10-Year-Old with Panic (PANS)

Ewen did well with his first 1/4 mg of Guanfacine  last night. Just on his first dose he seemed to huff less. We went out to eat at our favorite pizza restaurant that we finally were able to start going back to on Friday nights. We had to order in for a couple of months while his anxiety was too bad for him to go out and sit at a restaurant. Also he went to sleep on his own last night for the first time since this all started in December, and he slept through the night except to go to the bathroom at 4am but he said he went right back to sleep after that. This morning he is huffing away while watching Curious George with his little sister. I gave him another quarter guanfacine and am hopeful it will help him again this morning? I looked up Guanfacine on Wikipedia and the side effects are alarming. I'm glad we are starting with a tiny dose...not sure why that isn't the norm.

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...