An email to Kyle’s psychopharmacologist about his aggression…
December 1, 2012
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Now Reading: An email to Kyle’s psychopharmacologist about his aggression…
December 1, 2012
The email below is an email that the wife sent today to Kyle’s psychopharmacologist. This is the doctor who saved Kyle from the 2011 “Summer of Rage” when she prescribed klonopin & thorazine.
He came off the Thorazine a few months back cuz it can bring on seizures in kids who are prone to getting seizures.
Some of the rage has returned, at school it’s getting pretty bad. So the wife figured we should check in with her… Here goes…
Dear Dr. M,
Kyle’s behavior, mostly at school, has been very aggressive for a couple of months. In addition to being aggressive with the adults he has now moved on to the kids. Hitting, kicking etc. Mostly the aggression is just random, not aimed at anyone in particular. His teacher feels it’s something internal. We are trying to deal with this as a behavior issue & not be so quick to increase his meds, but I just wanted to introduce the subject to you.
Should we increase his Klonopin? Go back to the Thorazine? Something else?
Many things can account for Kyle’s aggressive behavior. As you may know, he was hospitalized in early October because his seizures dramatically increased. While there he had a 24 hour EEG & then changed his meds. He has now built up to 750mg of Depacote 2X a day to control his seizures. (In addition to the .5mg of Klonopin he gets 2X a day). The good news is over the past couple of weeks we have not seen any seizure activity. Also, his appetite has increased & he has gained over 2 pounds! The downside is that he is easily agitated & has bouts of aggression throughout the day.
Other things that could account for his behavior is that beginning in September he has a new one to one aide at school, there are now 10 kids in his class when there should be 8…he had hernia surgery on Sept. 19th – missed some school, about 2 weeks later he was back in the hospital for seizures & missed more school, hurricane Sandy = out of school for over a week & without power for a few days…& he missed a couple of days of school this week due to a respiratory infection (for this he is taking 20mg of Prednisone, for 5 days & a round of Azithromycin. (& pretty soon it will be Christmas vacation – so his schedule has not been consistent for months).
Through this we are still working with a behavior therapist for Kyle’s breath holding & now for his other problem behaviors.
So there you go…just wanted to get your opinion…should we wait for Kyle to settle into his new normal?…or do we help him along with some meds?
Hope this note finds you well & as always thank you for your help!
So we will see what she has to say…
That’s it. That’s all she wrote. Another slice of our life…Over and out…
Written byFrank Campagna
I’m a 48 year old neurotypical dad with a 14 year old son with severe, non-verbal autism & epilepsy. I created this blog to rant about autism & epilepsy while celebrating my son who I affectionately call “the king” :-).