<s>[INST] yes I am bipolar manicdepressive ihave just started to see another doctor after a year of not seeing one ive seen one for ten years before that I told this new docter that I would not take anything that will make me gain anymore wait ive been seeing him for three weeks now and ive already put on 20 pounds. hes put me on paxel and kolonapan for my deppresson and my anxiety is there anything you could sugest I could tell him or say to him because im struggling right now to lose weaight. [/INST] Degree understand your concerns went through your details. I suggest you not to worry much. Psychotropic medications used for depression could cause weight gain for many people. But only medicines cannot be blamed. It is their lifestyle that causes more weight gain. Lack of exercise, being lazy because of the medications as well as mood swings and the prime causes. Change your lifestyle, and that is the cure. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck. </s>