Goal weight anxiety — March 2026

jim_asheville said:

Before/after narrative for mental health — one year in: Before (294 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications,…

Bookmarking. The distinction being drawn above is the one nobody else makes.

From the other side of the consultation, briefly.

dan_philly said:

...mental health should only be used alongside therapy...

I'd say therapy should be AVAILABLE to all GLP-1 patients, but requiring it as a precondition for treatment would create an access barrier.

Not everyone can afford therapy. Not everyone needs it. Some people do just fine with medication + lifestyle changes. But for those with emotional eating, body image issues, or disordered eating history, therapy is extremely valuable.

My recommendation: make mental health screening part of the initial assessment, offer therapy as a recommended adjunct, but don't gatekeep medication access behind it.

LibrarianMeg said:

Body image adjustment with mental health: I've lost 87 lbs but when I look in the mirror, I still see my old self sometimes.

When to call your doctor about mental health side effects — a reference I wish I'd had:

Call immediately:

• Severe abdominal pain (could be pancreatitis)
• Vision changes (thyroid concern)
• Lump in neck (thyroid nodule)
• Severe vomiting/can't keep fluids down for 24h+

Schedule an appointment:

• Persistent nausea beyond 4 weeks
• Significant hair loss
• Mood changes or depression
• Gallbladder symptoms (RUQ pain after eating)

dan_philly said:

The mental-health dimension is under-measured in the trial literature and the reports here are consistent enough to take seriously.

Anxiety increase on mental health: counterintuitive, but losing weight rapidly triggered anxiety for me. Change — even positive change — is stressful. I was anxious about regaining weight.

This is more common than people admit. A therapist who specializes in weight management has been invaluable. Don't neglect the mental health side of this journey.

Moderator note: reminder that nothing in this thread is medical advice, and that clinical claims need a source. Carry on.