View Full Version : I need to vent..ADHD/ODD/IED son


jlscott252
07-28-05, 02:52 PM
I have a 9 yr old son, whom was dx'd with ADHD combined type, ODD, and intermittent explosive disorder. On top of the ADHD, he's been mouthy, rages, hits, does not want to follow rules, and tries to negotiate about EVERYTHING. It seems to be getting worse. He loves to annoy his sibling, and tries to manipulate my husband and I. Right now he is med free, because of weight issues. He loves to intimidate his brother, and tease him to no end. Yesterday, he decided to try and grab one of our cats tails, and chase after her, and scare her. He's done this before. I threatened to get rid of her, if he isn't nice to her, or the other one.

I have my hands full..also, he is really impulsive, and needs to be watched CONSTANTLY.

Anyone else, with a ODD or CD child, that can relate????

sgolden5374
07-28-05, 08:44 PM
Yes, I can relate. That is precisely why my daughter doesn't go on med vacations. She is quite underweight but since my husband is out of the country and I am parenting alone I have convinced the docs not to take her off meds. If she was off of them I'd have to be hospitalized for sure.

A suggestion for you on the weight issue...

SCANDISHAKE (http://store.axcanscandipharm.com/mm5/merchant.mvc?Screen=CTGY&Store_Code=ASOS&Category_Code=SCANDISHAKE)calorie-rich shake mix is designed to assist patients who need to gain or maintain weight. A 3-oz serving of SCANDISHAKE powder mixed with 8 oz. of whole milk makes a 600-calorie milk shake. Each 12-oz. box contains four 3-oz. envelopes.

SCANDICAL (http://store.axcanscandipharm.com/mm5/merchant.mvc?Screen=CTGY&Store_Code=ASOS&Category_Code=SCANDICAL)Calorie Booster is a taste-free powder that quickly and easily adds 35 calories per tablespoon to your meals, without changing the taste of the foods you love. SCANDICAL comes in portable, 8 ounce, shaker-top dispenser cans, conveniently allowing you to add calories to individual servings and eliminating the need to prepare separate, high-calorie meals. SCANDICAL mixes easily with almost any food or beverage, hot or cold, right at the table. To help you gain or maintain your weight, sprinkle SCANDICAL Calorie Booster on all your favorite snacks and meals. SCANDICAL is gluten-free and certified as kosher.

I have yet to order these for my daughter, but since it doesn't look like she's gaining any weight this summer I am going to immediately.

Good luck and you are not alone!

jlscott252
07-28-05, 09:46 PM
Stacey,
They would be great, for him. I think we're going to order some. It's been really tough, having him off the meds. The only good thing, is that he's gained 10 lbs, being off the meds. The psychiatrist and pediatrcian decided to pull him off, because he was always in the 5th percentile, and he started dropped below the 5th.

That has to be really tough, parenting alone. Is your husband overseas in iraq?

Thanks for replying and for the info!!.

sgolden5374
07-28-05, 11:07 PM
Yes, my husband is in Iraq and isn't due home until Nov. or Dec. if then. And it is really hard. I have already moved once since he left and will move again next month. Talk about stressful!

Anyway, I am glad I could give you some good info. And, hopefully you little guy will put on enough weight to get back on the meds soon and save your sanity.

Nucking_Futs
07-29-05, 07:54 AM
Hey, could you help me find more information on IED? You could have been describing my son's outbursts lately. I was thinking more along the lines of puberty but his outbursts are extreme.

I'd like to go to his next therapy appt. armed if you know what I mean so I can ask the right questions.

jlscott252
07-29-05, 05:06 PM
Cherity,
Enclosed, is information I found on the web, that can explain what it is. I hope it helps. If you have any questions, feel free to ask.

Intermittent Explosive Disorder

Many psychiatric disorders are associated with impulsive aggression, but some individuals demonstrate violent outbursts of rage, which are variously referred to as rage attacks, anger attacks, episodic dyscontrol, or intermittent explosive disorder. Intermittent explosive disorder was first formally conceptualized as a psychiatric disorder.

http://www.psychnet-uk.com/dsm_iv/images/bullet_grey.gif On several occasions the patient has lost control of aggressive impulses, leading to serious assault or property destruction.

http://www.psychnet-uk.com/dsm_iv/images/bullet_grey.gif The aggression is markedly out of proportion to the seriousness of any social or psychological stressors.

http://www.psychnet-uk.com/dsm_iv/images/bullet_grey.gif No other mental disorder or personality disorder better explains the symptoms.

http://www.psychnet-uk.com/dsm_iv/images/bullet_grey.gif These symptoms are not directly caused by a general medical condition or substance use, including medications and drugs of abuse.

