Question
My 14 y.o. daughter was prescribed Paxil for anxiety prior to receiving an Aspergers diagnosis. She has taking the meds for about 6 months and the dosage has been increased from 20 to 30 mg. She has become increasingly verbally abusive outside the home to authority figures and was hospitalized for suicidal ideas recently. The doctor at the hospital suggested we change her medication, however her outpatient doctor has "no problem" with Paxil, should I get a second opinion?
Answer
I would definitely get a second opinion (preferably from a Child and Adolescent Psychiatrist with experience in working specifically with Aspergers individuals). Paxil is used to treat depression, obsessive-compulsive disorder, anxiety disorders, post-traumatic stress disorder, and premenstrual dysphoric disorder. Now that your daughter has the diagnosis of Aspergers, other treatment methods should come into play, for example, cognitive-behavioral therapy, parent education and training, social skills training, and educational interventions.
My Aspergers Child: Preventing Meltdowns in Aspergers Children/Teens