCD. Talk therapy was a huge help and now the child is doing much better with early intervention (age 6).
S.J. answers from St. Cloud on March 20, 2009
He sounds very much like my son who has a 'slight' sensory disorder, but it does affect him every day. He has had sensory therapy for over a year and it is getting better a little. I do not agree with medicating kids this young. A lot of parents are elmiating artificial colors and flavors from their kids diets and seeing a marked improvement, expecially with the coloring removal. He sounds like he may have an anxiety disorder, but it appears related to the sensory. Please attempt sensory traetment before medication.
P.J. answers from Minneapolis on March 20, 2009
I would look into the Twin Cities Play Therapy Center in Eagan. They have a website. It has worked for people I know whose children were anxious about ordinary things...
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R.A. answers from Fargo on March 22, 2009
I thought I'd tell you about a book I just bought that I think will be helpful with my "strong-willed" child. It is called "Little Sugar Addicts" by Kathleen DesMaisons, Ph.D. She has done a lot of research on sugar sensitivity in children (and adults). She believes that many of the behavior problems and other issues many children have could be because of a sugar sensitivity. She gives you great advice on how to slowly change our eating habits and to cut way back on sugar. The results are supposed to be wonderful for many children. It is just something you might want to look into before putting your child on meds. I haven't had a chance to start my own child on this, but I am expecting some great changes. Good luck with whatever you decide to do.
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E.B. answers from Duluth on March 20, 2009
I have had chronic anxiety and panic attacks for about 13 years. I was on an antidepressant for about 15 months, which helped me get rid of the fear of panicking. Now I have panic attacks like other people have headaches--they're annoying, but they generally don't get in the way of my life. I have two boys, age 4 1/2 and 18 months. I see some of the personality traits in my 4 year old that I suspect are similar to the ones that predisposed me to anxiety. My son is quite fearful of new situations--but you wouldn't know it; when he's with us in comfortable situations, he's extremely outgoing and friendly. When he had a cold, he didn't want to go to preschool because we had just talked about sharing germs and he really didn't want his friends to get sick from him (he was in tears). We have similar issues about shoes and shirts--he wears shoes about 4 sizes too big because he can't stand having his toes constrained. Socks are horrible too. Anyway--we don't have quite the level of OCD (the cracked hands would bother me, because they must hurt him, and he does it anyway), but here is how we've handled it.
We just plan that most new things, things we know will stress him out, will take more time. This year, he refused to participated in our church Christmas program. He LOVES Sunday School, is VERY comfortable in our church, but absolutely froze because it was new. He sat on dad's lap the whole time (we honestly thought he was sick) and watched. When it was over, he eagerly found his classmates and told them how excited he was to be participating next year. Pre-school screening was horrible; it was in a different elementary school from that which he attends preschool. I promised to stand by him and not leave until he was ready. As soon as he saw his teachers, and we took a short tour of the school, he was fine.
My point to this is: I KNOW we take a lot more time with him than some people do with their kids. A lot of people also get into more power struggles because kids are afraid. I wonder if a child psychologist could give you hints for dealing with his OCD tendencies before you head into medication? I don't know the extent of his difficulties, but I do know that working with our son, just through the common sense lens of my own experiences, has helped him a lot. My perspective on my anxiety is that yes, it's a pain, but it's mine, and unless I'm willing to medicate or make some humungous lifestyle changes, it will be part of my life for a while. That's ok, but I'm not going to give up my life! And same goes for my son: he might take a little more time to deal with new things and his fears, but he's a great kid and he deserves to be able to do ALL those things, in spite of his fears.
Addendum: I echo the exercise thing, at least for anxiety, and also, my son hit an age where he was super-aware of germs (and his preschool teacher's daughter was the same, she said) so it could even be that that awareness is simply more pronounced in him--depends on how long it's been going on.
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L.P. answers from Minneapolis on March 20, 2009
It is very good to be concerned about those meds so early in his life. But it is also hard to watch him suffer like that.
Exposure is making things worse for him, though. Where did he learn so much about germs? I haven't even gotten my middle school children to care enough to wash hands, lol.
I know it seems like a very big deal, but you have thought of homeschooling him? That would ease some of his anxiety. It really isn't hard to do, and there are online public schools called K-12, where he is still in public school but does it at home.
You could try to retrain his brain a bit, too. Teach him that the germs at home that a family shares make you stronger, not sick. They are natural shared germs, since you are all made the same, and not to be feared.
My friend has an interesting article on a psychological breakthrough made to find the right medication for people. You should give it a read and pass it to your child's doctor to see if it is something that could be done.
http://www.wombattheinnsane.com/?p=1242
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J.O. answers from Wausau on March 20, 2009
The main concern with children and medications like that is compliance. From my understanding, it is when they don't take their meds or they skip doses that they become suicidal or aggressive from the medication. It is more a withdrawl thing than the actual medication causing this type of problem. So if you do put him on a med, make sure he takes it daily- and at the same time each day.
There is one anti-depressant that is thought to be "safe" with kids; I believe it is Prozac, but you'd need to double check that. As an adult taking Prozac right now, I find that if I miss a dose, I feel weird that day, but not agressive or suicidal.
