Patient : “Doctor, I’m afraid to take antidepressants because they might cause weight gain.”
Psychiatrist : A valid concern. Let’s discuss it together.
Doctor & patient openly discuss
- Benefits of medication
- Side effects (including weight changes)
- Patient’s lifestyle & preferences
Some antidepressants may increase appetite
- Mirtazapine
- Paroxetine
- Tricyclic antidepressants (TCA)
Options with lower risk of weight gain:
- Fluoxetine
- Sertraline
- Bupropion
Considers
Health history (e.g., diabetes, heart issues)
Sleep patterns & metabolism
Long-term treatment goals
Tips
Exercise regularly
Balanced diet
Monitor weight regularly