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These medications should be avoided as initial treatments, or switched to alternatives with lower weight gain liability whenever possible. He had never heard of such a problem. Bartels S, Desilets R. Intimidation text not cast in brass armchair, Qi Yuan were not anxious judge spoken word, Everything is safe, world without Avengers. Depression, anxiety, and even mood-related issues can make it almost impossible to stick to a health plan. Behavioral medicine can help patients who are struggling with weight loss goals by identifying the physiological, psychological and behavioral patterns that get in the way of maintaining a healthy weight. At least seven interventions are ready for implementation, but to date, they have not been widely disseminated.
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Obesity is an epidemic in the developed countries, and the rest of the world is quickly catching up. Patients with severe mental illness SMI suffer from two to three times higher rates of obesity 1, and this has translated into much higher rates of obesity-related morbidity and premature mortality in this population 2. This raises the question if obesity management should be added to the expanding responsibilities of psychiatrists. First, obesity is a behavioral problem that involves eating too much and moving too little. The most robust evidence for effective management of obesity is for behavioral interventions, usually referred to as lifestyle interventions. These are typically based on principles of cognitive behavioral therapy and social cognitive change. Psychiatrists are experts of behavioral change and are equipped with the tools to employ against this disease. Second, it has become abundantly clear that psychiatric medications, especially antipsychotics, play an important role in the increased rates of obesity among patients with SMI 3. While it is preferable to prevent the excess weight gain due to psychotropic medications, this is not always possible.