[Tangerine87]

I'm seeing a psychiatrist for my add and my therapist is going to talk to him so that he knows what to prescribe me. But I don't want pdoc to know about my eating issues (I take diet pills To lose weight). I'm worried that if pdoc knows this he won't give me the add medications that cause appetite suppressant as a side effect. Do u think I'm right? I'm not underweight FYI

[ChangingMyMind]

Well it's possible that can happen pdocs tend to look for drug abuse potential. Not saying you'll do that but in my experience they always ask me substance abuse questions before prescribing me with Ritalin, which I did not take for ADD, I took it to stay awake. Although they never asked weight related questions, even though they knew my antidepressant caused me to gain weight and knew I wanted it off, I don't think that factored into their evaluation of giving me Ritalin. Although I never took diet pills or had an eating disorder so maybe that is why it was never a factor.

I think it's best to be completely honest with your doctors regardless of what you fear they may do becuse they have your best interests in mind.

Just my thoughts.

[Tangerine87]

Originally Posted by ChangingMyMind

Well it's possible that can happen pdocs tend to look for drug abuse potential. Not saying you'll do that but in my experience they always ask me substance abuse questions before prescribing me with Ritalin, which I did not take for ADD, I took it to stay awake. Although they never asked weight related questions, even though they knew my antidepressant caused me to gain weight and knew I wanted it off, I don't think that factored into their evaluation of giving me Ritalin. Although I never took diet pills or had an eating disorder so maybe that is why it was never a factor.

I think it's best to be completely honest with your doctors regardless of what you fear they may do becuse they have your best interests in mind.

Just my thoughts.

I have had a substance abuse history with adderall. But that was at least 10 years ago and I think I've changed. Do u think he will be reluctant to give me these pills if he knows this history?

[geis]

It's really, really dangerous to mix diet pills with stimulants, which are what's most often prescribed for ADD. It can cause severe cardiac issues and seizures, and neither of those are things you want to risk, trust me. Stimulants can also make things worse if you have electrolyte imbalances from eating disordered behavior.

So basically, if you don't tell the psychiatrist, you are risking your health and possibly your life.

[ChangingMyMind]

I don't know really. Don't have experience there. I have had some doctors tell me if there was a substance abuse issue then they would need to monitor my prescriptions closer, which if you don't plan to abuse shouldn't be a problem. I would think if you need the medicine then they wouldn't deny you but I'm not a doctor so I am not sure.

[Tangerine87]

Originally Posted by geis

It's really, really dangerous to mix diet pills with stimulants, which are what's most often prescribed for ADD. It can cause severe cardiac issues and seizures, and neither of those are things you want to risk, trust me. Stimulants can also make things worse if you have electrolyte imbalances from eating disordered behavior.

So basically, if you don't tell the psychiatrist, you are risking your health and possibly your life.

I think I wouldn't take diet pills and stimulants at the same time. I'm terrified of seizures so def Wudnt do that. If I take stims I Wudnt need diet pills bc they do the same thing.

[ChangingMyMind]

It's good to hear you'll be careful and quit the diet pills. Good idea. I hope it works out!

[LastQuestion]

I found eating a basic whole foods diet enough to lose weight. I've dropped over seventy pounds off the scale, but there's no telling how much fat I've lost given how much lean muscle I've built while losing that weight. I don't count calories, I just aim at portion control and getting the nutrients I need, which really is just a simple way to manage calorie consumption without being hungry.

I used to do a calorie restricted diet and lost some weight on it, but it was slow and would plateau easily, requiring more and more intense workouts. After focusing entirely on nutritional value I lost weight faster, built more muscle, and improved my mental health. Starving oneself is unnecessary, unhealthy, and does not promote the lifestyle changes needed to keep weight off.

[geis]

LastQuestion, eating disorders are rarely actually about losing weight. The logic of eating a healthy diet doesn't usually enter into it. Most of us who have struggled with ED's know a LOT about healthy nutrition, but ED's are much more about trying to meet some unmet emotional need than they are about actual weight loss.

[LastQuestion]

Originally Posted by geis

LastQuestion, eating disorders are rarely actually about losing weight. The logic of eating a healthy diet doesn't usually enter into it. Most of us who have struggled with ED's know a LOT about healthy nutrition, but ED's are much more about trying to meet some unmet emotional need than they are about actual weight loss.

I didn't notice any explicit mention of an eating disorder, though I can see how it might have been implied now.

[Tangerine87]

Originally Posted by LastQuestion

I didn't notice any explicit mention of an eating disorder, though I can see how it might have been implied now.

I don't believe I have that lastquestion. I'm just a chronic dieter.

[AncientMelody]

It is critical to be honest with your doctor about supplements, herbals, any everything else you might be taking. I would also be up front about any substance abuse history........if you are honest this will look better, a mutual alliance, rather than by off chance him discovering this in any other way.

Best of luck to you in your healing. I also recommend exercise as well if you're not already doing it. It can keep weight under control and also has other physical benefits, AND is a mental health booster. Even physical activity can be overdone though so please be careful