love & potions august 2014 (1.1 for posting)

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Love & Potions:

In Cat We Trust

Pharmacotherapy to support relationshipsIn a graphic novella

Love & Autism ConferenceSan Diego, August 24, 2014

Joshua D Feder, MDChild and Family [email protected]
mailto:[email protected]:[email protected]


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Disclosures, August 2104

clinic: my main job

iPad -UCI research

peace building

COC policy work

UCSD toddler research

Circlestretch web info

Cherry Crisp media

Relias courses for paras


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Thank You

Jenny Palmiotto

Mara Goverman

Caron Schiffman


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Outline

You are eatingI am talking.

I made you a graphic novel (a aka comic

book): Jill and Robert - In cat we trust Q & A


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There are so manystories in the city.This one begins in a

suburban home


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Jill: He didnt noticemy new hybrid car


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Jill: What mom?

Its NOT stalking.


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Mom: Dr. Lewis will

see you both?

Jill If I t hi


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Jill: If I can get himthere - its like

herding the cat..


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Laterthatmonth

Dr. Lewis:It

lookslikeJill

draggedyou

here.

R b t M t


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Robert: My parentsthink I should settle

down


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Dr. Lewis: Jill, you can bepretty intense Robertyou seem more low key.


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Jill: We wantmedicationRobert: Ow - Dont

grab!


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Dr. Lewis: Medication canhelp a good plan, but you

need a good plan.


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Dr. Lewis: Love is aboutselfless giving and

treasuring time together.


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Dr. Lewis: to do that youboth need to be calm,

connected and

communicating.


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Dr. Lewis: Lets go slow

with the medications.


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Across town afterward

Jill: We can work this out.


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Jill: Ill have spicy arribiata, pleaseRobert: Plain pasta for me thanks


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Jill: Maybe the wine is agood medicine.

Robert: I dont drink.


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Jill: Smells can work: cheese,musk, mushrooms, meat..


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Jill: Anyway, Dr. Lewis saidits more than meds


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Jill: we have to connect...Hey! Robert!

ARE YOU LISTENING?!?


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Robert: We have to becalm first you have to

stop freaking me out


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Jill: ok, ok Ill warn youbefore I touch you


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Robert: The Prozac might helpbut it might make my

concentration worse.


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Robert: And if it makes myparts down there not workso well, thats not good, if

you know what I mean


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Jill: I know what you mean SSRIs did that to me.


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Jill: But its better than theXanax from Dr. Smith.

o er :


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o er :Benzoshmmmyuck: falls,

forgetting, accidents,

addiction

Jill Y h I


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Jill: Yeah I stay awayfrom those

lk d


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Robert: Dr. Lewis talked aboutAdderall for concentration


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Jill: Concerta is a stimulant

too it keep me awake


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Jill: And I got

depressed on it

Robert: Dr Lewis said its


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Robert: Dr. Lewis said it stricky to balance stimulants

and SSRIs

Jill I lik d it h th


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Jill: I liked it when theConcerta killed my appetite


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Jill: But it made my blood

pressure go up


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Jill: And I had to

get an EKG

R b t If th Add ll d t


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Robert: If the Adderall doesntwork for me I want guanfacine.


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Jill: Look at themI want us

to be them

Robert: maybe guanfacine will


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Robert: maybe guanfacine willhelp me be calm enough for

that. Dr. Lewis said its calming

and not addicting.


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Jill: It might also makeyou dizzy.


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Robert: I keep hearingabout research on

oxytocin.


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Jill: Thats the hormonethat helps labor and birth,

nursing, and rodent bonding

Jill: If we hug 8 times a day it


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Jill: If we hug 8 times a day itmakes your brain release theright amount of oxytocin..

Robert: Uh Ill


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Robert: Uh.. I lltry the hormone

nasal sprayfirst....


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Jill: I hope it works

Jill: Im willing to pay for the


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Jill: I m willing to pay for theAbilify if it will settle me down

Robert: I thought its supposed to


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Robert: I thought it s supposed tobe for psychosis

Jill: Its FDA approved for


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Jill: It s FDA approved formarketing for irritability in

ASDs

Robert: Got to watch for


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Robert: Got to watch forweight gain and other side

effects


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Jill: Maybe it will build mybust

Robert: You wont be happy


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Robert: You won t be happyif you get milk with that


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Jill: Oy.

Robert:Yeah. Oy.But I guessthey do helpsometimes,and if werecareful andwe get a

good checkup well beok?


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18 Monthslater

Robert:We foundstuff incommon

Robert: We both love the


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Robert: We both love thegreen and techand cats


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Robert:I knew itwas love

when shegot me

the

poster

Robert: She gives me some


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Robert: She gives me somespace to do my thing

Bill: I want to find


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Bill: I want to findsomeone too

Bill: You do seem calmer


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Bill: You do seem calmer,and happier

Bill: But Jill can be a


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Bill: But Jill can be afirecracker

Robert: were both better d i h d


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and its more than medsits sharing

Robert: when we do stufft th b th b tt


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together we are both betterpeople


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Robert: But that first kissnearly killed me.


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Across theparking lot

Jill: We talk theres lots of

missed cues.

Jill: but were getting


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J ut w r g tt ngbetter at fixing things.

Jill: When I slow down he


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J Wcomes to me

Mary: But he doesnt


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y

lookat you

Jill: Its not about eye


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ycontactits about caring.


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Mary: Wow. Can youintroduce me to his friend?


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A few

monthslater

Dr.Lewis:

Itsbeen

quite aride

Dr. Lewis: Theres a lot


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more ahead

Robert: Its stressful but


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good


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Jill: Scary, wonderfulbut not so crazy

Robert: And well figure it


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gall out


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Targets

Activity

Attention

Anxiety

Cognition

Depression

Mood

Instability

aggression

Motor

Planning

O/C,ri

gidity

Persev

erative

Reciprocal

interac

tion

Sensor

y

Sensitivity

Tics

Sleep

Etc

Comments

Stimulants +/- +/- - +/- - - +/- - +? - - - Wt

Ht

tics

SSRIs - - +/- -/+ +? -/+ +? +? -/+ Wt, Ht

Sz

Neuroleptics +? -? + -/+ +? ++? - +? ++?? +? + + Wt. Sz

TD

NMS

AEDs +? -/+ + -

/+?

+? ++? -? +? +? +? +? +/- Mult.

SE

Steroids -? -? +? +? -/+ -? +? -? ++? -? +? -? Mult

SE

Central Alpha

Agonists

+? +? +? -/+ +/- 1/+? -/+? +? +? +? +? + Sleep

BP

Etc

LIST OTHER

TREATMENTS!


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Kim:

tearful


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love & potions august 2014 (1.1 for posting)

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