CarlaRPh_TPA said:Anxiety increase on mental health: counterintuitive, but losing weight rapidly triggered anxiety for me.
CarlaRPh_TPA said:...mental health should only be used alongside therapy...
I'd say therapy should be AVAILABLE to all GLP-1 patients, but requiring it as a precondition for treatment would create an access barrier.
Not everyone can afford therapy. Not everyone needs it. Some people do just fine with medication + lifestyle changes. But for those with emotional eating, body image issues, or disordered eating history, therapy is extremely valuable.
My recommendation: make mental health screening part of the initial assessment, offer therapy as a recommended adjunct, but don't gatekeep medication access behind it.
mike_mod said:Therapy insights from my mental health journey: my therapist introduced me to the concept of "identity updating" — the psychological work of becoming…
Thank you — that is the clearest version of this I have read, and I have read a lot of them. Printing the relevant bit and taking it with me.
CarlaRPh_TPA said:Anxiety increase on mental health: counterintuitive, but losing weight rapidly triggered anxiety for me.
Before/after narrative for mental health — one year in:
Before (294 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications, dreaded mirrors, avoided photos, social anxiety about my weight.
After (194 lbs): Run 3 miles regularly, pain-free, A1C normal, down to 1 medication, bought a swimsuit for the first time in a decade, actually enjoy being photographed.
Total weight lost: 94 lbs. Total life gained: immeasurable. This isn't just about weight — it's about reclaiming your identity.
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View Resultssarah.morrison said:The weight came off and the harder part started, which is not what any of the material I read had prepared me for.
When to call your doctor about mental health side effects — a reference I wish I'd had:
Call immediately:
- Severe abdominal pain (could be pancreatitis)
- Vision changes (thyroid concern)
- Lump in neck (thyroid nodule)
- Severe vomiting/can't keep fluids down for 24h+
Schedule an appointment:
- Persistent nausea beyond 4 weeks
- Significant hair loss
- Mood changes or depression
- Gallbladder symptoms (RUQ pain after eating)
Moderator note: the sourcing question belongs in the vendor section and has been split out. Tagging this one for the weekly digest.