Odin wrote:
OMG, your Shrink is an IDIOT for even suggesting Risperdal. I hate how this is being prescribed willy-nilly to autistic people, it's a drug for psychotic disorders like Schizophrenia. A fellow Aspie who takes it is tired all the time because of it.
It's approved for "irritability" in autistic people--It is (according to their web site) "indicated for the treatment of irritability associated with autistic disorder in children and adolescents aged 5-16 years, including symptoms of aggression towards others, deliberate self-injuriousness, temper tantrums, and quickly changing moods...." but "....is not used to treat the core symptoms of autism."
Because it's the only drug approved specifically for autism, lots of psychiatrists love to prescribe it. I agree that it is over-prescribed. Antipsychotics like this one can be used as a tranquilizer, and may be part of the solution for some people; but they absolutely should not take the place of more environment-based and cognitive/behavioral approaches to managing meltdowns.
This is their web site:
http://www.risperdal.com/faqs_autisticdisorder.html
It might help with uncontrolled meltdowns... or it might just make you tired. There are serious side effects associated with it, as with all antipsychotics. It does help some autistic people, but when my psychiatrist recommended it for me, I absolutely refused. I've been on antipsychotics before, and they made me so tired I couldn't think and couldn't access a lot of my more high-level skills. Oh, sure, I was calmer; but most people are calmer when they're half-asleep. In the long run, it made anxiety worse because I was less able to do the fulfilling things that usually make my day brighter--learning things, participating in special interests, interacting with friends. It lowered my functioning level in general.
I can't say categorically that this won't help you. But I personally am very reluctant to resort to Risperdal, at least until other, less extreme methods have been tried.
Get your doctor to explain to you why s/he thinks this is the best choice, and why less chemically invasive methods are not useful. There are other treatments for anxiety, ranging from therapy to antidepressants. You could learn meditation, or obtain a psychiatric service animal or emotional support animal. You want to consider all the options, and your doctor has the responsibility to answer your questions and help you consider them. Sometimes one treatment really is the best option, but not always; and even then, the doctor needs to be prepared to explain exactly why it's the best option and what other options are available. If s/he doesn't do that, then it's time to find a new doctor. A doctor is an expert on medicine, but you're the expert on yourself.