10-Year-Old with Panic (PANS)

We have an appt with Ewen's psychiatrist today. He told me on the phone this morning that he is going to prescribe him Tenex (same as Guanfacine) to help with the tics. The reason I called him was because I was worried that Prozac was harming Ewen, not to get another prescription to pile on top of it. I asked him again about the Buspar and he said no because there is no evidence. He basically told me on the phone that it was Prozac or nothing and that it seems like Prozac is very much helping Ewen. He said that it sounds like the problem is that the tics are bothering him and that the first line of defense is to add Tenex. I told him that Ewen wasn't your typical patient and maybe the first line of defense wasn't right for him. He said he understood...but does he? I went and read about it and it looks like it will make him tired, which the Prozac already does. I don't know. I also read that the tics aren't hurting him and that we only need to treat them if the...

Good morning. It is Friday, 8:30 am and my mom came to the house and took our 6-year-old to school since DH has had to leave early this week for work. Both Ewen and Amira are still asleep. I'm sitting in bed on the laptop, letting them sleep because Amira was up in the night a couple of times and I want Ewen to have lots of time not twitching, which is only when he sleeps.  He did fall asleep last night at 9:45 though so I think now we are going on 11 hours! That is good since he was up the night before at 3am and didn't go back to sleep after that. Both kids will be home with me today too since I told Ewen he could start school on Monday, and Amira's tutor's daughter is sick. So I won't be getting much work done I suppose today. Ewen has CBT this afternoon too which is good. I don't know if bringing down his medicine dose to 3.5 ML's will ease his tics or not. I look up sudden panic disorder online and I can never find a match of exactly what happen...