Depression symptoms and difficulty gaining weight

DISCLAIMER: I’m not automatically do anything in this thread (YAND etc), just looking for info and advice.

For several years, I’ve had low moods, loss of appetite, sleep problems… I just can’t shake it. I work, force myself to eat well, took all the generic ‘‘snap out of it’’ advice: it’s helping me to survive, but I’m treading water. Very frustrating…

Anyway, I’m just wondering if some anti-depressants help with appetite loss AND sleep loss. Also, anti-depressants a skinny, sleepless guy should avoid? Thanks. :slight_smile:

(Sorry if it’s the wrong forum, I just guessed).

Medical advice is best suited to IMHO, so I’ll move this over there.

Colibri
General Questions Moderator

Hey boomerang. This should probably be in In My Humble Opinion, which is where most medical advice threads go. I’ve notified a moderator so he can move it for you. :slight_smile: Edited to add: Took me so long to write this that the mod responded before I finished! Now that’s service. Thanks, Colibri.

Now to answer your question, and no, IANAD. Just a person very experienced with depression, unfortunately, including both successful and unsuccessful treatments for it.

First, of course you should see a doctor (preferably a psychiatrist) in combination with a therapist, because it doesn’t sound as if you’re going through a brief phase of situational depression. At least, you don’t describe any incident(s) that may have caused or contirbuted to your current depression.

Second, to answer your question. Many antidepressants have “weight gain” as a possible side effect – in fact, I’d say almost all the SSRIs (Prozac, Zoloft, etc.) and the older tricyclics (Atavan, Valium) are often associated with some weight gain. That said, many of these same drugs *also *list “weight loss” is a side effect; pharmaceutical companies like to cover all their bases. :slight_smile:

I can speak to my own experience that Elavil (amitriptyline) both knocks me to sleep and has given me bizarre food cravings that have, unfortunately, led to weight gain. I adore the sleep issue because I’ve suffered from insomnia all my life. On Elavil, I have literally fallen asleep in my chair in the middle of typing something. Almost every morning I wake up and find that the light by my bed is still on, indicating that I feel asleep before even turning out the light. It’s a pleasure.

The weight gain and cravings, however, are not. I’ve had an average sweet tooth all my life, though my real “poison” has been starchy, salty food (popcorn, for example). Ever since starting Elavil, I’ve found myself wanting to stuff fistfuls of sugar in my mouth. If I could have an IV drip of caramel I’d be in heaven!

However, despite the side effects, the medicine has gotten me through some rough times over the past two months. I doubt I’d’ve gotten through some difficult situations and made positive decisions in my life without the meds. But my psychiatrist and I are going to be tapering me off the Elavil onto another tricyclic that isn’t known for weight gain (can’t remember the name, unfortunately; even more unfortnately, SSRIs are out for me due to them causing a noticeable increase in my panic attacks).

Prozac, which I used back in the '90s, actually helped me lose weight, due to elevating my mood and causing me to rely less often on food as a comfort/numbing device. But in others it’s been known to cause weight gain. So really, it’s all a crapshoot. Work with a good psychiatrist – and as I said, be sure to get regular therapy as well, as drugs alone won’t necessarily get to the root of the problem – and hopefully you’ll find one, or a cocktail, that will work for you.

(Note: most docs these days are all about the SSRIs rather than the older classes of drugs such as tricyclics, I believe it’s mainly because the SSRIs are less prone to side effects, especially the groggy/soporific effects, of the tricyclics. I was only put on the older Elavil because as I mentioned, I have both depression and panic disorder, so we needed to find a medication that would help the depression without triggering anxiety. Not, alas, an easy task.)

Best of luck to you. I should have asked first: have you seen a doctor about the depression?

(BTW, anyone who just says “snap out of it” to someone suffering with true depression – not just a short-lived blue mood – should be shoved in a vat of molasses with a 100 lb weight yoked to his or her shoulders, with a recording of someone saying “your life sucks and it’s never going to get better” playing on a loop 24/7. Then let’s see how well he/she “snaps out of it.”)

Just a correction here: These medicines you’ve listed are not tricyclic antidepressants but rather benzodiazepines, which are anti-anxiety meds.

You may want to avoid Wellbutrin. It has helped with my depression, but loss of appetite + weight loss is a common side effect.

:smack: Oh crap, I knew that. I’m taking benzos myself (Klonopin/clonazepam daily, Xanax for mid-panic attack emergencies), and was given both Valium and Ativan. Sorry for the error.

To correct myself: some of the popular kids in the tricyclic class includes the aforementioned Elavil (amitriptyline) Pamelor (nortriptyline), and Tofranil (imipramine). As I said, Elavil is old school but it does have that weight gain/soporific effect you’re looking for, at least it has on me.

