Dr.PulmRoch said:Therapy insights from my mental health journey: my therapist introduced me to the concept of "identity updating" — the psychological work of becoming…
That reframing is the part I needed. Adding it to my notes with a link back to this thread.
From the other side of the consultation, briefly.
Mood changes on mental health: I want to be transparent — I went through a rough patch emotionally around month 4. Not depression exactly, but a weird flatness. Food was my main coping mechanism and without that, I had to develop new ones.
Therapy has been essential. I'd strongly recommend anyone starting GLP-1 therapy also invest in mental health support. The physical transformation is only half the journey.
chris_chi24 said:Body image adjustment with mental health: I've lost 82 lbs but when I look in the mirror, I still see my old self sometimes.
Anxiety increase on mental health: counterintuitive, but losing weight rapidly triggered anxiety for me. Change — even positive change — is stressful. I was anxious about whether I deserved to feel good.
This is more common than people admit. A therapist who specializes in weight management has been invaluable. Don't neglect the mental health side of this journey.
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Browse GL BiochemJakeSmashed95 said:The mental-health dimension is under-measured in the trial literature and the reports here are consistent enough to take seriously.
Before/after narrative for mental health — one year in:
Before (298 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications, dreaded mirrors, avoided photos, social anxiety about my weight.
After (183 lbs): Run 3 miles regularly, pain-free, A1C normal, down to 1 medication, bought a swimsuit for the first time in a decade, actually enjoy being photographed.
Total weight lost: 98 lbs. Total life gained: immeasurable. This isn't just about weight — it's about reclaiming your identity.
Moderator note: leaving this open. It is being argued well and the disagreement is the useful part. Tagging this one for the weekly digest.