01/29/2026
I’ve had patients on mirtazipine who had a drastic weight gain. They talked to their psychiatrist about this side effect and they patently denied it. I told them to listen to their bodies and keep advocating for themselves with their psychiatrist.
Years later, my cat was dying. My veterinarian gave me a gel form to put in my cat’s ear of mirtazipine to increase her appetite. I put a small amount in her ear and she immediately turned to get food bowl and started to chow down. There were no questions in my mind, despite the denials of psychiatrists. As a PhD level clinical psychologist and post-doctoral trained neuropsychologist, I always tell my patients to listen to their body.
But what do I know? I’m just a silly little clinical psychologist and neuropsychologist who has been practicing for nearly 35 years.
Do you know what the most effective antidepressant there is, hands down? Exercise. Research has shown this repeatedly. However, it can’t be put in a bottle so there is no profit for big pharma so no one recommends it except for me.