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Weight gain is one of the most common—and distressing—side effects of antipsychotic medications. For many people, it affects self-esteem, physical health, and even the willingness to stay on treatment. In this episode of Schizophrenia: Three Moms in the Trenches, we talk about why these medications cause weight gain, whether it can be treated or prevented, and what families should understand about metabolism and insulin resistance. We also touch on the growing conversation around the ketogenic diet and its possible role in treatment. What’s evidence-based, what’s still emerging, and how can families advocate wisely?

Guest : Robert S Laitman, MD, is an internal medicine physician at Bronx Westchester Medical Group in New York.

Book: MEANINGFUL RECOVERY from Schizophrenia and Serious Mental Illness with Clozapine: Hope & Help

BUY THE 5th EDITION - for an extensive update to Dr Laitman's section, An Optimistic Nephrologist. MoreIn depth data about clozapine and the mitigation of side effects for a MEANINGFUL RECOVERY.Published in December 2025.

We also touch on the expanding reach of Doromind, so more can benefit from Dr. Laitman’s treatment protocols.

https://www.doromind.com/

Keto Diet resources:

https://accordmh.com/

Dr. Chris Palmer has written books about it.

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Randye Kaye
Mindy Greiling
Miriam (Mimi) Feldman

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Two days after the tragic murders of Rob and Michele Reiner, allegedly at the hands of their middle son, Nick, we three moms comment on the system, the families who try everything to help someone they love, the fears many of us live with. We also vent about system failures, and the unforgivable response from Donald Trump.

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Randye Kaye
Mindy Greiling
Miriam (Mimi) Feldman

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Today on Schizophrenia: 3 Moms in the Trenches, we’re joined by Dr. Steve Olson—psychiatrist, longtime advocate for clozapine, and a clinician experienced in using Electroconvulsive Therapy when it can truly help. ECT is often misunderstood, especially in the context of schizophrenia, so today we’re digging into what it is, when it works, and what families should know. Dr. Olson helps us separate myth from reality and explore whether ECT has a place in treatment for our loved ones.

Questions for Dr. Olson

Understanding ECT

1. For families who only know ECT from movies, how do you explain what it actually is today?
   
   
   
2. What symptoms or situations in schizophrenia make you consider ECT as an option?
   
   
   

Effectiveness & Use Cases
3. How effective can ECT be for schizophrenia, and what outcomes have you seen in practice?
4. Are there particular subtypes or symptom profiles where ECT is most helpful—or least helpful?
5. How quickly do patients typically respond, compared to medication changes?

Clozapine Context
6. You’ve been a strong advocate for clozapine. In what scenarios would you consider ECT in addition to clozapine?
7. For someone who hasn’t responded fully even to clozapine, how do you decide whether ECT could help?

Safety, Stigma, and Practicalities
8. What are the most common fears or misconceptions families have about ECT, and how do you address them?

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Join our facebook page
Our websites:
Randye Kaye
Mindy Greiling
Miriam (Mimi) Feldman