So today we have a killer Clinical Problems in Consultation Psychiatry (CPCP) presentation by 3rd year medical student Amy Walz who is interested in eventually doing her residency in Pediatrics (which may explain some of the baby pictures in the slide set). Amy was curious about the literature about weight gain in patients with depression and any associations between antidepressant use and obesity. There’s a lot of statistics, hence the title “Depression and Obesity by the Numbers.”
I think the main idea we came away with was the importance of having thorough informed consent discussions with our patients about the adverse effects of antidepressants. Given the psychological (self esteem and so on) and physiological heartaches (because of the cardiovascular consequences of obesity) that weight gain has for most people, sitting down and explaining the risks, even if they may seem small to us as doctors, means a lot to patients.
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