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What Causes Severe Anxiety And Agitation Despite Taking Risperdal?
Question: 23 year old special needs daughter since last Saturday been hollering real loud slamming things down on the table some yelling at me when told to be quite she sprung her ankle 2 weeks ago at home from her day support program some are telling me she is bored.
I really wont an honest answer because she just started this I am the one stuck all day in this apartment listening to her say from 7 30 sometimes gets up 7 50 wont take a nap should I take her to the ER I now am wondering will they be able to deal with her hollering like crazy day support person who oversees program would not return my 2 calls on Friday.
She goes 5 days a week so she has now missed 10 days this month Help before go crazy
I really wont an honest answer because she just started this I am the one stuck all day in this apartment listening to her say from 7 30 sometimes gets up 7 50 wont take a nap should I take her to the ER I now am wondering will they be able to deal with her hollering like crazy day support person who oversees program would not return my 2 calls on Friday.
She goes 5 days a week so she has now missed 10 days this month Help before go crazy
Brief Answer:
Read below.
Detailed Answer:
I read your question carefully and I understand the position you are in.
Bringing her to the ER is an option. They can administer a sedative to calm her down and give a physical check up to evaluate whether there is something physical going on, causing her disturbance.
The other option would be to try to increase the dosage of Risperdal until you can have support, which may help in calming her at least temporarily. I am not sure what dosage to suggest, it depends on what dosage she is currently on and increased very gradually, may go up to 8mg a day. However if you choose this option try to make sure there is not something ailing, check her ankle whether it is swollen, painful on touch, bruised, check for fever, pulse, consider the possibility of belly pain due to no bowel movement etc.
I remain at your disposal for other questions.
Read below.
Detailed Answer:
I read your question carefully and I understand the position you are in.
Bringing her to the ER is an option. They can administer a sedative to calm her down and give a physical check up to evaluate whether there is something physical going on, causing her disturbance.
The other option would be to try to increase the dosage of Risperdal until you can have support, which may help in calming her at least temporarily. I am not sure what dosage to suggest, it depends on what dosage she is currently on and increased very gradually, may go up to 8mg a day. However if you choose this option try to make sure there is not something ailing, check her ankle whether it is swollen, painful on touch, bruised, check for fever, pulse, consider the possibility of belly pain due to no bowel movement etc.
I remain at your disposal for other questions.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
so if I take her to the er what do I say just explain what s been going on should she go to day support on tomorrow which its going on 12 now God knows how long will be there we cannot drive no no need 911 think got cab fare.
Reply soon as you can
Reply soon as you can
Brief Answer:
Read below.
Detailed Answer:
If you go to the ER you simply explain what is going on and say that you are worried for the cause of your daughter's agitation (I am assuming she was calm before), in someone with special needs who is not always able to communicate her symptoms it is difficult to determine the cause of the agitation, might be because something physical is going on and is unable to express it, that is why I suggested it although at the end of the day may result in a false alarm.
As for how long she will be there it is hard to know, depends on the findings, if all results normal may be back in hours, if there is some doubt and tests are needed, then more.
If cleared of course she should go to day support tomorrow.
I understand your difficulty regarding transportation, that is why I suggested the second option of giving a higher Risperidone dose, as I said if physically nothing seems to bother her you may skip the ER and try that.
Let me know if I can further assist you.
Read below.
Detailed Answer:
If you go to the ER you simply explain what is going on and say that you are worried for the cause of your daughter's agitation (I am assuming she was calm before), in someone with special needs who is not always able to communicate her symptoms it is difficult to determine the cause of the agitation, might be because something physical is going on and is unable to express it, that is why I suggested it although at the end of the day may result in a false alarm.
As for how long she will be there it is hard to know, depends on the findings, if all results normal may be back in hours, if there is some doubt and tests are needed, then more.
If cleared of course she should go to day support tomorrow.
I understand your difficulty regarding transportation, that is why I suggested the second option of giving a higher Risperidone dose, as I said if physically nothing seems to bother her you may skip the ER and try that.
Let me know if I can further assist you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank You the reason my concern day support is I feel she would be a dubsturance maybe tomorrow morning take to ER early I was going to email her doctor but its the weekend be tomorrow sometime before she see s it then how long take to answer.
I really do not have the best help around here with her and its sorry nerving listening to her I have said one more time I m going to that ER if I have to be there all night thanks for saying its agitation and she wont sit down which she loves to eat and eat.
Better yet what kind I do for my nerves
I really do not have the best help around here with her and its sorry nerving listening to her I have said one more time I m going to that ER if I have to be there all night thanks for saying its agitation and she wont sit down which she loves to eat and eat.
Better yet what kind I do for my nerves
Brief Answer:
Read below.
Detailed Answer:
I am sorry, I can feel how tired and frustrated you are. I said that she should go to the support group because if she has been confined for these 2 weeks perhaps that has been a trigger for her agitation, may suffer her change of routine.
Regarding what you yourself can take, if you mean something for only a couple of days, I would say either try some herbal products such as passionflower tea or lavender oil, or if not enough and want medication a benzodiazepine such a alprazolam for some days. Benzodiazepines are not to be used long term thoug, cause tolerance and dependence.
I hope to have been of help.
Read below.
Detailed Answer:
I am sorry, I can feel how tired and frustrated you are. I said that she should go to the support group because if she has been confined for these 2 weeks perhaps that has been a trigger for her agitation, may suffer her change of routine.
Regarding what you yourself can take, if you mean something for only a couple of days, I would say either try some herbal products such as passionflower tea or lavender oil, or if not enough and want medication a benzodiazepine such a alprazolam for some days. Benzodiazepines are not to be used long term thoug, cause tolerance and dependence.
I hope to have been of help.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
So God forbid she would take sick again be confined what can I do you mentioned her change of routine well of course home not like day support she was sick a month and I did not see this at all.
I know people have change of their rountine and do not start hollering giggling like crazy I say ER tomorrow morning and give her something
I know people have change of their rountine and do not start hollering giggling like crazy I say ER tomorrow morning and give her something
Brief Answer:
Read below.
Detailed Answer:
Of course not all people start hollering, but since we are speaking of a special needs child it may happen to have inappropriate reactions to changes which might seem irrelevant to us "normal" people.
As I said it is not always easy to determine the cause when the patient can't clearly express him/herself. What we can do is to watch out for signs which might signal some other physical ailment and try to create a calm structured environment. Afterwards we may not always succeed, that is when we are forced to use medication like Risperdal (mentioning Risperdal as available at home, in ER may use other drugs).
I hope the situation will improve soon.
Read below.
Detailed Answer:
Of course not all people start hollering, but since we are speaking of a special needs child it may happen to have inappropriate reactions to changes which might seem irrelevant to us "normal" people.
As I said it is not always easy to determine the cause when the patient can't clearly express him/herself. What we can do is to watch out for signs which might signal some other physical ailment and try to create a calm structured environment. Afterwards we may not always succeed, that is when we are forced to use medication like Risperdal (mentioning Risperdal as available at home, in ER may use other drugs).
I hope the situation will improve soon.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Well just now told her be quite well she got loud teared up and then got up slammed chair down now what if I sound crazy can t cope talking about ER sorry oh well I got to get some piece of mind for myself and thanks for all your answers.
Brief Answer:
You're welcome
Detailed Answer:
I am optimistic it will be temporary, hang on. Wishing you all the best.
You're welcome
Detailed Answer:
I am optimistic it will be temporary, hang on. Wishing you all the best.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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