Since the incident at soccer Noah has become increasingly fast. Not fast like "wow, watch that kid run" fast, but "wow, this kid is manic" fast. Or in other words, Noah's been riding the wackadoodle express, and frankly, it doesn't look like he's headed for a station any time soon.
Typically, Noah holds himself together at school fairly well. He's able to do that because of his awesome teacher and all of the supports he has in place. He has rough days here and there, but for the most part his behavior is acceptable.
This week he hasn't been able settle at school at all. He's all over the place, talking fast, racing through his work, not able to sit still, and very argumentative.
When Noah's teacher says he had a rough day I believe him. When he says Noah is wild or a mess. I get concerned. Especially when what I'm seeing at home is the same thing.
Monday we had an intake visit with a new therapist. In the past Noah has barely interacted with doctors and therapists. Monday he wouldn't stop talking. He also wouldn't stop moving. In this 8 x 8 office he was all over the place. The couch, me, under the therapists desk, hanging upside down over the couch, jumping on the couch. You name it, if he could do it in that little room he did. He was so happy though, and kind of silly in a fun way. It was exhausting, but I couldn't really get mad at him because it was so different from his typical melt downs.
Tuesday he was like that as well, but he was more irritable and argumentative. He refused to come inside after playing and kept running from the front door to the back door. It was a little like chasing a puppy, except that I don't chase. And pork chops don't work as bait.
Wednesday his teacher emailed me saying he was concerned and that Noah again hadn't settled all day. I knew we had to do something, but I wasn't sure what. I emailed his neurologist and was told to take him to the ER. If I had any concerns that they weren't going to be able to handle Noah's psych needs before, I know it now.
Unfortunately, we are in between psychiatrists right now. We were asked to leave the last one (that's a blog post just waiting to be written) and can't get in with the new one until November. In the meantime we have been seeing a neurologist. I thought we would be OK in this "in between" time, but obviously I was wrong.
I paced my office Wednesday trying to figure out what to do. Do we take him to the ER? Am I ready for him to be hospitalized? NO. I'm not. He's bad right now, but I don't think we are there yet.
So I called our counties child mental health hotline and spoke with a crisis worker. We discussed options. An hour later she was at our house. We sat on our back deck and she talked with Noah. He paced back and forth but he did have a conversation with her. In the end we decided to take him for an emergency psych evaluation the next morning.
That was yesterday. I wasn't sure what to expect. We were seeing a psychiatrist I knew nothing about. I never even Googled the guy.
The doc was great. He really picked up on all of what was going on with Noah. Of course Noah made it pretty easy for him. Again he was all over the office. He was more like a two year old than a ten year old.
We have adjusted his medications and are hopeful. He wasn't manic last night, which is the first time in five days I've seen him settled.
I wrote this last Friday. I didn't get a chance to finish writing it until tonight. A lot has happened since then.