– Binge eating disorder treatment options.
Of course, patients identify the ultimate treatment goal as weight loss. However, reduction or alleviation of frequency of eating-related cognitions, mood regulation, and improvement of overall metabolic health are all also top goals of treatment. Therefore, approaches and interventions include medical/psychopharmacological, as well as psychological/behavioral venues.
The most common pharmacological treatments for obesity include antidepressants, anticonvulsants, anti-obesity agents, and central nervous system stimulants. Antidepressants are directly involved in regulating mood and appetite by increasing one’s level of certain neurotransmitters in central nervous system. Common examples include bupropion, citalopram, fluoxetine, sertraline, and others. They are directly indicated to treat patients with depression, but may assist with weight loss. Anticonvulsants are indicated for patients with epilepsy, bipolar, major depression, and migraines. Weight loss is an off-label use for these medications. Of course, anti-obesity agents are used directly to treat obesity. For example, they may decrease fat absorption in the gut, thereby promoting weight loss. Central nervous system stimulants, used to enhance or accelerate mental and physical processes, are specifically used to treat attention deficit hyperactivity disorder and certain sleep problems. Lisdexamphetamine is the only medication in this class approved by FDA for binge eating disorder.
Although these medications may be and often are effective to assist patients with binge eating disorder, it is important to remember that one of the main components psychological, not physiological. Therefore, it must also be addressed.
Most commonly used psycho-behavioral treatments for obesity include cognitive behavioral therapy, dialectical behavior therapy, interpersonal psychotherapy, and behavioral weight loss. Volumes are written about each, arguing for its effectiveness. In summary, cognitive behavioral therapy focuses on causal relationships between thoughts, feelings, and behaviors. Its focus is to change negative thoughts, thereby reducing negative emotions and unwanted behavior patterns. Dialectical behavior therapy focuses on mindfulness and developing skills to improve emotional regulation, coping skills, and responding to stress more effectively. Interpersonal psychotherapy, as its name suggests, addresses disordered interpersonal relationships that promote emotional problems and unhealthy behaviors. Behavioral weight loss incorporates various behavioral strategies, including those discussed above, to promote weight loss, including restricting food and increasing exercise.
Anecdotally, each and every one intervention described above can be highly effective by itself or in conjunction with other interventions. However, what does research say? As I mentioned in my previous post, research is inconsistent and relies heavily on single case studies. However, recent review article in Annals of Internal Medicine concluded that cognitive behavioral therapy, psychostimulants, anticonvulsants, antipsychotic medications, and cognitive behavioral therapy reduce binge eating and related psychopathology. However, psychostimulants and anticonvulsants actually reduced weight.
Take-home message – be an educated consumer of your own health, insist on collaboration between various physicians that treat you, and talk to your prescriber and mental health professional.
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Last post we talked about medications that cause weight gain. Not surprisingly, there are medications that cause weight loss, weather buy Direct design or as a side effect comma when taking for another condition. Unfortunately, most medications designed to promote weight loss or not covered by insurance and are very costly. For example, diabetes medication Victoza is not only one of the most effective medications directly prescribed for weight loss, but it’s also effective for diabetes and pre-diabetic conditions. In contrast, most other diabetes medications cause weight gain. Therefore, it makes sense to ask your prescribing physician weather Victoza can be replaced for you can replace these medications, as it also has this very wanted side effect of weight loss. For example, search medications as Actos, Glipizide, and Insulin, can cause significant weight gain. Replacing these medications with Victoza, is possible, may make significant difference. Another common medication prescribed for weight loss is Phentermine. And is usually not costly. However, it is considered to be a controlled substance and requires special consistent monitoring, such as frequent physician follow-up appointments. It is also prescribed in a six months on six months off pattern. Interesting Lee, although most depression about antidepressants cause weight gain, Wellbutrin promotes weight loss. Once again, inquire discuss with your prescribing physician if the switch would be appropriate. Weight loss to and now they’re mood stabilizer, like Topamax, also promotes weight loss. However, women of childbearing age should be extra cautious, because it causes birth defects. another new medication, called Qsymia, can be prescribed for weight loss.
Overall, to Summarize last two posts, careful review and optimization of medication regimen, can assist with significant weight loss
Hello this is Ben,
So, for any kid that would want a device to track their eating, health, or how much they walk, pay attention, this is the topic of today’s blog. But this is not just for kids. Adults too can find something that will help them in reaching their health goals. I did some research and these are the gadgets that I thought might be most helpful.
The Misfit Shine
The Misfit Shine is an app that can
- Store information about your activity and sleep.
- Tracks steps, distance, calories, weight, food intake, and sleep quality and duration
- Presents your fitness and sleep trends over time in form of daily, weekly, and monthly stats
- Eating too fast leads to poor digestion and poor weight control. The HAPIfork, powered by Slow Control, is an electronic fork that helps you monitor and track your eating habits. It also alerts you with the help of indicator lights and gentle vibrations when you are eating too fast. Every time you bring food from your plate to your mouth with your fork, this action is called: a “fork serving“. The HAPIfork also measures:
- How long it took to eat your meal.
- The amount of “fork servings” taken per minute.
- Intervals between “fork servings”.
- This information can then be uploaded on a USB drive.
Sensoria Smart Sock
- Each smart sock is infused with three proprietary textile sensors under the bottom of the foot to detect foot pressure.
- The conductive fibers relay data collected by the sensors to the anklet. The sock has been designed to function as a textile circuit board.
- Each sock features magnetic contact points below the cuff so you can easily connect your ankle to activate the textile sensors
If you want a gadget go grab it
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