Ok, so now the psychiatrists/psychologists are leaning towards bipolar disorder for my 4 y/o son. I thought he might be Asperger's but he doesn't fit that like he did when he was about 2.
We started risperdal 0.25mg QHS a few nights ago. He is really aggressive at times. Hurts others, himself, damages property...etc. I've tried all kinds of discipline, interventions, etc...and, I finally realized that he needs medication. That was an awful decision but if it makes his childhood better then it's worth it.
Any suggestions or info on risperdal in children? I've used it plenty of times on the elderly and mentally retarded but kids are different.
Doc told me to keep an eye out of tardive dyskinesia.
Aug 28, '04
I think that's on the young end for bipolar diagnosis, and I would be very leery of having a child that young on Risperdal--or any other anti-psychotic. I am speaking as a parent who has done research, not as a nurse. We took my 13 year old off Risperdal, tried Geodon and took him off of that because the side effects are not worth it at this time. I would try everything--and I mean everything up to and including inpatient treatment--before using that drug on a 4 year old.
I also wanted to add a thought here...
My now 5 year old was absolutely off the wall from the time he was about one until he was 3. Could pitch horrible screaming fits for up to 6 hours without stopping, would hurt himself, was totally out of control. I took him to therapy, I took him to doctors, and we finally got an answer. One thing that was a problem was anxiety--he was diagnosed with Separation Anxiety Disorder. The other thing was allergies. We had him tested and we also kept a food log. We were able to determine that certain foods seemed to trigger some of these episodes for him, and it wasn't things like red dye or gluten that you hear so much about. For him it was V8--that would set him into a 2-3 day long line of bad problems, strawberries, eggs, soy, and milk. When we removed those from his diet, his behavior improved. Honestly it was almost magical. We did treat the anxiety disorder with zoloft for about a year and gradually weaned him off that. He is now in Kindergarten and comes home with "crowny faces" for behavior each day--something we wouldn't have believed possible when he was 2.
My point is to make sure you have checked out all possibilities.
Last edit by memphispanda on Aug 28, '04