Will Ritalin Help Dysphoria?
Dear Dr. Heller,
My 15 year old son has been treated for the last 10 months for symptoms described by you as Dysphoria. He's been given Zoloft alone, Zoloft with Zyprexa, Zoloft with Seroquel all to no avail. He's worse now than ever and weighs 50 lbs. more. Your radio show said something about Ritalin and anti-epilepsy medication helping (he has involuntary movements as if he were fighting in his dreams, mostly when first trying to go to sleep.} Please tell me if Ritalin will help.
We are desperate.
Assuming your son has the BPD, in my experience, Zoloft and Zyprexa is highly unlikely to make a significant impact. Neither is Zoloft with Seroquel. Zyprexa can cause enormous weight gain.
I donít know if he has attention deficit disorder, which is effectively treated by Ritalin. Itís often described as miraculous by patients and their families - if the diagnosis is correct. The official criteria are available at http://www.biologicalunhappiness.com/AD-H-Dcr.htm. "Biological Unhappiness" explains attention deficit disorder at length, in an easy to understand manner.
If he is experiencing chronic dysphoria (anxiety, rage, depression and despair) and is on Zoloft, there is a chance heíll do well with the addition of Tegretol. If he was on Prozac for a week, and was chronically dysphoric, Iím sure the addition of the epilepsy medication Tegretol was added. These anti-epilepsy medications are now referred to as mood stabilizers.
Itís hard to tell what the shaking is during the dreams, but usually treating all the diagnoses can make this go away.