Crave: Harnessing The Hidden Biology of Addiction and Cancer by Dr Raphael E. Cuomo, PHD.

(image: Todd Trapani, Unsplash)

Modern life surrounds us with easy dopamine triggers: sweetened coffee on every corner, endless scrolls of video, nicotine vapes disguised as fashion accessories. My research career has shown me that these cues are not merely temptations; they are biological signals that reshape metabolism, immunity, and even cancer risk. In my book, Crave: The Hidden Biology of Addiction and Cancer, I set out to explain why.

Why cravings feel hard wired

Craving evolved as a survival mechanism. In the brain, the mesolimbic pathway flags calorie dense fruit, social bonding, or safety as worth seeking. That same circuitry now lights up for ultraprocessed snacks and late night streaming. Functional MRI studies reveal identical patterns of dopaminergic surge whether volunteers anticipate nicotine or a sugary drink, and chronic exposure dulls the reward system’s sensitivity. Over time, people need stronger stimuli for the same lift, a neuroadaptation called tolerance. My laboratory group has observed that tolerance often precedes measurable changes in inflammatory biomarkers that predict cancer progression.

From appetite to oncology

The epidemiology is startling. Meta analyses link daily sugary beverage intake with elevated colorectal cancer incidence, independent of body mass. Tobacco remains the most potent modifiable carcinogen worldwide, yet nicotine pouches marketed as “clean alternatives” still activate . Adults who replace smoking with high sugar snacks trade one risk for another; insulin spikes feed oncogenic pathways. Craving is the bridge that explains these patterns.

Listening instead of suppressing

A central message of the book is that craving is not a moral failing. It is feedback. By tuning into the signal, by asking why a craving appears rather than fighting it, we can leverage biology rather than battle it. For example, a brief walk that raises heart rate for ten minutes stimulates endocannabinoids that naturally quell appetite and elevate mood. Clinical trials suggest that this micro intervention yields sharper cognitive performance than an afternoon energy drink.

Sugar Cravings and Mental Health

Craving for sugar sits at the crossroads of addiction science and mental health because sucrose triggers the same dopamine opioid cascade in the brain that reinforces nicotine and alcohol, yet the rapid glucose spikes that follow can crash into irritability and low mood, creating a loop that feels compulsive rather than indulgent.

Evidence based tools break this loop: cognitive behavioural therapy teaches people to notice the stress cue that precedes a sugar hunt, mindfulness based relapse prevention strengthens the ability to ride out urges, nutrition counselling pairs slow digesting carbohydrates with protein to steady blood glucose, and peer groups such as SMART Recovery provide social accountability when willpower fades.

Small pivots, measurable gains

Patients who swap sugary breakfasts for fiber rich protein report fewer mid morning crashes within three weeks. Continuous glucose monitoring confirms smoother glycemic curves, and inflammatory markers such as CRP trend downward after eight weeks. Similar improvements follow digital media fasts that compress social scrolling into defined windows, freeing cognitive bandwidth and reducing late night cortisol spikes that impair immune surveillance.

Practical first steps

There exist a number of science grounded experiments readers can try: hydrate before caffeine to blunt adrenal overstimulation, pair resistance exercise with a protein rich meal to modulate leptin, schedule technology free evenings to restore natural melatonin rhythms. Track how your body responds, adjust, repeat. The data you gather on yourself becomes a personalised research study with real health dividends.

Final thought

Our ancestors survived by responding to biological urges; we thrive today by understanding them. Crave offers a map from reflexive consumption to intentional living, informed by years of bench science, clinical trials, and population studies. My hope is that readers finish the book feeling empowered to decode their own signals, rewrite their relationship with desire, and protect long term health in the process.

