Last night was another night of irritability, aggression and anger. A frantic call to the doctor led to the conclusion to skip ahead to Effexor twice a day (37.5mg) (usually it is once a day for a week, first). There was squealing, banging, nakedness and grabbing most of the evening and parts of the night. Literature indicates that Effexor takes about a month to reveal itself as helpful or unhelpful.
He got to sleep in this morning because of an orthodontist appointment. When he woke up he was communicative and engaged. He spoke to a neighbor, fed the cat and had a little breakfast even cleaning up after himself. His orthodontist appointment was quite normal. He spoke and asked questions.
When we got home, he was OK but began to start muttering and gesticulating after about an hour. He then tried to take a nap. I had to go to work but suspect that the degradation has continued.
We see the childhood psychiatric medication specialist on Tuesday. The likelihood of a miracle is quite small.
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