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Uncontrollable weight loss
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Questions in the Anorexia, Bulimia, Binge Eating Forum are being answered by Dr. Patricia Pitts, PhD, a Clinical Psychologist from The Bella Vita Program - CA.

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Uncontrollable weight loss
I have a very hard time gaining weight and would like some advice on how I can gain weight AND keep it on. Everyone always tells me to just eat, but the problem is I don't have much of an appetite and when I do eat I eat a large amount but don't gain weight. I have always been thin but recently I have lost more weight than I have ever in my entire life. I am 36 years old, 5'3' and only weigh 98lbs. I haven't weighed this little since junior high! I drink coffee throughout the day and know that this is a suppressant but can't stop drinking coffee rather than eating. I was prescribed an anti-depressent which has a side effect of weight gain when I sought treatment from a doctor, however I stopped taking it and of course the weight fell right off and then some. I am really bothered by the looks and the comments I get from people and just want to look healthy. Could you please give me some direction in my quest to gain weight? Thank you so much!
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514715 tn?1338269858
Dear Nates Mommy,

Since you have been prescribed an anti-depressant, you have probably been diagnosed with depression.  Depression can cause poor appetite.  In addition, your drive to drink coffee all day long sounds obsessive-compulsive.  With these dynamics, it would be difficult to gain weight on your own.  The psychological pain could be feeling like a failure.  I recommend that you seek treatment with a registered dietitian to help you eat nourishing food while seeking therapy to deal with any depression, anxiety or obsessive-compulsive behavior you might have.  You could a check out our website to learn more about nutrition and eating issues.  You may be curious to take our eating disorder questionnaire to see how you score.

Best regards,

Dr. Pitts

Patricia Pitts, PhD
The Bella Vita
Los Angeles, California

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