Thursday night was rough. B came in from outside just furious, according to him, another child’s dad had yelled at him and threatened to “kick his a##”. He was insistent that we talk to his other friend who witnessed the whole thing. Donovan & I talked it over, what do we do? We know that B sometimes perceives things as more threatening than they are, and that when that happens, it’s real to him, nothing we do can change his mind about it, he’s completely inflexible about it. We thought about going over and talking to the parent, explaining what is going on, we just weren’t sure. There is such a stigma with this disorder, people hear “Bipolar” and think horrible things. It’s not very well understood by doctors yet, so it’s definitely not understood by most people who haven’t’ dealt with it. I don’t know if we’re ready to educate the neighborhood at this point though, we’re still learning! Donovan had to run to the store, and on his way, happened to see the other little boy outside playing. He asked him what had happened, and he said that the man had come out, told them to leave his daughter alone, and get off his property. He wasn’t yelling, didn’t swear or threaten anyone. Again a case of feeling threatened and locking onto that, needing that control over the situation. When Donovan got home everything was fine, B had calmed down and was playing w/ his brother. A little bit later though, everything exploded. B had yelled at D for something and D asked him to leave his room, at which point B totally lost it. He was furious, cussing, calling names, the whole nine yards. He was not being physical at least, and we were so thankful for that! From that point on though, he was being very defiant and angry. He didn’t want to shower, he didn’t want to go to bed. We told him that he needed to calm down, and take a break. He wasn’t being physical so we left him alone. The next thing you know, he’s in the shower. I went to tell him it was time to get out, and he had no towel. When I asked him about it, he fell apart crying that he was sorry and just stupid. I reassured him as best as I could, and he got out. Then he was ok for the most part.
Yesterday the psychiatrist had us increase B’s dosage on his new med to 2x a day. She received the blood work back, and his level was at a 0.3, therapeutic levels are around 1.0-1.2. So now he is getting 300mg of Lithium in the morning, and again in the evening. Hopefully this will get him where he needs to be and we’ll start seeing more stability and control. He started getting the increased dosage yesterday.
The kids went to their dad’s today. They were all excited about going and seeing him and their little brother. They are supposed to go to a place that’s kind of like Malibu Castle. Hopefully it won’t be too much for B to handle. He doesn’t usually have episodes at his dad’s, but I think the stress of holding it together there is rough on him, and we’ve usually got a rough day or two when he gets home. We shall see how it goes!