Hello, my 16 year old son was diagnosed with anxiety in 3rd grade but with ADHD, inattentive this past summer at age 16. He still suffers with anxiety, mostly social anxiety. His lack of executive functioning seems to be the biggest issue right now with some impulsivity. He had already been on Paxil for 6 months when he was evaluated for ADHD and we began seeing a child psychiatrist. Psy left him on Paxil and upped the dose a little at first - didn’t help ADHD symptoms. Next he started him on 5mg Focalin XR, went to 10 mg after a few days of no negative symptoms. Went up to 15 mg after a few weeks of no negative symptoms but also not much help with ADHD symptoms. A few days on the 15 mg he reported feeling shaky, anxious and irritable all day. We backed off to 10 mg. Now the last few nights have been awful - angry outbursts when med worn off, lots of missing school assignments again, won’t study at all, conflict, etc.
I’m thinking stimulant might not work well for him and have been reading about Clonidine helping those with Anxiety. The Paxil seems to help so we don’t want to take him off of that.
Anyone have experience with teen taking an SSRI like Paxil along with a med like Clonidine or Intuniv?