As a teen, I was prescribed Paxil. The first week or two was totally bizarre. I literally laid on the couch and stared at the ceiling for about ten days straight. My boyfriend had to actually carry me down the street and put me on his dad's couch so I'd have a different ceiling to stare at for a while. I was a complete zombie at first. I really have to advise to stay away from Paxil for children and teens. That was just a very frightening experience in retrospect. My boyfriend though thy had given me the wrong drug or dose or something and researched it himself.
It does sound like you child is OCD- remember this disorder occurs in varying degrees (my sister is mild/moderate OCD) and many people can learn to cope with their symptoms without medication; however if it is severe enough to be interfering with daily life or life enjoyment or physical safety, then medication might be worth pursuing. As a teen I had obsessive/compulsive thoughts that would not go away- I would imaging someone was in the backseat of my car while I was driving, and I would be unable to tear my eyes from the rearview mirror, watching for someone to pop up in the backseat. Obviously this was a hazard to myself and others. I also had to stop and investigate every dead animal by the side of the road (in case it was still alive and needed help) or in case it had a collar and was someone's pet. I would be pulling over to investigate ambiguous lumps in the road that turned out to be big rocks or wadded up sweatshirts. One winter, I was absoplutely unable to stop myself from pulling over for the same rock every time I went by, since my brain was somehow convinced each time it was an injured puppy, even though I knew full well it was a rock. The Paxil (when it started working,) did a lot to stop those thoughts, or to make them mild enough that I could ignore them.
I was an "anxious kid", afraid of everything. If your son is having trouble enjoying life, by all means, be willing to explore all avenues of treatment, including medications, but don't overlook the benefits of therapy. The RIGHT therapist can be a great help especially if used along with medication. Another thing I found helpful in my younger years battling the anxiety issue, was writing. If your child shows any interest in writing or any kind of art, encourage that however you can. It can be a great relief to release your fears onto a page.
Also, keep seeing different doctors until you find one that you and your son both are compatible and comfortable with. If you are unsure about the diagnosis being correct, seek a second - and third, if necessary- opinion.
I hope some of that has been helpful. I had a miserable preteen and teenage-hood battling anxiety and OCD-type issues, plus major depression. My parents didn't know any better, so I didn't receive any type of treatment until my very late teens when I insisted I needed help. My opinion is that the sooner you can intervene and get your son on a treatment plan, the better. Keep in mind that the first treatment you try may not work, so keep trying until you get the right thing.
HUGS and luck to you and your son.
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M.K. answers from Sheboygan on March 20, 2009
As a pediatric physical therapist, I have seen my co-workers (pediatric occupational therapists) work with MANY kids with similar issues. Even if the sensory integration is "mild"--it appears it is interfering with daily function, and thus could be treated. Did you try pediatric OT? If not, I highly recommend it before trying medication! (not that there aren't other issues going on that may eventually need medication, but we can determine the effects of sensory integration treatment better without it initially) If you choose to pursue this (OT) please be sure you make sure it is a PEDIATRIC OT who has LOTS of experience with Sensory integration disorder. Again, we have had success with a lot of kids, including those who have beeen medicated. To the point of one kid who was diagnosed with ADHD having his teachers think he had INCREASED his meds (such positive results that it was noticed at school) when in fact he had been participating in outpatient OT and had actually been able to DECREASE his meds!!!! Very cool! On a side note, I really thinkyou are better off pursuing outpatient OT if it is at all possible. My experience has been that school OTs don't do as much of this type of treatment and there time/resources are limited for truly effective intervention in this area (although I'm sure there are some that make it work and do a great job). Good Luck!
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E.O. answers from Minneapolis on March 19, 2009
I would seek a second opinion before making any decisions. Mainly because so many children have negative effects on those medications making them mentally sick and causing suicidal thoughts, etc. Are you working with a child pscychiatrist/psychologist? Like I said, check another doctor first. Its so easy to put a child on meds. Its obvious your child is dealing with some issues and it does sound like OCD too, but sometimes counseling can help anyone work through that. He may need a mixture of both. Best of luck to you!
S.J. answers from St. Cloud on March 20, 2009
He sounds very much like my son who has a 'slight' sensory disorder, but it does affect him every day. He has had sensory therapy for over a year and it is getting better a little. I do not agree with medicating kids this young. A lot of parents are elmiating artificial colors and flavors from their kids diets and seeing a marked improvement, expecially with the coloring removal. He sounds like he may have an anxiety disorder, but it appears related to the sensory. Please attempt sensory traetment before medication.
D.K. answers from Milwaukee on March 20, 2009
My first thought before even reading your entire request was OCD, as what you described was my Son to a T. My Son,(now 25) was afraid of going outdoors due to bugs, germs, it seemed that everything was doom and gloom. After many unsucessful methods to try and coach Him outdoors it was reccomended to try Prozac and what a "lighbulb" moment. My Son became alive and started to live, in fact He thanked me and told me He finally felt alive. When He got into His teens and was able to learn the coping skills He went off all medication and today is a sucessful adult and soon to be Father.Best of luck and feel free to contact me if you need any support.
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