Doctors and therapists don’t care about weight gain?

If that was the case, why would they need an MD? Why not just a certificate in prescribing medications and referring to therapists? Most do nothing else.

There are holistic psychiatrists who focus on nutrition and other strategies. Depression has complex etiology that is not addressed by simply medication management or checking thyroid function. While some have mental health needs that outweigh risks, most people fall below that threshold as the medications are just not effective or as effective as placebo or even time alone. These pills often have little benefit and higher risk. Many drugs commonly prescribed for mental health have a very strong link with dementia as discovered from one of the strongest studies I've seen in a long time.

At the top of doctors paid most often by drug companies are psychiatrists:
Dollars for Docs - ProPublica
This is not in the benefit of people with mental health struggles.

Psychiatry needs an overhaul. The only innovation in effective treatments in decades--yes decades-is ketamine, which is out of reach for most people. Nothing accounts for hormones, allergies, different types of thinking, sleep quality, existing health problems, etc.

I understand what you are saying as it is the status quo ingrained in our culture, and perhaps that represents your individual needs, but the argument you present is extremely narrow and lacking important context about the practices and impact on a larger; in fact, a huge number in the population.

Most importantly, what is missed is brain health. If your brain isn't functioning, your mental health is below par. Brain health is completely unaddressed by psychiatry, the medications prescribed do not treat brain health.

People might be interested in this line of thinking:
The Brain Book by Dr. Datis Kharrazian, DHSc, DC, MS

That seems to be a popular trend, but I totally disagree with the concept that you can be (considerably) overweight and healthy, though decline in health is often slow. Aside from physical stress on your joints, which impacts posture, which impacts soft tissues, then impacts breathing, weight gain messes up your hormones and nearly always leads to bodily dysfunction in time.

Read about leptin. Leptin sensitivity dysfunction is highly associated with breathing drive. With impaired breathing drive, people don't get deep sleep. Without deep sleep, the body-especially the brain- breaks down slowly. It's a vicous cycle.

Only one example of many.

Vifemina, agree to disagree. Thin does not equal healthy. Thin doesn't mean no heart attack, cancer, diabetes, etc. You call it a popular trend. I call it an education. I have read about leptin. Have you read any of the literature and journals on the side you disagree with? if you want to be healthy, eat healthy, exercise, etc. The focus does not have to be on losing weight.

I’m pretty sure my anxiety was just situational because I threw that med away 3 days ago and have had no desire to take it. When I was prescribed it I was waiting for a very anxiety provoking letter from social security telling me if I’d still be getting my benefits. I was waiting for the letter for months. Well the letter came last week. Everything is fine with my benefits. My anxiety has been fine without the visteral. So I think it’s worked itself out. And my hunger is way way down.