At Mind Align Psychiatry, we are constantly seeking effective treatment strategies for complex psychiatric conditions in children and teens. One such innovative approach is the Matthews Protocol, which we employ to address clinical levels of irritability and anger, particularly in cases of Disruptive Mood Dysregulation Disorder (DMDD) and Intermittent Explosive Disorder (IED).
Understanding the Matthews Protocol:
The Matthews Protocol combines Amantadine and Trileptal (oxcarbazepine) to manage severe irritability and anger. This combination has shown promise in treating not only DMDD and IED but also outbursts in children with Autism.
Approach to Treatment:
- When initiating the Matthews Protocol, our practice at Mind Align Psychiatry is to start with one medication at a time. This approach helps in identifying any side effects and determining their cause more accurately.
- Typically, we begin with Amantadine due to its lower overall side effects profile.
- Starting with Amantadine: For children under 100 lbs, we start with a dose of 25 to 50 mg each morning, increasing the dose by 25 mg every 5-7 days.
- Introducing Trileptal: Known also as oxcarbazepine, Trileptal is introduced later in the treatment process. It's effective not just for DMDD and severe anger outbursts but also in bipolar disorder.
Monitoring and Managing Side Effects:
Careful monitoring for side effects is crucial. With Amantadine, common side effects and guidelines for starting the medication can be found here. For Trileptal, potential side effects, including a risky rash that requires particular attention, especially in individuals of Asian descent, are detailed here.
At Mind Align Psychiatry, our commitment is to provide personalized and effective treatment plans for our young patients. The Matthews Protocol is one of the many approaches we utilize, ensuring a comprehensive and thoughtful strategy in managing DMDD and related conditions.
Discover Wellness with Mind Align Psychiatry:
At Mind Align Psychiatry, we believe in a holistic and personalized approach to mental health care. One of the many innovative options we explore to provide effective solutions for condition like complex psychiatric conditions. Begin your journey towards a healthier and more balanced life by visiting www.mindalignpsych.com or texting or calling 484-799-9211.
