Our expert says:
Eating Disorders Expert
You have done your homework. Your current weight is technically just over the normal weight range, but not enough that you should be taking any drastic measures. However, a few years ago you had a metabolism that afforded you to eat in a relaxed manner and maintain a body that was envied by most. With your now necessary psychiatric medication, your metabolic rate has been adjusted and your eating habits would have to change for you to maintain your previous body shape. You have to consider the possibility that your psychiatric medication might make it unrealistic to return to your previous body weight or shape and that losing 10 kilograms would be a destructive ambition. Pushing your body unrealistically could destroy whatever psychiatric progress you have made over the past three years. When your psychiatrist says that he/she prefers a “happier, fatter you”, this is not preferable to your “skinny, suicidal” alternative. I suggest that you discuss your feelings with your psychiatrist and make sure that he/she appreciates the depth of your despair about your weight gain. Try and find a collaborative and compromising solution by considering equally effective alternative medication that might not compromise your metabolism or lend to weight gain. If this is not possible, it is surely more important that you continue making progress psychiatrically and try best to eat sensibly and come to terms with a new realistic weight, until such time that your psychiatrist feels that it is safe for you to gently come off your medication. By eating sensibly, you may lose a little weight and lie comfortably within the normal weight range. However, your previous weight might not be realistic for now. A word of caution: Do not under any circumstances decrease or stop your medication without your psychiatrist’s consent. He/she has your best interests in mind, but do discuss your weight concerns with him/her and try to find a solution to offset your concerns there. I hope that helps?
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