advice?

**Posts:** 14 · by **onlytheyoung** » Tue Dec 07, 2010 11:06 pm

I wasn't sure where would be the right place to post this, but anyone who might have been through the same situation or has some advice, it would be much appreciated.

I've had binge eating disorder since before my early teens, because of this my weight has fluctuated a lot since then. I've managed to gain some control over it this past year and have lost a considerable amount of weight. I had begun to see my diet to be healthy and nutritional, with only binges happening rare and far between rather than every day. However the past few months, as my depression and anxiety has got worse, the disorder has hit back. I've been taking mirtazapine for the past 2/3 weeks and have found that this has had an awful effect on my eating. I feel like I constantly need to be full, to stop the feeling of emptiness. For the past week, I've eaten to the point of being sick most days. I hate the fact that I have no control over it but can't seem to stop myself which then has an effect on my mental state. I begin to feel guilty, like I'm letting myself down. I have such a bad relationship with food, and the state I find myself in with it. I wanted to know your views on this and also any advice. Do you think the two are separate issues or the mirtazapine could be having an adverse effect as I've heard common side effects are weight gain, increased appetite etc.

**Posts:** 2525 · by **Pookie** » Thu Dec 09, 2010 2:16 pm

Hi onlytheyoung,

As with many modern anti-depressants, Mirtazapine (a Selective Seratonin Reuptake Inhibitor (SSR)) is intended to increase the availability in our brains of the neuro-transmitter Seratonin http://en.wikipedia.org/wiki/Seratonin .

Unfortunately, we find about 80% of the Seratonin in our bodies is in our gut - as Seratonin is also an important regulator of our food intake.

Changes in appetite and weight loss/gain are an unfortunate side-effect of many /all anti-depressants.

I suggest that you discuss this problem with your doctor, at the earliest opportunity.

Best Wishes,
John

**Posts:** 823 · by **Nigel** » Thu Dec 09, 2010 3:14 pm

Hi onlytheyoung,

"However the past few months, as my depression and anxiety has got worse, the disorder has hit back."

I wonder if this is coincidental or not...

While many ADs can cause increased appetite/weight gain, as John explained, could it also in part be due to falling back into old familiar ways of coping with difficult times?

Perhaps 'damage limitation' might be a good strategy here. Try to accept that some weight gain might be inevitable so try not to fight it, but at the same time take steps to 'manage' it. Keep the problem fully under control.

Then with that part of the problem under control, take a closer look at what has caused the anxiety and depression to get worse at this time. See what you could do to lessen those causes because ADs won't be able to fix those. All they can do is take the edge off the symptoms, making it easier to cope with daily life.

Have you read the Depression Learning Path?

Take care

Nigel

**Posts:** 14140 · by **jurplesman** » Sat Dec 11, 2010 5:49 am

Drugs are unlikely to treat the underlying causes of eating disorders. Please read:

Eating Disorders

**Posts:** 32 · by **Renfred** » Thu Mar 17, 2011 10:36 am

Hi fellow,
That is not a good sign for you to get depressed very soon and have the eating disorder... I think that you should have some anti depressant after consulting to a doctor and control your emotions... Be cool in every matter...

**Posts:** 32 · by **Renfred** » Fri Mar 18, 2011 12:23 pm

onlytheyoung wrote:I wasn't sure where would be the right place to post this, but anyone who might have been through the same situation or has some advice, it would be much appreciated.

I've had binge eating disorder since before my early teens, because of this my weight has fluctuated a lot since then. I've managed to gain some control over it this past year and have lost a considerable amount of weight. I had begun to see my diet to be healthy and nutritional, with only binges happening rare and far between rather than every day. However the past few months, as my depression and anxiety has got worse, the disorder has hit back. I've been taking mirtazapine for the past 2/3 weeks and have found that this has had an awful effect on my eating. I feel like I constantly need to be full, to stop the feeling of emptiness. For the past week, I've eaten to the point of being sick most days. I hate the fact that I have no control over it but can't seem to stop myself which then has an effect on my mental state. I begin to feel guilty, like I'm letting myself down. I have such a bad relationship with food, and the state I find myself in with it. I wanted to know your views on this and also any advice. Do you think the two are separate issues or the mirtazapine could be having an adverse effect as I've heard common side effects are weight gain, increased appetite etc.

Hi there buddy,
You many have some of the anti depressant as Mod has suggested you along with the better diet foods. I think that you should have a complete check up and change of the atmosphere is must for you for that your mind get out of the tuft situation's now a while surfing's.... It's the best way to keep you cool and healthy one buddy...

**Posts:** 32 · by **Renfred** » Fri Mar 25, 2011 7:25 am

Hey buddy you should first of all take a treatment of depression and anxiety than you will absolutely get cured of the eating disorder.... I think that first of all you should pay attention to your that kind of the disease.....

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