Posted by Leighwit on May 1, 2002, at 17:22:50
In reply to A Question About Weight and Meds, posted by ChrisK on May 1, 2002, at 13:09:56
> After many years of reading this board I am still confused about the weight factor with meds. Why are so many people willing to give up onthe idea of a med because of possible weight gain? Isn't it better to gain a little weight and have a clear mind rather than be slim and psychologically damaged?
> I know that I am still 60 pounds overweight in large part due to Zyprexa but I would rather carry that weight than be in the suicidal state I was in before I started.
> There is no doubt that many of the meds that can help us will also cause weight gain but doesn't the psychological benefit outweigh the unwanted side effect?
> Can anyone explain why it is better to be suicidally depressed and non functioning than to be fat and reasonably well adjusted? I honestly just don't get it.
You're assuming that "fat and reasonably well adjusted" go together. Perhaps they do in some cases, but certainly not for many others.
Many people are not happy when carrying extra weight ~ and it can go beyond aesthetic body image. Just walking up and down the stairs feels different. Clothes look and feel different; simply daily activities like walking , shopping, traveling, or playing with the kids can all feel different.
In my case, I'm insulin-dependent and have been since childhood. I've had to watch my weight carefully all of my life. Celexa caused such a rapid and major weight gain that it screwed up my insulin requirements and destabilized my disease. I'm using weight Watchers now to try and take that weight off and it's hard work.
In addition, I feel better psychologically as well as physically when I weigh less.
I think it's best if patients feel "okay" talking to their doctors candidly about their feelings on this issue.
I think the old "I'm okay ~ you're okay" Dyerism works well here....If I were you, and I felt better (emphasis on the word "better") in spite of, (or even because of) an extra 60 pounds, I'd be a very (very) happy camper indeed.