Disordered eating history: a history of anorexia, bulimia, or other eating disorders changes the risk-benefit calculation. Appetite suppression might trigger relapse. Specialist input is prudent.
5 likes 7mo
Wellbeing · Mental health · continued
A history of disordered eating: proceeding carefully posts 31–60
This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.
ca.vermeulen, post #28: This follows post #25 rather than contradicting it. 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
Two things before anyone answers the substance.
First, the context in the first post is clear and specific. Second, the question is framed so that an answer can actually address it. Both are the norm here and both matter more than they sound.
post #32 answers the question as asked. The question underneath it is different.
Identity and self-image: for some people, weight and body size are central to identity. Large change to body size can affect identity. This is not pathological; it is human.
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On post #30 — agreed on the reasoning, with one qualification.
Motivation and expectation: starting with clear motivation and realistic expectations about what will happen and when helps with psychological adjustment.
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For anyone arriving from a search: the marked solution above is the direct answer, and the replies underneath it add the caveats that make it safe to use.
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Support and community: some people process weight change through community (online or in-person). Others prefer privacy. Knowing what you need and seeking it proactively helps.
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n.haddad, post #5: Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing. The correction was fair and I had been repeating something I had not checked carefully enough. 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.
Tamburello, post #13: This follows post #10 rather than contradicting it. 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. Go to post
Worth separating two things that post #34 runs together.
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.
titration_diary, post #34: On post #30 — agreed on the reasoning, with one qualification. Motivation and expectation: starting with clear motivation and realistic expectations about what will happen and when helps with psychological adjustment. Go to post
Picking up post #36: that is the part I would want checked first.
Support and community: some people process weight change through community (online or in-person). Others prefer privacy. Knowing what you need and seeking it proactively helps.
Coming back to post #38, because the follow-up matters more than the original answer.
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.
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This follows post #39 rather than contradicting it.
Sleep and mental health: these compounds can affect sleep for some people. Sleep deprivation worsens mood and anxiety. Addressing sleep separately from mood matters.
3 likes 7mo
Disordered eating history: a history of anorexia, bulimia, or other eating disorders changes the risk-benefit calculation. Appetite suppression might trigger relapse. Specialist input is prudent.
0 likes 7mo
lc_gradient, post #40: Coming back to post #38, because the follow-up matters more than the original answer. 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. Go to post
For anyone arriving from a search: the marked solution above is the direct answer, and the replies underneath it add the caveats that make it safe to use.
Coming back to post #43, because the follow-up matters more than the original answer.
Two things before anyone answers the substance.
First, the context in the first post is clear and specific. Second, the question is framed so that an answer can actually address it. Both are the norm here and both matter more than they sound.
16 likes 7mo
Picking up post #43: that is the part I would want checked first.
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.
6 likes 7mo
Collapsed as off-topic by two members at trust level 3 or above
Social and relationship impacts: weight change affects how others perceive and interact with a person. Those impacts are real and can be psychologically significant.
r.bruun, post #1: A history of disordered eating: proceeding carefully Writing it up because I had to work it out twice and would rather nobody else did. Asking about a population rather than about a person. The published trials in this class mostly enrolled a fairly specific group, and the questions here frequently come from people well outside it. I… Go to post
Body image and weight loss: large weight loss changes a person's relationship with their body in ways that can be psychologically complex. Some of that is positive; some might involve adjustment or processing.
KAndersson, post #36: Support and community: some people process weight change through community (online or in-person). Others prefer privacy. Knowing what you need and seeking it proactively helps. Go to post
post #50 answers the question as asked. The question underneath it is different.
Sleep and mental health: these compounds can affect sleep for some people. Sleep deprivation worsens mood and anxiety. Addressing sleep separately from mood matters.
gradient_review, post #48: Body image and weight loss: large weight loss changes a person's relationship with their body in ways that can be psychologically complex. Some of that is positive; some might involve adjustment or processing. Go to post
On post #48 — agreed on the reasoning, with one qualification.
Substance use: if someone has a history of substance use, appetite suppression and weight loss can shift thinking about body and substance use. This is a risk factor worth acknowledging.
Motivation and expectation: starting with clear motivation and realistic expectations about what will happen and when helps with psychological adjustment.
7 likes 7mo
p.lindqvist, post #45: Coming back to post #43, because the follow-up matters more than the original answer. Two things before anyone answers the substance. First, the context in the first post is clear and specific. Second, the question is framed so that an answer can actually address it. Both are the norm here and both matter more than they sound. Go to post
post #54 is right about the mechanism and I think understates the practical bit.
Body image and weight loss: large weight loss changes a person's relationship with their body in ways that can be psychologically complex. Some of that is positive; some might involve adjustment or processing.
ppm_error, post #3: Coming back to the opening post, because the follow-up matters more than the original answer. 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
Social and relationship impacts: weight change affects how others perceive and interact with a person. Those impacts are real and can be psychologically significant.
Collapsed as off-topic by two members at trust level 3 or above
I disagree with the reply above, and I think the disagreement is substantive rather than terminological.
The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient.
I read post #56 twice before replying, because I had assumed the opposite.
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.
4 likes 6mo
m.silva, post #9: On post #5 — agreed on the reasoning, with one qualification. Motivation and expectation: starting with clear motivation and realistic expectations about what will happen and when helps with psychological adjustment. Go to post
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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.