200 mg Seroquel XR got my son geared up

[shannon]

I posted back in Oct when my son went to hospital on the bipolar board. He was on abilify for a year increasing from 2 to 5 then eventually 10 mg. When abilify completely stopped helping at all his pdoc added trileptal which was doing the same thing the seroquel xr is doing just making him wired up. So he was taken off the trileptal and abilify was raised to 10mg. It was no help at all so pdoc suggested hospitilization. He was there for 14 days went to therapy, had family therapy and had his medication changed. When I spoke with the staff they said he was cooperative and acted like a completely different child than the one I had dropped off. That he did everything he was supposed to do and no longer had any thoughts like the ones he had been expressing towards himself and others. He was diagnosed bipolar nos, and icd and was free to go home. As soon as I picked him up he was doing the exact same things. I was not even out of the parking lot when he started talking about how much he hated his sister and etc.... It made me think he had pulled one over on the hospital because now he is twice as worse. More violent, more angry outburst, more threats and disrespectful attitude. I am really at a loss...I myself know how it feels to go most of your life undiagnosed and unmedicated and it really messes you up. I want better for him than myself or my exhusband (who is a homeless unmedicated schizophrenic that stays in and out of prison) I don't want him to struggle through life. I never had an education and the only job I ever had lasted only 1 day because I cried when I felt my boss was being critical and couldn't bring myselt to go back. Sorry for such a long post but I am so upset. I guess my main question is this why seroquel xr? and when he goes back to see pdoc next month what should I say? that the medication and hospitialization didn't help? where do I go from here?

Thanks for taking the time to read my post and any replies,

because for now all I can do is cry,

Shannon

[december_brigette]

hi,

my suggestion would be to get your son an appointment TODAY rather than waiting a month. if your son is making threats against other people - he may very well act on it. please get him help NOW before he hurts himself or someone else.

db

[shannon]

Thanks for your response. I tried calling yesterday but his pdoc wasn't in. That's usually the case there. They are bad about not returning calls too but it is all I have access to due to insurance issues.

Thanks again,

Shannon

[Steve@3AM]

Hi, Shannon.

I feel bad because we all had expressed and felt so much hope prior to his hospitalization.

I know costs are always an issue. And it SEEMS as if MI services are being strengthened in a lot of insurance and other programs. But it still seems incredible to me that after an issue that required hospitalization that there's no follow up for a month!

I read constantly the posts of how long it's taking people to get in to see their pdocs. Maybe THIS is a big part of the reason for the med problems we read so much about. NOT the meds themselves, but the lack of monitoring of drugs that can be so hard to get right for conditions that are so hard to diagnose correctly. You can't wait a month!

I really don't know the system in TX - or any other state - even WA - relative to mental health services other than private (paid for by me!) so this may be inappropriate to suggest. You indicate that you do not work. State aid? Have you considered investigating other areas? Possibly moving out of TX? Do you have family/relatives in TX that you can't leave? Any family in other areas?

Or are there ways to make the system in TX more responsive.

It really sounds like your son needs regular (even more than 1X/week) ongoing therapy and med monitoring (2 separate issues!) if not return to hospital.

Please keep us informed.

Best wishes