DEAR SOMEONE ELSE’S MOM: Earlier this year my wife started taking anti-depressants. She had been on them before, when she was a teenager and had had a bad time with a bunch of bad things happening at once. She began gaining weight back then, and took herself off the meds and hasn’t taken anything since then until now.
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She had a major health scare this summer and that triggered her depression and anxiety, and the family practice doctor we see started her on new meds.
Now my wife is gaining weight again. She is exercising, watching what she eats, doing everything you’re supposed to do, but she has still gained nearly 30 lbs. in the past few months. I keep telling her to talk to her doctor about changing her prescriptions, but she says at least she isn’t depressed anymore, but I am afraid the weight gain is going to make her depressed all over again.
What can I do to help her realize she needs to do something before the weight becomes its own problem, both for her physical and mental health? --- NEEDS HELP WITH MEDS
DEAR NEEDS HELP WITH MEDS: While a primary care physician, especially a good one, is a right place to start in dealing with mental health issues, perhaps it’s time for your wife to talk to her family practitioner about exploring different medication and non-medication treatment options, and whether or not she would benefit by augmenting her care with the addition of mental health professionals such as a psychiatrist and/or therapist.
From what I’ve seen, a team effort can often succeed better than pursuing a single avenue of treatment for mental health concerns.