Neuropsychiatric drugs

I am a child/adult psychiatrist in Austin, TX and I have been treating a boy with Tourette’s for 3 years. Up until last month, he has presented with moderate multiple tics, mostly motor (mouth grimace, eye roll, foot twisting), but he does sniff and grunt sometimes. He also has had some OCD symptoms (wanting symmetry) and some chronic low-level defiance.

I was diagnosed with schizophrenia 24 years ago (I am 43 now). By some standards I would be considered high functioning. I completed a Master’s in chemistry, am married and have a job working nights so I do not have to be around too many people.

My nine-year-old son is currently being treated for Childhood Schizophrenia, ADHD (attention-deficit hyperactivity disorder), and asthma. He also has a severe speech impediment, dyslexia and poor self-esteem. He is being treated with Serevent x2 daily, Azmacort x2 daily, Intal x2 daily for asthma; Risperdal 4 mg daily for schizophrenia; Depakote 250 mg – am & 375 mg – pm for behavior control; and Cylert 38.75 mg daily for ADHD.

My patient has a long history of recurrent major depressions with paranoid ideations that sometimes persist interepisode. His symptoms have hypomanic qualities at times, but are not true mania. He is also a compulsive overeater, experiences panic and has sexuality identity concerns.