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Posts: 29
Reply with quote  #1 
Dear Friends,
I've decreased my Autistic daughter's meds gradually, and as of now she is pretty low-the side effects caused more damage then the drugs benefitted her.
While doing this, the least damaging drug seemed to be Lexapro, so as we were decreasing the others we increased that, just a bit, to help with her anxieties.  She's been screaming out of the blue, lately, and I'm trying to decide if it's Sinus or the increase in lexapro. Lexapro can cause Tinnitus...since she already has T, might a slight increase in Lexapro really exacerbate the Tinnitus to this point? Have any of you had any negative experiences with Lexapro? 
Also...we wonder why she'll tell us to be quiet (which we do as much as possible for her sake) but will talk, scream...even sing. We assume this is the Autism. We wonder why she isn't quiet herself? any thoughts?
Many thanks, Joan-Katie's Mom  

Posts: 1,512
Reply with quote  #2 
Hi Joan,

Have you connected with Lynn, who also has daughters with autism who went through a screaming phase?

Except for with hyperacusis, self-vocalization can be incredibly loud & still tolerable to ears (versus someone else's vocalization) due to the auditory system's checks & balances....otherwise we could never shout, scream, laugh or talk loud, with such close proximity from our mouths to our ears, people would always be hurting their own ears!

So that part in itself....may be somewhat normal...although a form of hyperacusis &/or perhaps esp. misophonia could be the issue, as others w/autism often report symptoms of one or both here.

You are going through so much with your daughter, wishing you & her the best.


Breathing is good.

Posts: 1,378
Reply with quote  #3 
A neurologist with whom I consulted by telephone recommended this particular medication, in conjunction with biofeedback, for noise-induced pain.  I found it too sedating but may revisit the matter subject to the advice of my new audiologist.
Please resist the temptation to pick apart my post by quoting it piece by piece.

Posts: 2,083
Reply with quote  #4 

you mentioned -

Except for with hyperacusis, self-vocalization can be incredibly loud & still tolerable to ears (versus someone else's vocalization) due to the auditory system's checks & balances....

Just to clarify, are you saying Outside of hyperacusis -
 (for someone who does not have hyperacusis)
that one may be able to tolerate their own voice much louder than that of others? Or that you think that would be true with hyperacusis as well?

Because with hyperacusis- (depending on ones tolerance levels) one's own voice at loud levels would likely also be too difficult- if other voices were difficult at that same level of loudness.
Though, at lower levels, as most with hyperacusis would have a difficult time with loud sound -
the frequency range of other voices may make a difference in how well some are tolerated or not.

Also when someone else who is talking to us,  speaks or shouts - our ears are usually more in line with the sound, sometimes in direct line with it - physically. While when we do - our voices project away from our ears.
And it can be helpful not to have sound that is very difficult to tolerate, and/or too loud  - in direct line with our ears. Or too close.
(Like if we are speaking with someone and their voice seems to be difficult or too difficult to tolerate, even at a low level of volume- changing our position in relation to where they are, may help some. As I have noticed that before - to have someone speaking especially at a fairly close distance -  in direct line with my ears, can be more difficult - it sounds louder. )
Maybe that is Part of why many with hyperacusis have a more difficult time with the phone?


Debbie is right, Lynn may have some thoughts on this for you.
Best of everything  to you, as you try to figure this out.

Posts: 29
Reply with quote  #5 
Thank-you all for your thoughts and kind words! 
Joan-Katie's Mom
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