In fact, I have never been on a diet in my life because I never had a problem controlling my eating. So when I go to these meetings and hear people talk about food being their best friend or using food to relieve boredom or anxiety, I don't know what they are talking about. I overeat because I have a persistent feeling of needing to. It is like being thirsty all the time, despite how much water you drink.
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And I cannot turn off that feeling. The ideal solution is to develop drugs that address the mood disorders without altering food intake or energy levels. But no medications that effectively treat emotional disorders have been developed which do not have the potential to cause weight gain.
And no medication to halt the overeating has been found that is safe to take by people who are already on antidepressants and related medications. Fortunately, there is a strategy that seems to work. We discovered it while treating clients many years ago in a weight-loss clinic associated with a psychiatric hospital.
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We developed specific dietary guidelines to make the brain increase its production of serotonin. Our research, and that of many others, had shown us another important function of serotonin. This brain chemical not only controls mood; it also shuts off appetite and brings about a sense of fullness or satiety. But the medications that are used to restore a normal emotional state by increasing serotonin's control over mood somehow prevent serotonin from turning off the desire to eat. Our approach was simple. We had our clients follow dietary guidelines that would make the brain make new serotonin.
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The medications they were taking did not increase serotonin levels in the brain; they made the serotonin already there more active. We knew from previous research that when carbohydrates were eaten on an empty stomach and without protein, a process was initiated that led to new serotonin being made in the brain. And our experiments had shown that when this happened, people felt less hungry and their carbohydrate cravings went away. We told our clients to eat a carbohydrate snack twice a day on an empty stomach and to eat a dinner meal that was mainly starchy foods like pasta or rice and vegetables.
We told them that they could eat protein at breakfast and lunch but that protein interfered with the process leading to new serotonin being made. And since many of them were on medications that made them likely to eat two dinners, or to snack continually after dinner, we wanted to make sure that there was plenty of serotonin in their brains to turn off their evening appetite. It worked.
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Even though our clients were still on the medications that were causing them to gain weight, they were able to start losing. Stopping too quickly or even cold turkey has been anecdotally linked with what many people especially in online forums refer to as brain zaps. Tammy Mohney, 31, was on escitalopram Lexapro for about six months for anxiety before she had to stop taking it due to a change in her insurance.
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The most common antidepressants are a class called selective serotonin reuptake inhibitors SSRIs , which block the reabsorption of the brain chemical serotonin, leaving it free-floating, Valuck explains. Biebel says she would cry at the drop of a hat while coming off of Effexor. Her friends started to worry it was not a good time for her to try to transition off meds after all, she says.
Other serotonin-mediated processes throughout the body can temporarily feel out of whack as your body readjusts, Valuck says. We know some of the most straightforward healthy habits can alleviate some of the pain of depression, like getting adequate exercise and sleep and taking up a relaxing, centering practice like meditation.
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