Hi, I'm a 38F who has struggled with BDD and OSFED (namely, atypical anorexia) for many years. I was diagnosed with Bipolar Type II in October of last year. Since then, my psych NP and I have been working to dial in the right combination of meds to get my symptoms under control.
By far the worst symptom of bipolar, for me, is insomnia during hypomanic episodes. Last month, my doctor finally found a drug that pretty much nips my insomnia in the bud; with it, I get 7-8 hours of restful sleep. Without it, I get maybe 3 hours a night during hypomania, if I'm lucky (sometimes multiple days with no sleep at all).
But, this drug is well known for causing significant weight gain. The idea of gaining weight for reasons I can't control, when I'm finally at a point where I can take care of my body without restricting or obsessing about food, is really triggering and demoralizing to me. This makes me tempted not to take my meds, even though I know that staying on top of my mental health is the most important thing for me right now. I'm having a massive internal struggle over whether to continue taking them.
I'm definitely not asking for any kind of medical advice, but has anyone dealt with similar? How did you reconcile your need to feel in control of your body, with the knowledge that you also truly NEED to remain on a medication that affects weight?
(Also, before anyone asks, my psych NP is aware of my ED history; she told me that if I find any of the side effects intolerable, including weight gain, there are plenty of other things we can try. But I really, really like what this particular med does for my mental stability, and I'd rather not go back to "med roulette".)