If that resonates, I invite you to explore the full story within the pages of Crave and share your experiences. Let curiosity, not discipline alone, guide your next step. To get your copy of Crave, please see the following link: https://www.amazon.com/dp/B0F8YVNB2S

(image: Raphael E Cuomo PHD)

Doctor’s Insights: Navigating Life With Bipolar Disorder By Dr Antti Rintanen MD Of The Internet Doctor

(image: Emily Underworld: Unsplash)

Living with bipolar disorder can often feel like your emotions are swinging between two extremes. The highs (mania) can be energising but risky, and the lows (depression) can be draining and isolating. As a doctor, I’ve worked with many patients who face this condition—and I’ve seen firsthand how the right tools, treatments, and habits can lead to a more stable and fulfilling life.

What Is Bipolar Disorder?

Bipolar disorder is a mental health condition marked by episodes of depression and mania or hypomania. These mood shifts can affect how a person thinks, feels, and acts. It’s more than just having a bad day or being in a good mood—it can seriously impact relationships, work, and daily functioning.

According to the World Health Organisation, bipolar disorder is one of the top causes of disability for people between 15 and 44 years old.

Medications: The Backbone of Treatment

Most people with bipolar disorder need medication to help manage their symptoms. Lithium, for example, has been used for decades and is one of the most reliable treatments to prevent manic episodes and reduce the risk of suicide. Other options include other mood stabilisers and certain antipsychotic medications.

It’s really important to stick with your medication plan. Stopping suddenly—even if you feel better—can cause serious setbacks. Never adjust or stop medications without medical supervision—even if you’re feeling better, as this significantly increases the risk of relapse, especially into mania. If you have side effects, don’t stop on your own—talk to your doctor about switching or adjusting your dose.

How Therapy Helps

Therapy can help you understand your thoughts, manage emotions, and build better habits. One helpful option is Cognitive Behavioural Therapy (CBT). It teaches people to recognise unhelpful thought patterns and replace them with healthier ones. CBT is especially useful for managing depression and maintaining stability between episodes, though it is less effective during manic phases.

Another type of therapy, called Interpersonal and Social Rhythm Therapy (IPSRT), focuses on keeping your daily schedule steady—especially your sleep and social routines. Why does this matter? Because disruptions to your daily rhythm can trigger mood episodes.

Family-focused therapy also makes a big difference. When your loved ones understand your condition and know how to respond, you’re more likely to stay on track. If you face trauma around your condition, then EMDR therapy can also help with any PTSD or anxiety symptoms.

These therapies don’t replace medication, but they add valuable tools for coping, improving communication, and building resilience.

Everyday Habits That Make a Difference

Beyond medication and therapy, lifestyle habits have a huge effect on mood. Here are a few evidence-based strategies:

  • Stick to a regular sleep schedule. Going to bed and waking up at the same time helps stabilize your mood.

  • Get moving. Exercise—even walking—has been shown to lift mood and reduce stress.

  • Eat well. Omega-3 fats (like those found in fish or flaxseed) may support brain health. While the evidence is mixed, some studies suggest they could help support mood as part of a healthy diet.

  • Manage stress. Mindfulness, breathing exercises, or journaling can help you stay grounded.

  • Avoid alcohol and drugs. These can interfere with treatment and trigger episodes.

It’s worth remembering that lifestyle changes work best alongside—not in place of—medication and therapy. These small, daily actions help support long-term stability and overall well-being.

Pay Attention to Early Warning Signs

Everyone’s symptoms are different, but common early signs of mania include less need for sleep, racing thoughts, and impulsive decisions. Signs of depression may include feeling hopeless, withdrawing from others, or sleeping too much.

Keeping a mood diary or using an app can help track how you’re doing. You might also ask a trusted friend or family member to gently point out changes you might not notice.

Build a Strong Support System

Having a support system—whether friends, family, or a support group—makes a real difference. Research shows that people with strong social support tend to manage bipolar disorder better and have fewer hospitalisations.

It also helps when your loved ones are informed and involved. When people understand what you’re going through, it’s easier for them to support you in ways that actually help.

Final Thoughts

Living with bipolar disorder isn’t easy, but it’s manageable. With the right treatment, daily routines, emotional awareness, and a good support network, it’s absolutely possible to live a meaningful and empowered life.

You are more than your diagnosis. And there are tools—backed by science—that can help you thrive.

