Wednesday, April 29, 2015

What a conundrum he is.

Conundrum, riddle or puzzle... Yes that is my son at the moment.

He didn't sleep much the night before last so I wasn't sure if he was going to be able to get up when his psychiatrist showed up yesterday morning. We spoke for a bit before I got my son up. I gave him a quick overview, advised him how to get a more accurate response regarding voices/entities and discussed my concerns about upping the Invega and what our options were.

Then I got my son up. He seemed to respond better with the psychiatrist then with the new nurse and was more alert. My son has known this psychiatrist for awhile now and seems to like him so that probably helped. As I advised his psychiatrist asked him about the entities (rather then do you have voices?) and my son's response was more honest and he replied that yes they are there and that he has voices.

It was agreed that we would try adding Latuda instead of upping his Invega because upping his Invega could have the opposite affect to what we are looking for and it could actually drag him down. We didn't mention losing his libido but I'm guessing the psychiatrist was also taking this into account and that's what he meant my dragging him down. I told the psychiatrist that my son seems to do best on lower doses of two medications and since this is what we are going to try then we seem to be on the same page. We discussed weight gain and I let him know that the only time I have seen this due to medications is on 450 mg of Clozapine. Other then that my son's weight doesn't fluctuate that much. For me this is another reason to keep him on lower doses, if possible, as weight gain could become a reason to be non-compliant and we don't need to give him reasons for that. ;)

The only question my son seemed to have is if the Latuda would help with stress. Yes it will. Some information on Latuda here: Lurasidone/Latuda. I know that I have heard of good results with it and that it can also act like an antidepressant while it is still an antipsychotic which is a good match for my son. I have never seen antidepressants help him. As with his Invega it is an atypical or next generation medication and is what they call cleaner so has less side affects. I'm very hopeful of this combination as being on two medications that are considered cleaner and keeping to lower doses should work out well.

I was expecting that my son would go back to bed after the psychiatrist left. He didn't and in fact seemed to have an ok day. The voices are there but they didn't seem as bad. Yesterday was my hubby's birthday so I thought I would 'try' to bake him a chocolate cake which of course I didn't have. I asked my son to walk to the corner store with me. He asked if he could get two things. It ended up being five things... They didn't have a chocolate cake mix.

When we got back he went up to his room with his treats and got on his computer! Happily listening to the sounds of his computer gaming, I looked through my cupboards and came up with the idea of a vanilla, strawberry and whipped cream cake to make for my hubby along with some double chocolate chip cookies. The cake was a hit! Surprisingly since my baking skills are not so great and as is usual for me I wasn't following a recipe.

While I was in the kitchen I noticed that my son was snacking on things like he usually does when stable. And he was cleaning up after himself! I know! I didn't say anything. Randomly talked to him, joined him outside for cigarettes and gave him a cookie when they were done. Once when he walked by me I commented that he really needed a shower or at least a change of cloths and off he went and put on clean cloths! Minus socks ;)

Hubby came home and was pleasantly happy about dinner. He was really hungry and expecting that it would be something like fish and rice as he knows this type of diet can help my son. However it was his birthday dinner so it was steak, corn on the cob and baked potatoes. My son really enjoys steak and corn on the cob as well so he ate good too. Win win!

After dinner I asked my son if he wanted tea. First he said no then he said yes. I made us all tea, put out all of our vitamins as I usually do and put on our TV shows. Reminded my son that the vitamins were there once then left them alone. A little while later I went to pick them up and put them away and just commented: I guess you don't want these? First he said no then said wait I will take these (picked up the multivitamins), I will take this too (picked up the B50), I guess I will take the fish ones too... So he took them all! It was after 8 so I went and got his Invega which he took then and there.

We all went out for a cigarette and when we came back in I asked him if he felt like taking his Melatonin tonight. He said sure... So I got him two and put them in his room. He was on his computer when hubby and I went to bed. He was eating a candy... I know that may sound like something small however after a week of seeing him in such a negative symptom swing it was a welcome sight and I went up to him and hugged him tight, telling him I loved him. Stumbled over my words as I said something like: It's good to see looking better... or acting better.. or... I paused and finished with: It's good to have you back. He just smiled at me, hugged me back and told me he loved me too.

I think it was around 11:30 that I woke up and checked on him. He was in bed but awake. I asked him if he had taken his Melatonin and he had forgotten so he took them! As far as I know he slept through the night until 9:30 this morning.

PACT called around 9 to see if he wanted to go on there outing today which is I think a trail walk. I woke him up to ask him and he said no. Thirty minutes later when he got up, I brought it up again asking if he was sure. He said he woke up in a bad mood so no. I said ok but it's a trail walk so in nature which you like. He replied with yah I might like that. Call them back and tell them I want to go. I called and left a message stating that if they still had a spot left that he wanted to go so hopefully they will call back. It's supposed to be a pretty nice day out.

So ya... I'm slightly bemused at the change since we haven't added the Latuda yet. He's adjusting to no Olanzapine? I have no idea. I'm just glad to see him functioning a bit better. I know that some would recommend interacting with him more, to pull him out of his head when he isn't doing well but I tend to give him his space to a certain degree. When the voices are bad then I'm just another voice talking to him and I think that can stress him even further. I know I wouldn't appreciate it if I had a room full of people talking at me and someone else decided to chime in ;) I know that doing even minor physical or 'real life' things takes a lot of energy and I don't need to be an extra stimulant for him if I can help it. Just like yesterday... When he is ready and able then I'm there.

I should get going. He asked again about camping last night so I should look into booking something in the relatively near future. I also need to follow up again with disability as the pharmacy supplying his medications still hasn't received his drug cards for March and April.


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