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Friday, September 26, 2008 BusyMom asks

Q: Medication stop working?

Can a teens medication for depression stop "working"?  My 14 year old son has been on Prozac for almost 2 years and for the past 6 months he has a very hard time waking up in the mornings, has missed many months of school because he's too tired to wake up, usually gets 12-15 hours of sleep per night and still too tired to wake up.  Recently he's been sick with upset stomach and the Dr. can find no medical reasoning behind his illness.  The Drs. says he's worrying about something and I tend to agree, but am wondering if I should ask again about changing his medication.

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Answers (2)
9/26/08 6:49pm

Hi Mom:

Meds can stop working for depression in anyone, but it is not unusual for adolescents to find that happening earlier and more frequently. Prozac and other SSRI's can be useful for a few years, then people often "graduate" to a SSNRI, such as Effexor or Cymbalta. Since he was very young when he started, he may have to "grow through" medications until he finds one that will work longer.

There are two concerns that I would have for your son. Boys, when depressed, often aren't willing to tell others when they are having "bad" thoughts. I do hope he's in some kind of counseling. If not, I strongly suggest you get him into therapy with a professional. You can find one at Psychology Today. And, don't take "no" for an answer. I know that boys can be difficult to get into therapy, but once they are there with a professional who they can relate with, they never seem to stop talking! That's a great thing. I love treating adolescents because I find them so very easy to work with.

My other concern is that we have seen a rise in children hurting themselves while taking antidepressants. That is by no means to say that they shouldn't be medicated, but they should be in therapy while medicated.

 

Best of Luck,

Dr. Diana Walcutt

 

*Dr. Walcutt is a Psychologist. Dr. Walcutt's answers are not intended to diagnose or treat any medical or mental disorder. Any information given in a post about medication is for educational purposes only, and primarily to aid you in having an informed discussion with your own Psychiatrist/Physician.

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9/26/08 2:43pm

My meds quit working for me a couple years ago.  I didn't realize it at first, and then one day I was coming up with plans to end things.  That was an eye opener for me and I finally talked to my psychitrist.  We played with different meds and dosages until I started to feel better.  It took some time for everything work out, so be patient and keep your appointments with the doctor.  I am doing better now, but as always it is a day to day thing.

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