About the Author

Dr. Antti Rintanen is a licensed physician from Finland and founder of The Internet Doctor, where he shares reliable, accessible health advice. He writes about both physical and mental well-being with a focus on evidence-based care.

How You Can Achieve A Healthier Lifestyle This New Year.

(image: Brooke Lark: Unsplash)

It’s about the time of year when everyone decides that they’re going to live a healthier lifestyle. If you’re not sure how you can achieve this goal, don’t worry. There are plenty of changes, some of which are easier to manage than others, that will help you improve your health. You can also do this all year round, not just on New Year’s Eve or for a few weeks in January.

  1. Eat Better

Have you ever heard the saying “you are what you eat”? People often think about it in the vein of weight loss, but that’s the first misconception people have about eating healthily. 

Eating better doesn’t just mean trying to lose weight. Sometimes, weight loss is a part of your lifestyle goals, but not necessarily. In fact, changing your diet just to lose weight can lead to an unhealthy and unsustainable lifestyle. You might lose the weight quickly, but your health could suffer and you’re less likely to maintain the results. 

Instead, focus on a well balanced and nutritious diet. Eat the calories you need and make wise food choices. You don’t need to be too restricted, just controlled. 

  1. Drink Plenty 

No, this isn’t a suggestion to drink more alcohol. While alcohol in moderation isn’t a problem, too much alcohol can be terrible for your health. 

Rather, you should think about how much water you drink. The recommended amount is between 6 and 8 glasses of liquid. It doesn’t have to be water. Tea, coffee, and soft drinks do count. 

However, it’s better to drink mainly water and non-sugar drinks. Soft drinks with a lot of sugar contain loads of calories and have very little nutrition, which isn’t a great combo. 

  1. Cut Out Bad Habits

Speaking of cutting things down, you should definitely think about cutting out bad habits like smoking or substance abuse. 

Smoking causes a huge amount of damage to your body and wallet. While you can go cold turkey and completely cut smoking out, some people find this difficult. NRTs, or nicotine replacement therapies, are a good way to wean yourself off.

If you’re trying to stop a very heavy smoking habit, this is especially helpful. Find treatments that work for you, whether that’s extra strong pouches or another kind of medication. 

  1. Exercise

It’s no secret that good fitness is good for your physical and mental health. 

The key to getting fit is to build yourself up. Don’t try to run a marathon right away. Set small, achievable goals and stick to them. The key is exercising regularly, not becoming an instant athlete. 

  1. Mental Health 

A big part of a healthy lifestyle is your mental health. This will keep you happy and healthy. 

This is easier said than done, especially when you’re balancing your mental health with physical health problems. We have enough to deal with in our lives without adding chronic pain or fatigue into the mix. 

Keep an eye on your mental state and well-being. If you do feel overwhelmed, talk to someone. Whether it’s a friend or a medical professional, talking things out can help you process problems and manage them better. 

Heres to a healthy and happy 2024!

This article was written by a freelance writer.

Clear Examples of How Eating Affects Your Mental Health by Anita Ginsburg.

(image: Jacopo Maia: Unsplash)

When it comes to mental health, many people tend to focus on the usual suspects: stress, anxiety, depression, and medications. However, did you know that your food choices also play a significant role in your mental well-being? Over the years, studies have revealed the powerful connection between what we eat and how we feel emotionally. It’s not just about getting the right nutrients for physical health, but also for mental health. This blog post will explore some of the clear examples of how eating affects your mental health.

Mood Swings

What we eat affects the chemistry of our brain, which can lead to mood swings. Consuming foods high in sugar and simple carbohydrates, such as cakes and candy bars, may give you a quick energy boost, but it can also cause blood sugar spikes and crashes, leading to irritability, anxiety, and depression. Eating a balanced diet with protein, complex carbs, and healthy fats will help stabilise your mood and keep your energy levels consistent; buying from health food stores with less processed foods and organic produce like Southtown Health Foods can help with this goal.

