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Addison's Disease and Behavior
My 13 year old son was diagnosed with Addison's Disease and Hypothyroid two years ago this May.  He is currently taking .05mg Levothyroxine; .1mg Fludrocortisone (2x per day); and .5 mg Dexamethasone (1/2 tablet 2x per day).  Since his diagnosis, his grades have declined, he seems depressed, easily agitated and has had minor but frequent discipline problems at school.  We had him evaluated by his pediatrician and a psychologist for ADHD/ADD and they both concluded he does not have that.  Lately, he has had very angry outbursts and his pediatrician thinks he may be bipolar.  We have an appt. with a child/adolescent psychiatrist next week.  His pediatric endocrinologist does not think there is any correlation with Addison's disease, his medications and the changes in behavior that have occurred.  Also, his school has not been very accepting/accommodating of his condition.  I am concerned that he may get a false-positive diagnosis of bipolar disorder when I think that maybe the Dexamethasone may be the problem.  Again, his ped. endo insists that since his levels are all normal on his current medications, it is not the problem.  My questions are:  (1) Can emotional stress have any effects on a child with Addison's Disease?  I know physical stress can.  (2) Have other experienced this type of behavior change after diagnosis of A D?  (3) Any helpful questions I can ask the psychiatrist when we go for our initial visit?
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