13
Feb 25

Understanding Breakthrough Symptoms

anxiousteen.jpg“Help your teen track the frequency of a breakthrough symptom so that the psychiatrist can determine if things are worsening or remaining steady.”

You may be worried if your teen experiences breakthrough symptoms while on their medication. For example, a teen might have some depression every afternoon even though their antidepressant has worked reliably for several months. A teen with schizophrenia who has found peace on an antipsychotic may hear a voice once every two weeks. While this may worry you, chances are that a reliable medicine will continue to be serve your teen well. First, check to make sure of the following:

  • Is your teen taking the medicine at the same time every day, never missing doses?
  • If your teen takes more than one dose per day, are the dose times evenly spaced so that there are no gaps in the activation of the medicine?
  • If the medicine requires that food be taken along with it, is your teen consuming a sufficient number of calories?
  • Has there been additional stress in your teen’s life?
  • Has your teen grown and needs a dosage adjustment?

Some teens choose to live with occasional breakthrough symptoms, especially if the medicine is generally agreeable and the symptom is not too bothersome. For example, the teen who feels a stab of depression every afternoon may be able to shake it off with a short walk. This may be preferable to dealing with a higher dosage that may incite an undesirable side effect.

Help your teen track the frequency of a breakthrough symptom so that the psychiatrist can determine if things are worsening or remaining steady. See if your teen can identify a way to cope with the symptom. If your teen is worried about it, call the doctor. A teen who has been through a hard recovery may be scared and need the reassurance that they’re not relapsing.


07
Feb 25

If You Know a Hurting Teen and Want to Help

Sad Body with Backpack“…you could be saving a life…”

Perhaps your teen has confided in you that he’s concerned about a friend who seems to be suicidal. His parents refuse to do anything about it. There are a couple of strategies you can use here. If the teen is in immediate danger, you can call 911 with the teen’s name and address and they will send an ambulance to his home. Drastic measures, granted, but you could be saving a life.

If the teen is not in immediate danger, you can call the school counselor, asking to be kept anonymous. Do not wait a few days to do this since the situation can change quickly with teens. All it takes is a rip-roaring argument with a parent to send a teen from depressed to suicidal, and you don’t know what is going on in his home. Try to follow up with your own teen to make sure that an intervention involving the parents occurred. If your teen reports that his friend’s parents are not following through with treatment, call the school counselor back. If you are not satisfied with the counselor’s response, you can either call someone at a higher level in the school district or Child Protective Services.

If it is summer and the teen is not in school, try to get the name of his pediatrician. Give the receptionist the name of the teen and explain what you know. Again, you can choose to  remain anonymous. The doctor may not be able to call you back, due to confidentiality laws, but he can call the family.

After you have done your part, it is time to disengage from the drama. Tell your teen that he did the right thing and to let the family take it from there. Give them privacy and move on, knowing that you did the right thing.