Stress and Anxiety

Eating nutrient-dense foods can play a big role in reducing stress and anxiety. Foods like salmon, walnuts, and chia seeds contain omega-3 fatty acids, which are linked to lower levels of stress hormones. Other foods, such as leafy greens, are rich in magnesium, which can help decrease anxiety. On the other hand, consuming caffeine and sugar can increase feelings of anxiety.

Brain Fog

The foods we eat can also impact our cognitive function. Processed foods and fast food meals that are high in trans fats and sugar can cause inflammation, which affects the brain’s ability to think clearly and process information. It’s important to fuel your brain with nutrient-dense foods, such as whole grains, lean protein, and healthy fats like avocado and nuts.

Depression and Mental Health Disorders

Studies have shown that people who consume a diet high in fruits, vegetables, whole grains, and lean protein have a lower risk of depression and other mental health disorders. These foods are rich in vitamins and minerals that are crucial for proper brain function and emotional well-being. On the other hand, a diet high in processed and fast food can increase the risk of depression and other mental health issues.

Gut Health

The gut-brain connection is a well-known phenomenon, and the gut microbiome plays a vital role in our mental health. Consuming a diet high in fibre, fermented foods like yogurt and kimchi, and prebiotics like garlic and onions can help foster a healthy gut microbiome and improve mental health. On the other hand, consuming a diet high in sugar and processed foods can lead to an imbalance in gut bacteria and inflammation that can negatively impact mental health.

In conclusion, what you put into your body matters for both your physical and mental health. Meal planning and making mindful food choices can go a long way in nourishing your brain and keeping your mood stabilised.

It’s important to note that there is no one-size-fits-all diet that will work for everyone, but incorporating more whole foods into your diet is a good start. Take control of your mental health by paying attention to your diet and making changes as necessary. Your body and mind will thank you for it!

Please note that a healthy diet without any other support is not a ‘cure’- make sure to reach out to professionals if you are in crisis.

This article was written by Anita Ginsburg.

Don’t Feel Like Cooking Tonight? Heres 4 Reasons why You Should For Your Health.

(image: Jason Briscoe: Unsplash)

Home cooking offers many benefits. It gives us control over what we’re consuming, we can try out new combinations and recipes, and it can even be a soothing activity.

It’s often one of the first things that falls by the wayside when our lives get hectic, however. Revenue in the ready meals market has increased since 2017 and is expected to continue rising until 2026. It’s clear that in our busy lives, we often resort to convenience foods.

Here, we’ll cover some of the hidden benefits of cooking at home for those times when you feel like ordering a takeaway or throwing another microwave meal in.

Portion and ingredient control

When you order a takeaway or eat a meal at a restaurant, you don’t have much control over the ingredients used or the size of the portion you get, unless you specify you’re allergic to an ingredient. Home cooking is a great way to eliminate unhealthy ingredients.

Portion sizes vary wildly between restaurants – some are much bigger than we’d make at home, while others are not enough to satisfy us. Everyone’s food intake requirements are different, and the healthiest attitude towards food is to eat a satisfying amount – even if it’s more or less than your friend. Generally, restaurants aren’t a good guide for portion sizes, whereas you’ll know your nutrition requirements when cooking at home.

Making healthier choices

A lot of us have been tempted by an impromptu fast food lunch order when we’re at work. And while there’s nothing wrong with indulging in your favourite takeaways occasionally, doing this too often can leave us feeling lethargic and unhealthy.

Preparing your meals for work in advance gives you the freedom to cook whatever you love the most while incorporating energy-boosting fresh ingredients. Meal prepping has exploded in popularity in the past few years, and for good reason. Whether you batch-prep your meals for work every week or you cook an extra portion of your evening meal for the next day, preparing food for work is great for our health.

You’ll need to make sure your trusty work bag can fit your lunch in – backpacks for women are hugely popular for work now, and they can also fit in plenty of other healthy essentials like a reusable water bottle, plus your work laptop!

