Key Takeaways

  • People with serious mental health conditions have an increased risk of obesity.

  • Weight changes can occur due to psychiatric medication, stigma, and other factors.

  • A psychiatrist can help you maintain a healthy weight with medication. They may also recommend other supports, like therapy and lifestyle changes.

The field of psychiatry primarily focuses on mental health. But it also addresses physical well-being. Some medications can have unwanted side effects, like possible weight gain. This can increase a person’s risk for obesity and cardiovascular disease

Experts warn that weight-related health issues can be a crisis for those with serious mental health conditions. So if you’ve ever wondered whether a psychiatrist can help with weight loss, the answer is yes. 

Body size isn’t always a reliable measure of health. But unwanted weight loss or gain could signal an underlying issue. A psychiatrist can help you manage your weight while you focus on your mental health.

How psychiatry and weight management are related

Psychiatry and weight management go hand in hand in several ways. For example, some mental health conditions, like depression, can cause weight gain. Treating the underlying condition can help a person maintain a healthy weight. But this isn’t the only way that psychiatry overlaps with weight management. 

Your provider may also consider other factors as they create your treatment plan, including:

  • Medication choices: Weight gain is one of the most common side effects of mental health medications. If this is a concern for you, talk to your provider. Some medications are what’s called weight neutral. This means they’re less likely to lead to unwanted weight gain. Together, you and your provider can discuss which medication might be right for you.
  • Behavior change: Sometimes, people turn to food as a source of comfort. They may overeat to dull uncomfortable feelings or reduce stress. Some people refer to this as emotional eating, and it can lead to weight gain. Your psychiatrist may suggest therapy to help with this behavior.
  • Combating stigma: The potential causes of weight issues are complex and can involve many environmental, cultural, genetic, and socioeconomic factors. Still, weight stigma is everywhere and can have harmful effects on a person’s mental health. Your provider may recommend therapy for low self-esteem, body image issues, and other stigma-driven concerns.
  • Nutritional support: Some psychiatrists specialize in treating specific conditions or populations. For example, nutritional psychiatrists focus on balanced nutrition in treatment planning. They look at gut health and the mind-body connection to strengthen their patients’ mental health.

The decision to explore weight management options with your psychiatrist is a personal one. Additionally, your psychiatrist may want to collaborate with other medical professionals involved with your care before prescribing weight management medications. This type of collaboration is considered a best practice that will ensure your safety with these medications. 

If you’re interested in this type of treatment, here are some things to consider:

  • What’s the reason for the unwanted weight gain? Is it a side effect of psychiatric medication? If so, your provider may consider prescribing a weight-loss medication. If not, they may recommend other supports.
  • Do you have a history of disordered eating or body image issues? If so, it will be important to discuss how a weight-loss medication might affect your well-being. You and your provider can talk about the potential risks and benefits of this approach.
  • How do you feel about potential side effects? There can be some uncomfortable side effects with weight-loss medications. For example, some people experience nausea, vomiting, or headaches. While side effects can be temporary, they can be disruptive. Having this information can help you make an informed choice about taking weight-loss medication.

What to expect from psychiatric weight management

Psychiatric weight management may help those with mental health conditions maintain a healthy weight. This can be especially important for people who are experiencing weight-related side effects from psychiatric medications. It can involve a combination of medication, therapy, and lifestyle changes. Throughout this process, your provider will be there to offer support and guidance.

If your psychiatrist prescribes a medication that can help with weight loss, you can expect occasional check-ins. They’ll want to monitor your progress, address side effects, and discuss how you’re feeling. Your provider can also offer alternative suggestions if something isn’t working.

In addition to taking medication, your provider will encourage you to care for your mind and body in other ways. For example, they may suggest eating a balanced diet and making time for regular movement. Your provider may also collaborate with other members of your care team to help you meet your goals. For example, they may connect with your primary care physician, nutritionist, or therapist.

If you’re interested in psychiatric weight management, ask your doctor for a referral. You can also ask your existing psychiatrist if they offer weight-management services. If not, they should be able to recommend another provider who can meet your needs.

Clinician's take
I often tell my clients about psychiatric medications and the potential of weight gain. I always frame it around treating the patient as a whole. I inform clients that mental stability comes first, and we’ll monitor side effects together.
Bettina Rodgers RN, MSN-PMHNP
Bettina Rodgers RN, MSN-PMHNP
Clinical reviewer

Find care with Rula

If you have a mental health condition or are taking medication that’s affecting your weight, know that you’re not alone. Fortunately, there are psychiatrists who specialize in weight management. With the right support, you can maintain a healthy weight as you strengthen your mental health.

At Rula, we’re committed to delivering a comprehensive behavioral health experience that helps people feel seen and understood so they can get back to feeling their best. 

Rula makes it easier to find a licensed therapist or psychiatric provider who accepts your insurance so you don’t have to choose between affordable care and excellent care. With a diverse network of more than 15,000 providers, 24/7 crisis support, and appointments available as soon as tomorrow, we’re here to help you make progress — wherever you are on your mental health journey.

About the author

Liz Talago

Rula's editorial process

Rula's editorial team is on a mission to make science-backed mental health insights accessible and practical for every person seeking to better understand or improve mental wellness.

Members of Rula’s clinical leadership team and other expert providers contribute to all published content, offering guidance on themes and insights based on their firsthand experience in the field. Every piece of content is thoroughly reviewed by a clinician before publishing.

More From Rula

OCD and autism
Untangling the relationship between OCD and autism
woman with ADHD meeting with a therapist to learn effective tools
Choosing between a psychiatrist and a psychologist for ADHD
grid of blurred and clear orange circles illustrating the ways a psychiatrist gets involved in OCD treatment
How can a psychiatrist help with OCD?