Both boys met with the psychologist today, and the psychiatrist reached me as I was driving away from the appointment. The psychologist said that if the aggression was stemming from anxiety rather than ADHD/PTSD, then the Zoloft would work. Middle Child had mentioned last month that he has anxiety symptoms, and I suppose the psychiatrist remembered when she recommended this change. So the Zoloft is appropriate, and safer, than the Clonidine ER.
The psychiatrist wants the Clonidine to continue. So I am layering them, starting one over the other, and if the Zoloft shows an improvement, I will taper off the Clonidine ER. This way if there is no change then he is still on the Clonidine ER, rather than nothing. I hope it takes.
Today Middle Child talked to me a lot about psycho killers and people who get violent for no reason. He developed a fascination for guns out of nowhere (today!) and apparently has been playing “army” with a new friend. A NEW FRIEND from school, in his class. This could be the cause of his constant triggering, his relapse into aggression. A child who has been traumatized with war scenes and slapped around by a guerrilla fighter of course would be affected by this. I reminded him that playing army is not good for his brain, and asked him to play other pretend games instead. He seems to be in agreement, but I am not sure if I trust him to do it. He has been a bit evasive lately on all matters school, to hide the trouble he is having with it.
Today he was so hyper before bed that I let him run around the building ten times. I think he walked some of those times, but hopefully it helps. Right now he is splashing in the tub. I want it to relax him enough that he can get to sleep on time. Tomorrow is Saturday and we are going to be out having fun all day.
This is how I used to do it, keep him out of the house, always busy, frequently fed. It was exhausting, but it cut down on the fighting and there were no injuries, no bad memories formed of each other. I did this for a few years, and this year I did not have to, thanks to meds. Meds that do not seem to be working right now. The skills therapist told me that sometimes just before a growth spurt hormones can rev up out of control and make the meds seem ineffective, that many parents complain about behaviours that settle back down after a shoe size has increased. I hadn’t known that before.
We made a plan for the weekend, each boy has agreed to leave the other alone during computer turns, which is where I find the frustration escalating. They have to be in separate rooms during computer times. I hope I can get it all done and find time to cook, too, without having to constantly police them. I don’t want any more fits and crying like last weekend over the lack of control and consequences for such behaviour. It’s not fair to be six and to be so upset.