(image: Max Komthongvjit: Unsplash)

Saving money

It won’t come as a surprise that regular home cooking will keep some more pennies in your purse, especially considering we’re experiencing an increase in the cost of living right now. Dining out at our favourite restaurants is unsurprisingly the most expensive way to eat, but even those visits to the shop for a seemingly cheap meal deal can add up.

Cooking from scratch allows us to cost up our meals and ensure we’re eating within our budget. If you’re finding that you’re priced out of some fresh ingredients, don’t worry – studies have shown that frozen fruit and vegetables are just as healthy. In some cases, frozen produce may even contain higher levels of some nutrients – and come with the added bonus of being easier to prepare!

Mental health benefits

Many of us will already know how relaxing cooking can be. The act of methodically preparing, seasoning, and stirring our food can be therapeutic. Taking the time to cook a meal from scratch tells us that we are worthy of spending time on, which can boost our self-esteem. The act of cooking sometimes requires precision, but it takes us away from the hustle and bustle of our busy lives and – usually – drags us away from our screens.

Having a regular routine is powerful for people who experience anxiety and feel like their life is out of control. Cooking at home regularly is an important part of a healthy everyday routine, which can help us feel in control of our lives. What’s more, it can be a creative activity, and that’s proven to lift our mood and reduce stress.

While we love dining out and ordering in the occasional fast-food feast, there’s no doubt that home cooking reigns supreme. Not only does it allow us to be aware of what we’re putting into our bodies, but it also allows us to take some time away for ourselves, away from our devices and the busyness of our everyday lives.

This article was written by a freelance writer and contains ad links

5 Things that could be triggering your Depression by Samantha Higgins.

iforherimage

(image: Iforher.com)

Almost everyone goes through an episode of depression at some point in life. For some, the problem is severe and protracted. During the episodic depression, bouts leave you feeling hopeless and exhausted, making it difficult to be productive and present in your daily life. Although depression is a severe health condition, treatment brings hope to the affected. Once depression symptoms are controlled, knowing common triggers and how to avoid them can save you from a depressive episode.

It is important to seek help in the form of treatment from a doctor- whether that is medication or counselling.

Feeling Overwhelmed

When you feel that stressors, such as tight deadlines, are too challenging to manage, you become overwhelmed. Emotional overwhelm is more than feeling stressed. It means you are completely submerged by emotions and thoughts about your current problems, to a point of feeling paralysed.

It is a scary and confusing experience that might leave you with limited functionality and an inability to think and act rationally. Whether caused by stressful times at your workplace or traumatic experiences of loss, overwhelm can trigger depression. Minimise depression triggers by knowing your limits and boundaries of what you can take in and what can cause overwhelm. For overwhelming tasks, break them down into smaller, manageable tasks for you to complete in steps.

 

Financial Worries

Money woes are a common source of stress that can cause a depressive episode. Focus on projects that increase your financial stability like side hustles. Avoid concentrating on what you do not have since it increases your worry. Customize your budget and do regular reviews to stay aware of your cash flow and financial situation.

Create a savings plan and make monthly deposits to the account so that you are less worried about the future. Go for local events that are free or cost-effective so that you can socialise at a budget. Remain engaged with your hobbies or spend time with loved ones to avoid overthinking about your financial situation.

Seek support from your doctor, if needed.

 

Alcohol Abuse

Some people indulge in alcohol and other substances to cope with depression. Most are drawn to alcohol’s sedative effects to help distract them from feelings of sadness. While alcohol can relieve some of depression’s symptoms in the short term, it can worsen depression in the long run.

As a person experiences the financial and social consequences of alcohol misuse, their worries increase, and relationships deteriorate, leading to an episode of depression. This leads to a vicious cycle of alcohol abuse to self-medicate some symptoms of depression. If taking antidepressants for depression, avoid alcohol since the depressant effects of alcohol counterattacks the effectiveness of antidepressants.

 

Poor Sleep Habits

There is a direct relationship between poor sleep and depression episodes. People that sleep less than six hours and more than eight hours have a high risk of experiencing recurrent depressive episodes than those who sleep the recommended six to eight hours. Practice good sleep habits, such as maintaining a consistent bed and wake time.

