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PSYCHOPHARMACOLOGY TODAY
Year : 2010  |  Volume : 8  |  Issue : 1  |  Page : 53-68

Weight-Gain in Psychiatric Treatment: Risks, Implications, and Strategies for Prevention and Management


1 The University of Western Ontario, Department of Psychiatry, & Associate Scientist, Lawson health Research Institute, London, ON
2 University of Toronto, Department of Psychology, Toronto, ON, Canada

Correspondence Address:
Amresh Shrivastava
Regional Mental Health Care, 467 Sunset Drive, St.Thomas, ON, Canada. N5H 3V9

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-1229.58819

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Weight-gain in psychiatric populations is a common clinical challenge. Many patients suffering from mental disorders, when exposed to psychotropic medications, gain significant weight with or without other side-effects. In addition to reducing the patients' willingness to comply with treatment, this weight-gain may create added psychological or physiological problems that need to be addressed. Thus, it is critical that clinicians take precautions to monitor and control weight-gain and take into account and treat all problems facing an individual. In this review, we examine some of the key issues surrounding weight-gain in individuals suffering from mental disorders for contemporary practitioners in community clinics. We describe some factors known to make certain patients more susceptible to treatment-induced weight-gain and mechanisms implicated in this process. We also highlight a few psychological and pharmacological interventions that have proven effective in weight management. Importantly, we provide critical steps for management and prevention of weight-gain and related issues in the clinical practice of psychopharmacology.


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