Do as I say, not as I do

In: Charlynn|Medication|Mental Health

30 Jul 2008

As much as I tout the “accept yourself just as you are” mentality here and elsewhere in my life, I’m going to swallow my pride and admit that I don’t practice what I preach when it comes to me – not lately, anyway. In the midst of trying antidepressants for my anxiety and depression, weight gain has become an unwanted side effect. It should be noted that antidepressants do not cause weight gain in all patients and incidence of weight gain varies by individual and medication. Prior to taking Paxil, weight gain was not a concern for me. Once I started taking that, however, I felt like I was inflating like a helium baloon. I made the mistake of reading people’s horror stories about massive weight gain while on Paxil, and I flipped. I told my psychiatrist I wanted off the medication right away, and he agreed. I’ve steadily added a couple more pounds while on Zoloft, gaining a total of 10-15 pounds from what was my set-point weight for over two years. I’m pissed.

I have upped the exercise and done everything short of starving myself to stabalize the creeping numbers on the scale. Now, I know you might be saying, “Why are you stepping on the scale, anyway?” I can’t help it. It’s torture if I do and it’s torture if I don’t. I know I have put on weight by the way my body looks, feels, and the way clothes fit on me. I might as well know how much.

This is obviously not a good situation for someone with an eating disorder. Basically, I am freaking out. My brain is spinning with obsessive thoughts about food: Should I eat? How much? Will I lose weight if I cut down a bit? How long before I lose this damn weight? What do I have to do to lose this weight and feel (more) comfortable in my body again?

I’m seriously considering going off medication altogether in hopes that my body will return to “normal” when the chemicals leave my system. I am confused and frustrated. I am also scared of what I might do in the meantime. Most of the time I have a grip on myself, but it’s the times when I feel like I’ll lose it that I feel I’ll relinquish control and let my eating disorder take over. I’ve come so close already. What will happen if the switch is flipped? I don’t know if I’ll necessarily fight it. I don’t know if I will be able. This is not a threat, nor a promise. It simply is, as my mind works, my state of mind.

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5 Responses to Do as I say, not as I do

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Annie

July 31st, 2008 at 5:55 am

Okay, remember my Wii Fit personal trainer?

Remember my response to his suggestion that I lower my BMI to 22? Yea. Now, pretend my Wii fit trainer is your eating disorder.

And go check your facebook messages. :)

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Rachel

August 6th, 2008 at 2:05 pm

I understand what you mean. I will only take Wellbutrin because it’s the only weight-neutral antidepressant I know of. I won’t even take the pill because I’ve heard it causes weight gain.

I’ve also had unexplained weight gain for the past few years and while I always suspected my thyroid deficiency, recent weight gain triggered old eating disordered behaviors. I went to an endocrinologist for the first time the other week and she agreed with me that the weight gain was unexpected and not normal. She bumped up my meds and will add an additional medication in 6 weeks if I still have symptoms (there were others beside weight gain). I felt so reassured by this visit that the behaviors almost immediately subsided.

And no one expects you to be perfect just because you blog about eating disorder recovery. I’d rather have honesty than a fairy tale.

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Charlynn

August 6th, 2008 at 2:56 pm

Thank you for understanding. :)

I’ve thought about trying Wellbutrin again. The first time I tried it, I think my upping dose wasn’t gradual enough; plus, I was anorexic, and my body freaked out on it. Maybe this time would be different since I am no longer purging and heavily restricting.

Most hormonal forms of birth control do contribute to weight gain. In the few times I have tried taking the pill, I gained weight and experienced a bunch of other nasty side effects. My body hates the pill, so no more of that for me.

My hope is that once I am on a medication that stabilizes my body (and yes, my weight), my recent delve into semi-restricting will subside. I am eating, but not as much as I normally do in hopes that I will take off some of the weight I have gained. I’m definitely not the best role model right now, but like you said, honesty is the best policy. I’d rather tell it like it is than bullshit everybody with a hunky-dory pollyanna act. Recovery is hardly a picnic and we all have our moments of weakness. I have to believe that someone is out there reading this and saying, “Thank God it’s not just me.”

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sadcaper

August 26th, 2008 at 8:26 pm

…Thank God it’s not just me :)

Hi, just a random web surfer. I have been severely depressed for… ever, and also have eating/body issues. I’ve been debating for such a long time whether or not to try an SSRI because of the potential weight gain. It seems like a lose-lose situation. SSRI = no depression + weight gain = depressed again; no SSRI = no weight gain = still depressed.

And why does it seem like psychs are so unreceptive to this concern?

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Charlynn

August 26th, 2008 at 8:48 pm

Thank you, sadcaper. You’ve made my day. :)

I really wish I could answer your question as to why psychs don’t understand the weight issue being as important as it is, but my psych is the same way. He knows of my eating disorder and body issues and still puts me on meds that he knows will make me gain weight. Then, as you said, any positive effect from the medicine is negated by the horrible feelings that stem from gaining weight. I freak out, demand that I be tapered off the meds, and start with a new one. It’s a lose-lose situation that, sadly, doesn’t have a happy ending yet.

If you seek treatment, I wish you luck. I hope you find someone who will listen to your concerns, take them seriously and work with you to help you live a happy life!

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This is a blog where a roster of three regular writers and several guest writers comment on the latest news about eating disorders. It isn’t just a news feed, nor a personal journal – it’s a hybrid of both. We discuss the news with our own personal spin.

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