When I saw him recently, my doctor asked how I was doing with the off-meds business (as is his wont, since that’s the only reason I see him). I gave him the 40/60% standard answer I’ve got going, and explained that I had no physical symptoms beyond the VERY occasional re-occurrence of The Spins. (Which is fun, I’ve decided, and allows me to pretend that I’m two-glasses-of-wine drunk while at work.) We got to chatting about how I am, ahem-hem, a truly model Cipralex patient (you know, because my BRAIN doesn’t ZAP ME) -
- Damn it all, the parentheses are back, hang on while I wrestle them down -
- and how I didn’t have any significant weight gain while I was on them. This is not a thing I talk about often, but I have actually had a significant weight gain over the past five and a half years. About 40lbs, which on a 5’3″ human, is a lot. Wait a minute – I’m imagining a grocery store cart full of 40lbs of butter – that’s a lot no matter how tall you are. Anyhow, it was something that Therapist warned me about before I started the Cipralex, in her very kind way, saying that she hoped I wouldn’t concern myself with it too much as it was one of the milder potential side effects.
I won’t lie. For a few minutes I was very concerned. I feel like I’ve struggled with my weight my whole life – though in reality up till ’07/’08 I was a healthy weight – and I didn’t want to add ‘Increased Arse’ to my list of reasons to loathe my entire self-hood at two am. What I realized over the three weeks between my appointment with Therapist and my ability to find a GP was this: in the pits of depression, spending time on the couch, never doing any of the active things I loved – Weight gain was in my future no matter what.
I’ve actually lost a bit of weight since going on the drugs and then coming off of them, mostly due to two things. The obvious one is that I am more inclined to be outside, active, and generally in motion; the slightly more complicated reason is that the foods I crave when I’m sad – because for a few moments, they generate something in my brain that simulates ‘happy’ – are not good for me. I believe in being healthy, and my body is remembering that along with my brain, and I’ll land on whatever-the-hell weight I’m supposed to be when I’m once again able to do every activity that pops into my head.
Regarding weight and depression, these are my new truths:
- Some antidepressants will make some people gain weight, but so will depression. (Or not, if you go the other way and stop eating. I hear that’s a thing. It sounds awful.)
- Food and exercise are the ways in which we tell ourselves that we matter.
- Health is not contained in a number, but in a capability to do all of the things that are important to you.