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Wellbeing · Mental health

Anxiety in the first weeks: drug, situation, or both

SR
s.roosTL2 Moderator10 Sep 2024#1

On the subject in the title: Anxiety in the first weeks: drug, situation, or both Working notes rather than a conclusion.

General question, not a request for advice about my own care — I know the difference and I would rather be told to see my prescriber than get an answer that pretends otherwise.

I have a panel in front of me with one value outside the reference interval and everything else within it. My instinct is that a single out-of-range result on a single draw is close to uninformative, and I would like to understand how the people who read these professionally think about that.

What I am actually asking is how to tell an interesting result from an uninteresting one before booking an appointment about it.

24 likes 23mo
YR
y.ramosTL2 Moderator17 Sep 2024#2

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 22mo
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OkaforTL3Regular23 Sep 2024#3

post #2 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.

0 likes 22mo
NS
n.szaboTL2 Moderator28 Sep 2024#4

Social and relationship impacts: weight change affects how others perceive and interact with a person. Those impacts are real and can be psychologically significant.

2 likes 22mo
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GDashwoodTL32 Oct 2024#5
JT
j.teixeiraTL2 Moderator6 Oct 2024 · edited#6

Motivation and expectation: starting with clear motivation and realistic expectations about what will happen and when helps with psychological adjustment.

0 likes 22mo
VK
v.klausenTL3Regular10 Oct 2024#7

post #6 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.

0 likes 22mo
CH
ca.haddadTL2 Moderator14 Oct 2024#8

On post #4 — agreed on the reasoning, with one qualification.

Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive.

4 likes 21mo
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DOdendaalTL3Regular18 Oct 2024#9
y.ramos, post #2: 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. Go to post

This follows post #6 rather than contradicting it.

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.

26 likes in reply to #2 21mo
CM
c.marchettiTL2 Moderator22 Oct 2024#10

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.

0 likes 21mo
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TL4_HalvorsenTL4Leader · Journal club25 Oct 2024#11

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.

15 likes 21mo
JV
j.vogelTL2 Moderator29 Oct 2024#12

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 21mo
AD
appeals_deskTL3Regular1 Nov 2024#13
DOdendaal, post #9: This follows post #6 rather than contradicting it. 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

I read post #11 twice before replying, because I had assumed the opposite.

Social and relationship impacts: weight change affects how others perceive and interact with a person. Those impacts are real and can be psychologically significant.

0 likes in reply to #9 21mo
HL
h.lindqvistTL2 Moderator5 Nov 2024#14
v.klausen, post #7: post #6 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. Go to post

This follows post #11 rather than contradicting it.

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.

29 likes in reply to #7 21mo
LI
l.ibarraTL28 Nov 2024#15
AK
a.kirchnerTL2 Moderator11 Nov 2024 · edited#16

post #15 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.

3 likes 21mo
MH
m.haddadTL2Regular15 Nov 2024#17

Coming back to post #15, 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.

0 likes 20mo
AD
a.delgadoTL2 Moderator18 Nov 2024#18
TL4_Halvorsen, post #11: 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. Go to post

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.

22 likes in reply to #11 20mo
FT
fr.translation_moTL2Translator · FR21 Nov 2024#19

Worth separating two things that post #15 runs together.

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.

28 likes 20mo
KM
k.marchandTL2 Moderator24 Nov 2024#20
a.kirchner, post #16: post #15 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. Go to post

Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the kind that comes from remembering a figure instead of looking it up.

14 likes in reply to #16 20mo
BP
baseline_peakTL2Member27 Nov 2024#21

post #20 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.

9 likes 20mo
BN
b.nwosuTL2 Moderator30 Nov 2024#22
ca.haddad, post #8: On post #4 — agreed on the reasoning, with one qualification. Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive. Go to post

On post #18 — 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.

20 likes in reply to #8 20mo
MS
m.stephanopoulosTL3Regular3 Dec 2024#23

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.

0 likes 20mo
NN
n.norgaardTL2 Moderator6 Dec 2024#24

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.

0 likes 20mo
RG
r.girardTL2 Moderator9 Dec 2024#25

Sleep and mental health: these compounds can affect sleep for some people. Sleep deprivation worsens mood and anxiety. Addressing sleep separately from mood matters.

13 likes 20mo
CS
c.silvaTL2 Moderator12 Dec 2024#26
v.klausen, post #7: post #6 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. Go to post

Worth separating two things that post #22 runs together.

Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive.

28 likes in reply to #7 20mo
AZ
a.zamoraTL2 Moderator15 Dec 2024#27

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.

0 likes 19mo
DT
d.tammTL218 Dec 2024#28
HN
h.nicolaidesTL3Regular21 Dec 2024#29
c.marchetti, post #10: 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

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.

19 likes in reply to #10 19mo
PO
p.onwukaTL2 Moderator23 Dec 2024#30

Motivation and expectation: starting with clear motivation and realistic expectations about what will happen and when helps with psychological adjustment.

0 likes 19mo