Ask a Psychiatrist and Get Answers to Mental Health Questions ASAP
According to Judith Wurthman, Ph.D. director of the Triad Weight Management Center at McLean Hospital in Belmont, Mass., carbohydrate control is a key component in weight control for those using Risperdal and other medications. Dr. Wurthman says that patients who gain weight on these medications typically have an uncontrollable urge to eat starchy or sweet foods. She says that the answer is to consume carbohydrate-rich, protein-poor foods, which will increase brain levels of tryptophan and serotonin synthesis, in turn reducing the craving.
The regimen advocated by Dr. Wurthman's center involves a proprietary drink containing 40g simple and complex carbohydrates two to three times a day on an empty stomach. She further counsels her patients to have a high-carbohydrate, low-protein, low-fat meal in the evening, when cravings may be strongest.
Now, the other approach to treatment of GAD and OCD which is as effective, if not more so than medications are particular empirically-validated forms of psychotherapy. These include dialectical behavior therapy and variants of cognitive behavioral therapy that involve what is called exposure; and a newer form of therapy called Acceptance and Commitment Therapy. I work with a colleague who is actively researching ACT therapy specifically for OCD and other anxiety disorders and is identifying the components of the therapy that seem to affect anxiety symptoms the most. Have you found someone who practices these forms of therapy, particularly, psychologists? In the absence of such therapy, have you seen the following:
I'll be in and out of this office over the next 12 hours so take your time responding to my post. Let me know if I'm overlooking important aspects of your question. There is no good 'cure' for chronic problems with anxiety and OCD but people can improve their symptoms dramatically, without medications, or do so with a combination of medication and the RIGHT therapy i.e., generic counseling by psychologists and social workers or other 'therapists' who claim they can help, won't cut it. They have to be doing one of the appropriate, empirically validated therapy approaches. What do you think?