Diagnosis Code 296.7

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Two weeks ago, Keri scratched her arm up because she did not want to go to sleep. During that same week, she acted up on the bus – she refused to have her sealt belt on. Keri was then climbing all over the seats and hanging upside down – she did this twice. These two times, I was not on the bus, but she was with someone she was familiar with.

Last week, Keri has been a bit off the walls with her behavior. On Monday, she grabbed my upper right arm and squeezed – leaving a nice size bruise on my inner arm. Also, I have a few nice scratches to go along with it. This happened on her bus on the way home from school. Nothing really provoked other then the insistance of getting her ears peirced.

Tuesday morning, she was at her grandfather’s house before school – like every other morning for the past 4 years. She sat on his couch yelling and crying for 40 to 45 mins to “burn the house down” over and over again. (Yikes!!! She has never said that before!) All the while trying to bite her leg – which is another thing she has never done. I walked into this happening. Then she is ok on the bus and had a good day in school.

I called her psychiatrist to scheduled an emergency appointment for this past Wednesday.

The past three weeks, her behavior has been spotty at best. At first, I thought it was partly do to normal preteen/teen defiance, hormones, and the end of the school year. However it is more then that…

Wednesday, I took Keri to her doctor’s appointment. In the car, Keri was calm but kept saying “Burn the house down”. I asked her “Who’s house?” She then said “Granddad’s”. When asked why, Keri responded “Because police are mad!”.

We got to the doctor’s only to hear from the nurse and the doctor “I have never seen her like this.” The doctor also said if her behavior continues like this, then I will need to take Keri and have her hospitalized.

In the mean time, the doctor diagnosised Keri with Bipolar. Keri was prescribed a new medications of tegretol.

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The pharmacy was unable to fill the new prescription on Wednesday. So Keri had to wait until Thursday to get the new medication.

Thursday, on the bus in the way home, Keri had another hard ride. She started to kick the metal divide and kicked it hard enough to make it pop out. Then she started to scratch and bite me. I had to restrain for the rest of the bus ride.

When we got home, she had the first dose of her new medicine. So far we are now on day 5 of the new meds. It has not helped. She is off in her own little world and seems worse. 

But this new diagnosis helps to explain the highs and lows in her behaviors. It is made more difficult with Keri’s already existing diagnosises of Autism, ADHD, and the mild intellectual disability.