Antipsychotics being prescribed for babies and toddlers
December 21, 2007 by ElfNinosMom
It is a disturbing trend, and apparently quite trendy in Florida, for doctors (pediatricians in particular) to prescribe antipsychotic medication to children under the age of five. Some of those children are age zero, which of course means that they are infants.
However, there is no proof that psychosis can be diagnosed at all in children that young, and the drugs in question have never been approved for usage in children, much less very young children. Even cold medications have been withdrawn from distribution for children that young, so what on earth makes anyone believe they should be given something so dangerous? The only approved usage of any of these drugs (Risperdal) in children is to treat aggressiveness in autistic children.
Are there 19,000 autistic children under the age of five in that state, who are so aggressive that they must be medicated? No, of course not. Instead, pediatricians are prescribing these potent and extremely dangerous medications to children because they have have been diagnosed with ADHD.
Show me one healthy child between birth and the age of five who doesn’t have a short attention span and who isn’t overactive. That child does not exist, because it’s part of being that age, it’s normal. Should all children therefore be given antipsychotics? No, of course not. So, why are these doctors prescribing undeniably dangerous medications to children who are acting normally for their age?
Antipsychotics are major tranquilizers (Valium and other drugs generally referred to as tranquilizers are actually minor tranquilizers). While originally developed as an anesthetic for surgical procedures, they are now given to people with the most severe mental illnesses, those who have trouble differentiating reality from fantasy. Examples of psychotic disorders include schizophrenia, mania, and delusional disorder.
It would therefore mean that doctors are taking normal childhood imagination and interpreting it as a mental illness requiring the most potent psychiatric medications; in some cases, they may be misdiagnosing these children, because legitimately strange behavior in children is almost always caused by seizures.
If we assume that these children were screened for a seizure disorder and tested negative, it goes to follow that we are forced to imagine that there are 19,000 children under the age of five in Florida who are constantly finger painting depictions of knife-wielding maniacs and other gory scenes, or attacking others with weapons, with the intent of killing them. Anything else would fall well within the bounds of normalcy for that age (including talking to people who aren’t there - in adults that is called psychosis; in a child, it is normal, and is called “imaginary friends), and we certainly do not need to give very young children any drug originally developed as an adult surgical anesthetic.
It is also important to note (this part is not surprising) that pediatricians and family doctors are not trained to properly diagnose psychiatric disorders, and therefore are not qualified to treat psychiatric disorders. If a child has a suspected psychiatric disorder, they should be seen by a psychiatrist or a psychologist who is specifically trained in treating young children, and not just medicated and sent on their merry way to live out their childhood unable to function normally due to being given major tranquilizers on a regular daily basis intended only to control their behavior.
I very strongly suspect that, with the exception of a handful of children who actually do have autism with aggressive features, doctors prescribe these drugs to low-income children whose parents complain and worry incessantly about their children’s normal behavior. Some of those parents simply can’t deal with an overactive toddler, and some of them make up things in order to run a scam to collect disability checks for their children. Some of these parents undoubtedly have Munchausen’s Syndrome by Proxy. There are a lot of very sick parents in this country who intentionally harm their children for personal gain, after all. No reasonable parent would ever agree to giving their children a drug which isn’t even approved for children, and which causes serious and many times life-threatening side effects even in adults, when the only reason for prescribing it is to control behavior.
What I fear the most is that we are creating a generation of children who cannot develop normally because they were heavily tranquilized for the convenience of adults. Who knows what the constant administration of a major tranquilizer will do to the brains of those children, because there are no studies into their safety for children. However, since antipsychotics directly impact brain chemistry, I cannot imagine that it does not have serious longterm negative effects on those children and their ability to think and reason. It might actually be damaging their young developing brains, as well as their bodies. And that scares the living hell out of me.
Antipsychotics are by far the most dangerous psychotropic drugs available. While they do have legitimate uses, none of those legitimate uses (with the exception of the one already discussed) involve children who aren’t even old enough to attend school. So while I normally advocate that the government not become involved in the doctor/patient relationship, I think the DEA needs urgently to launch an investigation into this practice, and take measures to stop it. Any doctor who is not a licensed and board-certified child psychiatrist, and who is prescribing antipsychotics for children that young, should be prosecuted for child abuse and have their license to practice medicine permanently revoked.
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Source: Very Young Children Being Prescribed Antipsychotics in Florida by John M. Grohol, Psy.D.
my son is 6 and on risperdal-he doesn’t have ADHD either,rather an unspecified mood disorder with very aggressive tendencies that at times include hurting himself. he also has tested at gifted levels in schooling.and yep,we are in florida ;).but he is seen by a shrink who prescribes the drug,not a pediatrician.
