FROM DR. M:
No change from this morning:
Such a plan, if it were carried out, would only be possible (even though still not recommended) in a long-term locked facility with 24 hour medical staffing.
To carry out the plan under any other conditions would simply be a dangerous undertaking.
Stopping the medications removes their neuro-protective effects, and leaves his brain vulnerable to further damage from his illness. This means "re-stabilization" is much more difficult than simply putting the medications back in place.
If through some means the plan were carried out and Bear was no longer on his medications, even if he were to destabilize, he could legally refuse to resume meds, as he is 17 years old. A court order would be required to have him take medication involuntarily. Usually such court orders are not issued unless the individual is imminently dangerous and requires involuntary commitment to a hospital.
In my opinion, Bear lacks the insight necessary to "realize" that he needs medication, even if he is very symptomatic and getting into a lot of trouble.
The plan has no merit and goes completely against appropriate medical guidelines.
This blog is my place to vent and share resources with other parents of children of trauma. I try to be open and honest about my feelings in order to help others know they are not alone. Therapeutic parenting of adopted teenagers with RAD and other severe mental illnesses and issues (plus "neurotypical" teens) , is not easy, and there are time when I say what I feel... at the moment. We're all human!
Thursday, September 16, 2010
Not really a surprise, and he makes some good points, but now what?