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Are Your Psych Meds Making You Fat?

We all know that eating processed foods loaded with chemicals like MSG and sugar can contribute to weight gain. And fast food, huge portions and sedentary lifestyles are all likely to add pounds.

In addition, stress releases excess Cortisol, a hormone integral to health in the right amount, but responsible for increasing abdominal fat given too much.

But did you know that one of the biggest contributors to obesity is rarely if ever mentioned – let alone discussed?

The elephant in the living room, so to speak, is the use of psychiatric drugs – otherwise known as psychotropic drugs or psychiatric drugs for short.

At least among psychiatrists, it’s a known fact – the same drugs prescribed to treat such psychiatric symptoms as anxiety, depression, psychosis, mania and mood swings often have the unfortunate side effect of rapid weight gain.

• The worst culprits when it comes to weight gain are the atypical antipsychotics; most of these drugs cause ‘fairly significant’ weight gain in most people. Some are FDA approved for treating psychosis (as in, but not limited to, schizophrenia). Others are approved for symptoms linked to bipolar disorder – bipolar depression; psychotic agitation; bipolar maintenance; and ‘other indications.’

• Next on the list? The Anti-Manics or “Mood Stabilizers” are used to control mood swings, especially in Bipolar Disorder.

• Last but not least come the antidepressants and anti-anxiety medications – estimated to cause weight gain in approximately 25% of the population for whom they are prescribed.

The fact that these drugs so often result in weight gain is indeed unfortunate – it simply exacerbates the emotional problems for which the drugs were originally prescribed.

Well, let me finish the picture with some hard, cold numbers:

• According to The Obesity Society, from the late 1990s to now, prescriptions for psychiatric drugs have increased by 73%.

• In 1996, Eli Lilly was exposed as trying to hide knowledge about side effects of one of its biggest sellers – Zyprexa – one of which is weight gain.

• In the past twenty years, the number of obese adolescents has tripled; during roughly the same period, prescriptions for psychiatric medication in children rose by more than 50%.

So why in the world would your psychiatrist or MD withhold such important information? Well, much (if not most) of what prescribing physicians learn about both drugs and treatment protocol comes directly from the horse’s mouth – the pharmaceutical companies – companies that are publicly traded and have a bottom line responsibility for the shareholders.

Consequently, most psychiatrists are in the business of writing prescriptions, as opposed to presenting patients with a choice of treatment options, including the many alternative ways to help people feel better emotionally.

I don’t know about you, but doesn’t the following scenario sound like the creation of a vicious cycle? Start with people who are depressed or otherwise emotionally disturbed…diagnose them as mentally ill…put them on psych meds…make them gain weight…and then prescribe more psych meds to both to deal with the weight gain and the further emotional problems caused by the weight gain.

But maybe that’s exactly the point. Believe it or not, there is talk of classifying obesity as a mental disorder in 2013, when the revised Diagnostic and Statistical Manual of Mental Disorders (DSM-V) is released – creating yet another ‘reason’ to prescribe more drugs .

So how can you really determine if your psych meds are making you fat?

The short answer is by taking responsibility for your own health. Position yourself as an active participant in your treatment plan and make sure your doctor is clear about your attitude.

• When your doctor suggests a treatment plan (which will likely include medications) ask questions – and lots of them.

• Ask about the risk of weight gain, but don’t stop there – while you’re at it, ask about other side effects.

• Then do your research – Google the name of the drug and see if its side effects include weight gain.

• After all this, should you decide to fill the proposed prescription(s), read all of the accompanying information provided by your pharmacy or HMO.

• Say yes after a consultation with the pharmacist when you pick up the prescription for the first time. He/she can be an important resource to double-check the information you have now gathered and ask any additional questions you may have overlooked along the way.

• And finally, be careful and follow your med-use – if you start to gain weight your notes will help you sort out whether the drug (s) are responsible or not.

I’ve said it before, but it bears repeating – the state of your health is up to you.

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