Right — I had this wrong and I am glad to have read it before it mattered.
2 likes 8mo
Wellbeing · Mental health · continued
Anxiety in the first weeks: drug, situation, or both — what changed since posts 61–90
This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.
quiet_lurker, post #60: Everything in post #56 holds. The case it does not cover is the one I have. Where a member is finding this hard, the useful reply is usually a question rather than an answer, and this subcategory does that well. I have written this out at length because the short version keeps being misread. Go to post
Anxiety is a good example of a question where the honest answer is boring and the interesting answers are unsupported. I would go with boring.
When to involve a professional: if mood changes are persistent, deepen over weeks, or interfere with function, involving a mental health professional is appropriate. These are not trivialities to ignore.
27 likes 7mo
PharmNotes_Whitfield, post #7: Everything in post #6 holds. The case it does not cover is the one I have. On Anxiety, I would rather understate and be corrected upward than overstate and be quoted. That is a house style here and it is a good one. Go to post
Post #62 and I disagree about the size of the effect, not about the direction.
If you are in crisis, contact a local emergency or crisis service rather than posting. A volunteer forum cannot help and waiting costs time.
Nothing above should be read as advice about what anyone else should do.
m.radich, post #57: Confirming post #54 from a second method, which matters more than confirming it from a second person. Nothing here is medical advice and several members in this subcategory say plainly that they are describing their own experience only. Go to post
Taking post #65 at face value and following it one step further.
Posting my Anxiety numbers with the method attached so they can be discounted properly. Uncontrolled, unblinded, and collected by someone who wanted a particular answer.
Two questions I would want answered before drawing anything from the Anxiety data above: how were the cases selected, and what happened to the ones that dropped out.
19 likes 7mo
a.jansen, post #68: Social and relationship impacts: weight change affects how others perceive and interact with a person. Those impacts are real and can be psychologically significant. Go to post
Sleep and mental health: these compounds can affect sleep for some people. Sleep deprivation worsens mood and anxiety. Addressing sleep separately from mood matters.
endpoint_line, post #12: Worth stating the null on Anxiety before we explain it: the observation may be nothing. That possibility deserves a sentence and usually does not get one. Go to post
Taking Anxiety seriously for a moment rather than deflecting: the honest position is that the community has observations and no controlled comparison, and those two things support very different sentences.
Collapsed as off-topic by two members at trust level 3 or above
Post #70 and I disagree about the size of the effect, not about the direction.
Nothing here is medical advice and several members in this subcategory say plainly that they are describing their own experience only.
Take the reasoning and check the arithmetic; I do not always get it right.
Narrowing post #71, because the general version has more than one answer.
Tracking mood alongside dose and weeks, on a simple scale, produces a record that is far more useful than a recollection at an appointment.
28 likes 7mo
The reason Anxiety keeps being re-asked is that the answer is conditional and people quote it without the condition. It is not that the answer is unknown.
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gradient_file, post #21: Sleep and mental health: these compounds can affect sleep for some people. Sleep deprivation worsens mood and anxiety. Addressing sleep separately from mood matters. Go to post
This follows post #73 rather than contradicting it.
Maintenance brings a different set of psychological questions from loss, and the discussion here is much thinner on that phase.
If it helps: the failure mode here is usually boring rather than dramatic.
s.stavrianos, post #38: When to involve a professional: if mood changes are persistent, deepen over weeks, or interfere with function, involving a mental health professional is appropriate. These are not trivialities to ignore. This is the sort of thing that ought to be settled and apparently is not. Go to post
Worth separating two things that post #74 runs together.
Mood changes reported during substantial weight loss have several plausible contributors and the drug is only one of them. Energy restriction alone is a well-documented one.
Understood. Thank you for being specific about the limits of it.
0 likes 6mo
g.verhoeven, post #30: Social and relationship impacts: weight change affects how others perceive and interact with a person. Those impacts are real and can be psychologically significant. Go to post
Post #76 is the version of this I will quote in future. One addition.
Tracking mood alongside dose and weeks, on a simple scale, produces a record that is far more useful than a recollection at an appointment.
Answering the Anxiety question as asked, then the question I think is meant. As asked: yes, with the qualification below. As meant: it depends on how the first measurement was taken.
27 likes 6mo
excursion_check, post #74: The reason Anxiety keeps being re-asked is that the answer is conditional and people quote it without the condition. It is not that the answer is unknown. Go to post
Understood, and I withdraw the assumption I opened with.
p.marchetti, post #69: Sleep and mental health: these compounds can affect sleep for some people. Sleep deprivation worsens mood and anxiety. Addressing sleep separately from mood matters. Go to post
I would call the community position on Anxiety likely rather than established, and I would be comfortable defending that hedge.
e.iyer, post #51: Nothing to add on the substance. Thank you for taking the question at face value. Go to post
Post #83 answers the question as asked. The question underneath it is different.
If you are in crisis, contact a local emergency or crisis service rather than posting. A volunteer forum cannot help and waiting costs time.
The honest answer is that it depends, and here is what it depends on.
Support here is genuine and is not a substitute for care, and saying both is not a contradiction.
0 likes 6mo
crossover_review, post #44: Offering a way to settle Anxiety rather than another opinion about it. Two measurements, taken the same way, a fortnight apart. If the difference is within the noise, the question was not answerable at this precision. Go to post
Mood and anxiety: mood changes and anxiety are reported by some people. Baseline mental health status matters for risk. Someone with a history of depression should plan closer monitoring.