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Violent thoughts and SIB: tics or OCD?

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  • Violent thoughts and SIB: tics or OCD?

    My son, who has TS, ADD and ODD, makes violent dreams where he hurts himself and members of our family. In the daytime, he happened also to have violent behavior where he tried to strangle himself or grab a knife to hurt himself. It came by periods: several weeks where he would think about knifes, and another period of time where he had strangulation thoughts. The doctors concluded that he is not depressed because he eats well and sleeps OK. My son says that he's not sad, that he's just doing that "because he's silly". I'm wondering if this is OCD in the form of obessional violent thoughts. Could this be caused by his medication? He's currently on Strattera and Risperdal. Thanks in advance!

  • #2
    Re: Violent thoughts and SIB: tics or OCD?

    The doctors concluded that he is not depressed because he eats well and sleeps....He's currently on Strattera and Risperdal.
    Did these behaviours begin after the medications began or before starting the Strattera and Risperdal?

    Was your son evaluated by a pediatric mental health specialist and is it a specialist who prescribed his medications?

    My understanding of the prescribing information for Strattera is that the manufacturer warns against the potential for aggressive behaviour or hostility in children taking Strattera as well as the emergence of new psychological symptoms. It would therefore be prudent to report these bahaviours to the prescribing physician, and to ask if a dosage adjustment or other change in medication might be indicated.
    Steve
    TouretteLinks Forum

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    • #3
      Re: Violent thoughts and SIB: tics or OCD?

      Those behaviors had started before the Strattera, but he was taking Biphentin at that time, which didn't seem to be the right medication for him because it increased his tics.

      Yes, the medication was prescribed by a specialist, a pediatric psychiatrist. My son has been assessed in psychiatry by the Montreal Children's Hospital.

      Thank you for the information, we have a medical appointment next week, and I'll talk about it with the doctor.

      Thanks!

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