I met with Avery's therapist this morning regarding her sleep. She has been taking a small dose of Melatonin each night in order to fall asleep and it works great. However, she has been having a few nightmares and waking up at 3:30 am, never to return to sleep again. She also wakes after ten hours of sleep still feeling very groggy and swears she was never sleeping.
In order for her to have a better nights sleep and actually get into a deep sleep, she is going to start taking a very small dose of trazadone. Trazadone is an anti-depressant, however when used in children they found that it was too sedative, so it's not typically used for treating depression. However, they did find that it works great when used before bed, in order to help the child relax. This should allow her to feel rested in the morning and with a good night of rest...that could really help with her moods! She will begin with half a pill and increase to a full pill, if needed. Her therapist also advised me that a few children need melatonin and trazadone, but we are going to give this till the end of April to see if that would be the case for Avery.
I'm nervous..but really excited to try something that may make a big difference for her. We noticed that this last "cycle" of hers (typically her moods cycle from high to low about every 4 days) was exceptionally long. We got a basically happy Avery for about two and a half weeks before any extremely out of control episodes. Helping her voice her emotions more and forcing her to isolate when she is losing control, has seemed to make a really big difference. It's still not perfect. It's still not easy. But I'm loving that we are finding steps in the right direction.