Table 1 Review of patient’s current and historical medications

ADHD

Guanfacine

0.25–2 mg

2 yrs. 5mo-4 yrs. (no effect)

Methylphenidate (Ritalin)

5–10 mg

3 yrs. (tried for less than a month due to lack of effect)

Amphetamine salts (Adderall)

5 mg

4 yrs. (started at the hospital, tried for less than a month due to increase in aggression and agitation)

Insomnia

Melatonin^a

2.5–10 mg at bedtime

2 yrs. 5mo-present (worked initially, currently no effect)

Topiramate

50 mg at bedtime

3 yrs. (tried for less than a month, stopped by neurology due to concerns for interactions with Depakote)

Behavioral dyscontrol

Risperidone^a

0.1– 6 mg

2 yrs. 8mo-4 yrs. (tapered off during psychiatric hospitalization due to lack of effect)

Aripiprazole

1–10 mg

2 yrs. 8mo (stopped as no effect).

Quetiapine

150–300 mg

3 yrs. (tried for about 3 months)

Thioridazine

10 mg

3 yrs. (tried for less than a month)

Anxiety

Fluoxetine

5–10 mg

3 yrs. (tried for less than a month)

Seizures

Depakote^a

375–500 mg

3 yrs.-present (continued during the hospitalization)