01/05/2026
I was asked to contribute to a piece in today’s Irish Independent on something I am hearing more and more in the therapy room at the moment, the use of GLP 1 medications.
Reading it back, one question stayed with me.
Are we possibly overlooking something?
Medications such as Ozempic or Mounjaro can be appropriate and genuinely helpful. They can reduce appetite, quieten food thoughts, and support weight loss in a way that many people have struggled to achieve.
But for many people, this does not start with medication.
There is often a long history of dieting, trying to control food, and living with distress about the body. We know that body image difficulties and dieting are among the strongest contributors to eating disorders, often alongside anxiety or low mood.
So while medication may change eating patterns, it does not necessarily address what has been there for years.
✅ If food intake reduces, how is the relationship with food being supported?
✅ If weight changes, what happens to the underlying body image distress?
✅ If restriction has been part of the pattern, how is that being understood?
For me, this is not about being for or against medication.
It is about recognising that people deserve support beyond weight loss alone, including space to look at their relationship with food, their body, and their history with dieting, alongside nutritional and psychological support.
I would really be interested in your thoughts on this.