Turn off all electronics hours before bedtime to avoid overstimulation for better sleep. Reduce any source of discomfort, such as an old mattress. Look for the best adjustable mattress bases for maximum comfort and relaxed nighttime. Take a warm bath, meditate, or have a warm glass of milk to help you fall asleep fast.

 

A Poor Diet

Dietary habits can lead to depressive episodes. Consume more healthy foods with a focus on whole foods and fresh fruits and vegetables for improved mental health. Limit processed and refined foods, including junk and fried foods. Look for foods high in selenium like whole grains and Brazil nuts to reduce anxiety and improve mood, making depression manageable.

Go for vitamin B sources such as egg, poultry, fish, and lean meat as they help to reduce the symptoms and risk of mood disorders, including depression. Eat food rich in zinc or use zinc supplements to enhance the effectiveness of antidepressants for better depression management. Hydrate regularly with water or soft drinks for better moods.

Depression can be life-changing due to frequent worries, but treatment- medication and counselling can help manage the disorder. Make lifestyle modifications such as a healthy diet, better sleep, and less worry for improved well-being. 

 

This guest blog was written by Samantha Higgins.

            

 

Dementia and Brain Health Decline: Can the MIND Diet help?: Guest blog by Eve Crabtree

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(image: Spotebi)

With more and more people each day taking steps to combat, prevent and manage their mental health, being as healthy as possible, both mentally and physically, is something that’s important to us.

That’s one of the reasons that many people are turning to the MIND diet to maintain brain function and prevent brain health decline and neurodegenerative diseases.

MIND Diet: What is it?

The MIND diet, Mediterranean-DASH Intervention for Neurodegenerative Delay, was created by researchers from a variety of universities in 2015. It aims to reduce the chance of developing dementia and a decline in brain health that is often associated with older age.

Elements of the Mediterranean diet and DASH (Dietary Approaches to Stop Hypertension) were combined to create the MIND diet. The reason these two diets were chosen above others is because both have been scientifically proven to have significant health benefits.

What was the aim of the study?

The MIND diet, Mediterranean-DASH Intervention for Neurodegenerative Delay, was created by researchers from a variety of universities in 2015. It aims to reduce the chance of developing dementia and a decline in brain health that is often associated with older age.

The study involved over 600 participants and took 3 years to complete. The participants, all of different ages, builds, heights and weights, were asked to follow the diet for the full 3 years whilst data was collected by the team of researchers.

Upon completion, it was immediately found that following the diet had a positive impact on the mental health and physical health of the participants.

One study found that of 923 older people that partook, those that followed the MIND diet closely had a 53% lower risk of developing Alzheimer’s disease than those that only followed it loosely.

Additionally, even those that only moderately followed the plan cut their risk of developing Alzheimer’s by an average of 35%.

What foods are encouraged on the MIND diet?

The MIND diet encourages followers to consume 10 main foods that make up the majority of their food intake each week. These foods are:

  • Fish
  • Green leafy vegetables
  • Other vegetables
  • Nuts
  • Poultry
  • Olive oil
  • Berries
  • Wine
  • Beans
  • Whole grains

These foods have been recommended because they are low in saturated fat but high in good fats, protein, fibre and vitamins. Eating a varied selection of them each day provides your body and brain with everything it needs to be healthy.

What foods should be limited on the MIND diet?

Along with all other diets, the MIND diet recommends that followers consume a restricted amount of processed foods. This includes:

  • Red meat
  • Cheese
  • Butter and margarine
  • Sweet treats
  • Fried food

Researchers encourage limiting intake of these foods because they are high in trans and saturated fat – both of which have been linked to numerous diseases including Alzheimer’s and heart disease.

What are the benefits of following the MIND diet?

Along with slowing brain health decline and minimising the risk of getting dementia, the MIND diet has also shown to benefit physical health and wellbeing, reduce harmful meta-amyloid proteins, and decrease oxidative stress and inflammation.

 

  • Oxidative Stress and Inflammation

Oxidative stress is caused by unstable molecules, known as free radicals, accumulate in large amounts in the body and cause damage to cells.