Associated Features:
Head Trauma (http://www.psychnet-uk.com/clinical_psychology/clinical_psychology_cognitive_disorders1_alzheimer s.htm)
Psychotic Disorder

Differential Diagnosis:

Some disorders have similar or even the same symptoms. The clinician, therefore, in his/her diagnostic attempt has to differentiate against the following disorders which need to be ruled out to establish a precise diagnosis.
Alzheimer's Disease (http://www.psychnet-uk.com/dsm_iv/alzheimers_dementia.htm)
Antisocial Personality Disorder (http://www.psychnet-uk.com/clinical_psychology/criteria_personality_antisocial.htm)
Borderline Personality Disorder (http://www.psychnet-uk.com/clinical_psychology/personality_disorders_borderline1.htm)
Conduct Disorder (http://www.psychnet-uk.com/dsm_iv/conduct_disorder.htm)
Attention-deficit / hyperactivity disorder (http://www.psychnet-uk.com/dsm_iv/attention_deficit_disorder.htm)

Cause:

Although the prevalence of intermittent explosive disorder is unknown and considered to be rare, the disorder is probably more common than realized and may be an important cause of violent behavior. As presently defined, intermittent explosive disorder is more common in men. However, women also have problematic impulsive aggression, and some women have reported an increase in intermittent explosive symptoms when they are premenstrual.

Treatment:

These patients often need psychological treatment along with medication treatment, and it is often very helpful to base their psychological treatment on addiction-based models.

Counseling and Psychotherapy [ See Therapy Section (http://www.psychnet-uk.com/psychotherapy/psychotherapy_index.htm) ]:
Biofeedback (http://www.psychnet-uk.com/psuedo/biofeedback.htm) has proven quite effective

Pharmacotherapy [ See Psychopharmacology Section (http://www.psychnet-uk.com/addictions_and_drugs/psychopharmacology1.htm) ] :

Studies suggestthat patients with intermittent explosive disorders respond to treatment with antidepressants such as tricyclic antidepressants and serotonin reuptake inhibitors (SRIs) and mood stabilizers such as lithium, carbamazepine, and divalproex. Psychotropic medications used with Intermittent Explosive Disorder.
Carbamazepine (Tegretol and others).Divalproex (Depakote).Fluoxetine (Prozac).
Gabapentin (Neurontin).
Lamotrigine (Lamictal).
P henytoin (Dilantin).
Sertraline (Zoloft).
Venlafaxine (Effexor).

He's very impulsive. He is very touchy, rages, hits, throws things, yells, screams...(((sigh))) very difficult to deal with, when he gets like that.

Lisa

centaurmyst
09-28-05, 10:50 PM
I have a 9 yr old son, whom was dx'd with ADHD combined type, ODD, and intermittent explosive disorder. On top of the ADHD, he's been mouthy, rages, hits, does not want to follow rules, and tries to negotiate about EVERYTHING. It seems to be getting worse. He loves to annoy his sibling, and tries to manipulate my husband and I. Right now he is med free, because of weight issues. He loves to intimidate his brother, and tease him to no end. Yesterday, he decided to try and grab one of our cats tails, and chase after her, and scare her. He's done this before. I threatened to get rid of her, if he isn't nice to her, or the other one.

I have my hands full..also, he is really impulsive, and needs to be watched CONSTANTLY.

Anyone else, with a ODD or CD child, that can relate????

Don't make threats unless you are 100% willing to follow through with them. Doing that only makes your job more difficult. Do NOT argue with your son. That is a reward for a child with ODD. Your best bet is to remove yourself and his siblings and animals from his presence when he's acting out in a way you find unacceptable. You must be consistent and keep your cool. I know it's hard, but if you don't learn to do these things now when your son is small you're going to have a horrible time when he becomes a teenager and is big enough to unleash a lot of damage on the family.