There is treatment aside from meds, of course. Some people swear by CBT (cognitive/behavioral training), others by pure talk-therapy, others a mixture of both, and then there’s the true old school psychoanalysis. Next are the various alternative therapies such as EMDR (eye movement desensitization and reprocessing), TMS (transcranial magnetic stimulation), ECT (electroconvulsive therapy – aka shock therapy, which despite its nightmarish misuse in the past actually has one of the better success rates overall for treatment-resistant depression, though there are some serious side effects obviously).

Anyway, many people have definitely been helped by meds/therapy combo, and I hope you’re one of them. Talk to your doctor, etc., and best of luck to you.

I’m afraid I’ll be no help with the medications. Everything I tried made me not sleep, which made me feel lousy, which in turn made me not eat.

My problem is often if I’m feeling terrible I’ll either be all tied up in knots and queasy, or I’ll simply be too preoccupied with it that I’ll forget about food. One thing I used to do during stressful periods in college was make a regular lunch date with my best friend. I couldn’t forget to eat if someone was hammering on my door and saying, “I feel like getting Chinese today.”

I do similar things with pets now. I have a box of rats, more or less. I can’t forget to go to the grocery store and buy food, because they eat the same things I eat (albeit with a lot more oatmeal and uncooked pasta). They are absolute fiends for things like cheese and fresh vegetables, which helps.

If feel so down/anxious you get queasy and are mostly concerned with just getting enough raw calories, whatever they are, then you can try multivitamins and a steady flow of sugared tea or ginger ale. Also works for me when I’m sick.

OK, thanks for the explanation for moving it to another forum, and thanks for the advice. I’ve been to doctors several times, years ago, re: depression/related symptoms. They basically said, ‘‘hey, you got some heavy stuff going on - of course you don’t feel good! Just plug along, and it’ll work itself out’’. Well, I’ve done that, and it’s not working. In fact, I’m frazzled in a way I can’t explain… doctors point to the Epstein-Barr virus I caught as a kid. Maybe it’s a factor, but the doctors did nothing to help.

Have you had your thyroid tested?

Hiya boomerwang, sorry for getting your name wrong before.

But yipe, what the hell kind of doctors were these? General practitioners / primary care physicians, or actual psychiatrists? If the latter I can scarcely believe they earned a degree. What decade was this in?! It sounds like the '50s. “Just buck up, son!” Yeesh.

My recommendation would be to go to a therapist first – either a psychologist or a CSW (certified social worker), assuming you’re living in the U.S. – and explain everything about how you feel to him or her, and say you’re willing to both work things out through talk therapy as well as exploring medication options. Make sure you say you’re not expecting some magic pill or cure-all, but that you’ve experienced this depression for many years and are hoping some medication might help you work through your problems and get some much-needed sleep while you and your therapist deal with some of these big issues you mention that happened to you in the past, as well as stuff that’s going on in the present.

In the U.S., social workers can’t prescribe, obviously, and in most states psychologists can’t prescribe either. But both can offer a referral to a psychiatrist, and usually it’ll be someone they’ve worked with before. Once the therapist has given you a general diagnosis, the psychiatrist will have something to work with. Best case scenario, you’ll have a good therapist willing to work with the psychiatrist to discuss your case and help the doctor understand your issues.

(BTW, don’t expect long sessions with a psychiatrist. I’m lucky to see my pdoc for fifteen minutes, and that’s only if he’s feeling unusually chatty that day. That’s why I recommend seeking out therapy first; you need someone who’ll listen and advise, not just toss out a prescription for the antidepressant du jour without learning your history and understanding the context of your depression.)

So please don’t settle for whatever those idiot doctors said in earlier years. Keep trying. This goes double if those docs weren’t psychiatrists. Doctors can be remarkably shallow at times.

(Though, in fairness, it was a GP who recognized that my own health problems were almost certainly related to stress, and she pushed me to seek therapy, thank goodness.)

Best of luck to you!

Have you talked to your physician and had some blood panels done? Perhaps there is a thyroid issue or some other medical cause. Hormones, blood sugars, and vitamin/mineral deficiencies can affect mood, sleep, appetite, and weight and may be independent of a psychological issue. That’s not to say you shouldn’t explore the psychological route (counseling, anti-depressants) as well, but I would suggest ruling out any medical issues before going to anti-depressants.

I’d recovered from pancreatitis recently (a few months ago), and had a big flare up again today. Maybe that’s contributing to it all too? My doctor’s only advice for pancreatitis was ‘‘avoid alcohol’’. :frowning:

As a long term clinical depression sufferer, I haven’t found any of the wonder drugs have worked for me, so now I don’t bother.