[...] approved for use in children at all, and for very good reason. However, in a previous blog entry (click here) I discussed that the practice of prescribing antipsychotics for children - even very young [...]
I am absolutely horrified that I did not research the medication first. My son is terrible two, not sleeping, fighting over everything and quite moody. My trusted paed suggested Risperdal and things have only gotten worse. Fighting at school, violence towards other children. I was simply looking for something to calm him in the evenings to help him get his well needed sleep. What about IQ for behavioural disorders???
Hi, Charlie; I am very sorry to hear about your situation. From what I understand (and bear in mind, I am not a doctor) IQ and behavior are not usually related, so you likely have no worries there. However, IQ testing can be negatively affected by behavioral disorders, simply because those children do not test well.
I don’t think you should be too hard on yourself, though. You trusted your pediatrician, which every parent should be able to do. I am shocked that your pediatrician put a two-year-old on an antipsychotic. Instead, he should have referred you to a child psychologist, since your son could be exhibiting that kind of behavior for any number of reasons.
Bear in mind that if you choose to no longer use that medication, since it doesn’t seem to be working anyway, you can’t necessarily just take him off of it, because that could cause even more problems. He may need to be weaned from the medication, so you would need to do that under medical supervision.
I would definitely find a new pediatrician, first thing. Then, I would ask them for their opinion, and ask them to refer you to a psychologist who specializes in very young children. Your son may or may not need medication, but at his age it will definitely take a specialist to ascertain this.
I wish you and your family the very best; I hope you find the help you need soon, and that you are able to figure out why your son is displaying this behavior, and what is the best way to handle it. Please check back and let me know how he is doing.
i wanted to update my comment from last month!
my son was taken off risperdal due to very adverse bolood test results. his prolactin,creatine and cholesterol among other things shot up! thankfully,it all has gone back to normal since being off the med for a few weeks,but that is one med we will not be re visiting!
he was given an rx for geodon instead,but i read up on that one and it is kind of scary. so we are kind of suffering thru presently and trying other ways to remedy things. not sure how long that will last…..
to charlie: my son has a very high IQ and has gone thru some testing at school. kids can still be quite gifted and have behavior issues.
Hi again, someonelse! Those test results in a six-year-old are scary, to say the least. It sounds like your son developed metabolic syndrome, which is not uncommon with antipsychotic use. Thank goodness the doctor was vigilant and the blood tests were done before your son suffered irreparable damage, and thank goodness the levels are back to normal once the medication was discontinued.
Geodon is indeed a scary medication. It hasn’t been on the market for very long, and while it is sometimes better tolerated than other antipsychotics (important, since many patients stop taking neuroleptics due to intolerable side effects), there have been some extremely negative reports from patients, strongly suggesting that it can greatly exacerbate aggressive tendencies in some patients.
Obviously I have a major concern with antipsychotics being given to children, but it’s not only for the reasons given in this blog entry. Antipsychotic use comes with extremely serious and sometimes fatal potential side effects.
Tardive dyskenisia is a common side effect with antipsychotic use, and it becomes increasingly common with prolonged usage (over three months). It’s a neurological syndrome wherein the patient engages in repetitive, involuntary, purposeless movements. Those movements include grimacing, tongue protrusion and other odd facial movements, but can also affect the arms, legs, and trunk. It can therefore cause severe difficulty walking or using the arms and hands, and results in significant social disability.
As if that’s not bad enough, tardive dyskenesia is occasionally permanent, and it sometimes worsens even after the medication is discontinued.
Antipsychotics can also cause serious cardiovascular side effects, and are even associated with sudden death.
It is very important to note that children are far more sensitive to the side effects of neuroleptic drugs, and thus are far more likely to develop severe side effects if given antipsychotics.
Clearly, antipsychotics have far, far more serious potential side effects than the average medication, even when given to adults for approved usages.
If any doctor, including a psychiatrist, wanted to put my young child on an antipsychotic (absent an extremely severe mental illness, such as childhood-onset schizophrenia), I’d grab my child and run. I’d run as fast as I could. Then, I’d run faster.
But, that’s me.
My son has been on respedal for three weeks. He’s 4 1/2. He was kicked out of 4 schools in the last year. 90 percent of the time he was great, but it was the other 10 percent that was getting him kicked out due to agression. His is doing great! He is on a 1/2 of a .25 mg tab.