There seems to be a pretty strong correlation between weight gain and effectiveness against psychosis...so far no really effective drug has proven weight neutral even the ones that are considered weight neutral like abilify and Geodon can still cause weight gain in some people it's just less than say zyprexa...you know 10-20 pounds vs 80 within a month.

Basically when you go to the hospital instead of an outpatient pdoc they have one goal fast stabilization...abilify is apparently garbage for this because it takes too long to work they don't typically use it in the hospital ...I don't know about Geodon but usually they will go for risperidone or zyprexa because they are fast and effective but they have some of the worst side effects. I can't say I understand the kinetics of getting the drug to work but that is the reason I saw in one of the doctor forums. The hospital really doesn't care about long term care because they won't see the 30 pounds you've gained they will only see you if you become psychotic again so they have different goals than an outpatient doc.