Inflammation is the body’s natural reaction to infection or injury. Although beneficial in small doses, if inflammation isn’t regulated correctly, it can become harmful.

The vitamin E in many of the foods in the MIND diet benefits brain function by protecting it from oxidative stress. Furthermore, omega 3 fatty acids in fish are known to lower brain inflammation and reduce loss of brain function.

 

  • Harmful Beta-Amyloid Proteins

Scientists have previously suggested that plaques, build ups of beta-amyloid proteins, are one of the primary causes of Alzheimer’s disease. These plaques collect in the brain and disrupt signals between brain cells, eventually leading to brain death.

Trans and saturated fats can increase beta-amyloid proteins in the brain which is why the MIND diet recommends limiting these foods.  

The bottom line

Several previous studies have been carried out that have shown the impact of eating healthily on mental health and wellbeing as a whole. Not only has a healthy diet and regular exercise proved to improve brain function, reduce stress, and improve memory, it also has a positive effect on the body eg weight.

Due to the fact the MIND diet involves eating a variety of good fats and nutrient rich foods, we can hope that it will improve general mental health and brain function as well as reducing brain health decline and combating dementia.

However, this is purely based on opinion and the results of this particular study: further research is yet to be carried out to analyse the extent of the impact the MIND diet really has on the brain.

The brain is complex and we await the results of more research over the coming years.

Eve Crabtree is a writer and health expert.

Psychiatric Medication and Weight Gain- a Journey to taking back control.

This post is intensely personal for me as it encompasses 3 years of recovery from  a severe bipolar manic episode that left me hospitalised. Weight gain is a side effect from more than one of my medications and in this article I will explain my journey and why now I want to take control back.

I have (up until the past few years) always been tall, slim and curvy and never had to worry about my weight. It simply didnt register to me that I couldn’t eat carbs or ice cream or pizza (or my favourite food in the world- pasta)- my height, at 5 foot 10, meant I could carry my weight more than the average short person.

The first time I put on significant amounts of weight due to psychiatric medication was after going on the anti psychotic Olanzepine, aged 16 after an acute episode of depression. I ballooned in weight (due to cravings) and put on maybe 2 stone (not sure what that is in kilos)- but at the time as I was a teenager with a fast metabolism, I was able to lose the weight once I came off the Olanzepine and go back to being a size 12 . My first mood stabiliser- Carbamazepine, that I was on for 10 years didn’t cause the weight gain I have now seen and I went back to being slim.

Over the years as I was put on different anti depressants and experienced suicidal depressions and social anxiety, I comfort ate- pasta, chocolate, cheese to take away the pain of the depression. Still, in 2013, I was maybe only a UK size 14-16 (having been an average 12-14). As mentioned, my tall frame meant I didn’t look big.

Then, in 2014, I was hospitalised due to mania and psychosis and given many medications for psychosis and anxiety- Haloperidol, Benzodiazepines, Upped dosage of Quetaipine in addition to my mood stabiliser and anti depressants . Also during the mania, my mind was so busy that I constantly craved food and snacks and couldn’t regulate my appetite. So weight gain was inevitable.

I put on a lot of weight over my time in hospital, day hospital and at home when recovering afterwards- I wasn’t working, was very anxious and low and the comfort eating began. Add to the lack of exercise- I became overweight and unfit fast. I also found that my new stabiliser Lithium, plus the Quetaipine and anti deps, meant I had bad sugar cravings and became addicted to sugar. I still am, but I am trying to regulate it. This meant I was drinking a lot of juice and eating chocolate.

This week I went to the Doctor and was weighed. I have put on 5 stone in 3 years since Ive been unwell. This was a huge wake up call. The Doctor told me that reducing the Quetaipine would help my weight loss as it causes increase in appetite.

I have bought the Slimming world cook book and Exercise DVDS and really need to find the willpower to just start my diet and exercise regime. Being the size I am- I need to lose weight for health reasons and this is what is spurring me on to begin.