My 8 y.o. DS is on a fairly substantial dose of Zoloft for anxiety (75 mg), and we noticed a substantial decrease in his anxiety after the most recent dose increase (roughly a month ago). However, recently we have discovered that he has been having some issues that we weren't aware of. One example...
At school, they have been having problems with kids peeing on the floor in the bathroom. My DS stepped in it near the beginning of the school year, and his shoe was soaked. We just found out that he is going to the office every single day (sometimes more than once per day) to inform them that the bathroom is dirty and needs to be cleaned. It really bothers him, and he says sometimes he can't even go in to pee because his feet might get wet. However, he has also gone and reported pee on the floor when it was just a bit of water from the fountain... When my DH told him he didn't need to go tell the office every single time if the floor was just a bit wet, DS said he was supposed to - the school secretary told him to come tell her so he has to! I think that, in his mind, he is obligated to go and report it.
This is just one example - there are many instances of rigid thinking and misperceiving people's intent, including thinking that people are yelling at him when voices are not raised and no one is angry at anyone... So I think many of these things are not necessarily anxiety-related, but then he has also just started having more anxiety around going to bed again, so I do wonder... I am thinking about it now because we're going in to discuss how the meds are working on Monday, and I had been expecting to report how much better he is doing, but now I am not sure how much of this is anxiety and how much is just... him.
I would appreciate any thoughts to help me try to process all this and decide how to proceed.