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Psychiatric disorder with tourette syndrome
I have taken my son to see a pshychiatrist after he began getting in trouble at school, cursing at the teachers and became absolutely defiant.  The psychiatrist told me that he had tourette syndrome, ODD, depression and ADD.  He prescribed Ritalin, Seroquil and Celexa.  So, I began the course of meds and my so became a MONSTER.  He was horrible and crying one minute and quiet and sad the next.  I went back to the DR he switched up his meds which included Risperdal which made him a complete zombie.  I guess my question is: How do you treat Tourette Syndrome.  My son does not have any of the "classic signs" of this disease, I was in a state of shock after being told he  had it!  I can assure you and have assured the phychiatrist that every word that comes out of his mouth is completely voluntary and is NOT a tick.  Do they use any of these drugs for tourettes?  At this point I have taken him off of all meds and stopped seeing the psychiatrist. Wouldn't you need to see a brain scan to confirm this Dx?  
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657784 tn?1224658069
I am no doctor but I have had tourettes and OCD since I was 9, I am 25  now.  To my knowledge none of the mentioned meds are generally used to treat tourettes.  Seroquel and Risperdal are both anti psychotic meds usually used for disorders such as Schizoprenia and Bipolar. Some anti psychotic meds are used to treat tourettes, but I have not personally read or heard the two previously mentioned meds being the first used to treat tourettes. I know of haldol being used.  Ritalin is very popular for ADD/ADHD. Celexa is an SSRI which is used for depression and can also be used to treat OCD.

Once again, I am no doctor, but I would recommend getting a second opinion, maybe more thorough.  How many times did your son see the psychiatrist?  If he made all those diagnosis on a single visit, I would a little hesitant. I have learned to always question doctors until you find one you are comfortable with and trust.

Lastly, there is no truly definitive way to confirm tourettes, ocd, or adhd. Certain neurological test can give more answers.  Largely the diagnosis is based on meeting certain criteria.  Just try to learn as much as you can and ask many questions.

I hope this is atleast somewhat helpful. I wish your son the best!
Adam
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       Ritalin and Adderall should not be used with dopamine antagonists like Risperidone, as far as I know. They could affect heart functions. Also, SSRIs are usually not prescribed with stimulants.
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732810 tn?1232133154
OK

First and foremost, Hi. My child was diagnosed w/ TOurettes 2 years ago, and it has been a roller coaster to find the right medicine concoction and many issues with school in between, including a suspension. (Trust me, that is being handled. I have my degree in Special Education so I am taking all the right routes. Next thing you know I will be in court....with the school system..) However, that is another topic.
I go to Duke, the child and BEhavioral Clinic in Durham NC. The dr. there worked a longside another well known Dr. who speaks at the Tourette SYndrome Association Newly Diagnosed seminars where medication is discussed...(I highly reccommend visitng the website: www.tsa-usa.org/   they can send all kinds of info to you. )

But back to the meds. Most Dr.s treat the OCD, ADHD, and Anxiety components of Tourettes more than the Tourettes itself. The less anxious, happier, and less obsessive and compulsive a child is, the less tics they will have thus increasing self esteem which then in turn reduces tics more. Not saying they will go away. I met a lot of people at the conference that have a very difficult time. Cognitive behavioral therapy is highly effective and Habit Reversal Therapy is also highly reccommended. AWESOME info on the website. It is a lot of work and committment for the child. It is really hard to force a child to take time out of their day to slow down and relax. I have had to really strive to create a more relaxing environment at home, and of course, the tics my son has are absolutely annoying to me, which just make it harder to relax (myself) Isn't that the way it goes though? My son is prescribed Zoloft, and antidepressant and a stimulant drug in the amphetamine family. We also have a lof allergies, which caused many of his sniffing tics, so we also take singulair to reduce those tickles which lead to sniffing and clearing of the throat.
I wish you luck and would be happy to talk to you more. This is tough. I keep praying to myself at night that these lessons my son is learning now will just make him a stronger less vulnerable person in highschool.......SIGH. We'll see. We are only in 4th grade now. And I hear tics get worse before they get better after the puberty years. Just know you are not alone and again, write me if you want.
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732810 tn?1232133154
correction: prescribed: Zoloft, an antidepressant, and .....
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Your son is being defiant and saying inappropriate language because the teacher is demanding him to do work he doesn't understand how to do, due to her lack of being able to reach into her toolkit and find what she can use to help her connect with him academically and emotinally. Instead of letting her know he needs help he acts up so he will be removed from the room. This is safe for him because now noone knows he doesn't know the answers.Your son needs to work in small increments of 10 minutes and then allowed a break.He also needs a 1to1 paraprofessional to assist him in school.Once your son is made to feel safe and his confidence is restored his alleged touretts and all his other problems will vanish. I wish him all the best.
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