Seroquel or Abilify?/ Someone plz reply!!

jk, the ER docs won't laugh, you have documented proof of these things, (good darn idea BTW).  There is nothing funny about dangerous kids with serious mental illnesses.  They DO take those kinds of things seriously.   He has a definite diagnosis, he is out of control, he is harming people, you can't control him, what more do they need to admit him.  Nothing.    The ins. co has no say if an ER doc says he should be admitted and they will make room for him or refer you to another facility. 

Please take him, the hell with ins co, they HAVE to pay, they just like to scare you.     

Ok I called the hospital that he will be going in today, they say the same if push comes to shove and he is uncontrollable to take him to ER, if we can wait til monday without going to ER to take him to the hospital he would be in on monday and the would do a phychological assesment on him, and determine if he needs to be there, and if so if he would be inpatient, or intesnnse outpaitnt, 6hrs aday everyday. My biggest fear here is that if he ispresenting well while we are there that they are goignto blow me off and send us home, will they take my documents into consideration, and speak with me. Or just go on what they physically see in him that day? this mornng went a little smoother yesterday evening his father, and I told him, you have two choices, you can sit inthe back seat and keep your windows closed, and let your sister sit up front, or she will remain in the back seat and can open both the windows if she wishes, he chose to sit int he back seat with the windows up. the odd thing is that when her bus picked her up, and he came up to the front seat where both windows were open, he didnt shut the window next to him. So if didnt bother him then why should it be bothering him for her to have the back window open that is not even next to him?
Yestrday evening he was manic in a creative sorta way I guess, he wanted to draw a flip cartoon, and have me make sound effects, and his father video tape it, and he beleives that when he grows up he will be a cartoonist ( and he might be, he is very artistly talented, he may be right), but he became upset when I had to lie down as I am not feeling well, s I ruined his plans, but his father got him into cutting the grass on the ride on lwan mower to earn soem money, so helped me out, and gave him somethng constructive to do. So unless something drastic happens between now and monday I am gonna take to the phyhciatric hospital monday for assesment, if he becomes violent I will go the ER route. He kept his meds down last night, as He had became sick the night before and threw them up, but the odd thing is he did not eat much last night, and he is a big eater. Anywas I will keep posted as to what happens this weekend, thanks for lsitening to me ramble and vent....

Thanks Shannon I hope I have a restful weekend too, he had a friend over tonight for awhile so that was good, and he will haev another friend over tommorow for the day so that is good too, firend are good therapy for him,. but he can really only handle one friend at a time, too many over stimulates him, and in sports that he has been involved in over the years he loses interest, to overwhemling for him, last year he was in foootball, cubscouts I guess now he would be a boyscout weblos if he stayed in it, but 3 yrs was long enough for him, and he was and still is in focus a gifted class, so last year he had too much on his plate and was having severe migraines, so this year he elected to not go out for sports, but wished to remain in the gifted class, but we still need to come up with consturctive things to do. I will keep you posted, thanks for your help and support......

Hi Shannon some improvements, especially with the Abilify added to the seroquel, i really feel seroquel was doing nothing, but I think the abilfy dosage will have to be raised as he is only on 10mgs, average dose is between 15 and 30, doc said well he is a child, I havent siad anything yets but he is a child as big as an adult, hes about 5 feet and 3 inches and weighs 135 pounds, I know smaller adults than that. So I thinking when we go back next time to bump him to 15 and see, its still a bit touch and go, but I am defianlty seeing improvement, which is somthing we have not seen in a while, sorry I have not psoted a whole lot, have got a new job as a preschool teacher for 3 year olds, and I have a lot plan and learn, been real hectic, I need to see pdoc of my own, not the one my son is seeing, wish I couls switch, but am pretty limited in my choices, as these folks were the only one that were accepting children that are withing a 150-200 miles form we that are on my insurance. there are other docs clsoer on my insurance they see children but none are accepting patients, so I am kinda stuck with what I got, but hopefully my choices wont be so limited for me, as I am an adult, so hopefully there will be more aorund at least accepting adult patients, I will pray anyway!! I want to ask a pdoc about me taking seroquel to sleep, as he is on one hundreds now, wonder if the 25s left over i could use to help me sleep, I will not take without asking a doctor first, but I knwo others have had luck with it helping them sleep without too many side effects. And i desperatley need sleep, i have tryed tylenol pm it has the exact oposite effect on me, I end up awake in bed the whole night. Anywas thats an update on my son for now, will let you know how he progresses, thanks again for you support and caring...

Thanks Shannon for the info, I will ask about the seroqulel, I have a gyno appt with a new gyno on monday and will run it by him, but I am being told that as being a gyno he may not be able to prescribe it, although I have some of the left over 25s, and if they work I would need a refill of course, but this gyno specializes in IC and I have that, half the reason I dont sleep besides everything else goign on, but I have cysts and fiboids as well, regular gyno does nto specialize in al these areas, he more of an obstertrician, and the urologist tryed eevry over active baldder med on me they all made worse, and there what they call dmso instill, that made worse, so i called around my area still I found someone who speiclaizes in it, it was hard to get in too, I am hoping he can help me. I dont actually start teaching til the 6th of sept, so hopefully I will feel a little better by then. Thanks again for the help....

Thanks ckgMD fo you info. Yeah I am aware of the side effects, unfortunatley, if seroquel alone is not helping him what good will it be, I have to whey the benifits againts the risks, and being bipolar him not being medicated on somehting thats going help stabilze him so he can be happy, and function, the potential of him not being on the abilify is worse then him being on it, if you know hat i mean, he has tyed to jump off our deck which is 15 ft hihg, he has jumped out of my moving car, he abuses his younger sister etc, suicide is a more of a risk with him not being medicated. What do you think of depakote as opposed the abilfy, I am aware of those side effects as well, and its been around for a while, I value your opinion on this, as the docs are telling the abilfy is safer than the depakote, which I am not in total agreement with them, as we at least know the long term effects of depakote, and we do not know the long term effects of abilify. Do you think depakote would be a better alternative then the abilify? As far as the seroquel it alone is not doing what it needs to do, so he needs something else to stabilze besides seroquel alone, and depakote would be my alternative to abilify, but getting the docs to agree with me is like pulling teeth. So others opions are valuable to me. But since right now the abilify is actaully helping I have to keep him on it, as he is feeling better and admits it. We were to the point of hospitlizing him a few weeks ago, and then the abilify was added, and its improving his outlook. Please let me know wha tyou think about the depakote as opposed to the abilfy, thanks so much...