people on anti psychotic meds do face weight gain, diabetes, liver damage, heart damage and a host of other unappealing side effects. That is why bloodwork is done periodically and check ins with psychiatrist, to monitor things like weight gain and liver enzyme levels.I find this very interesting, if true, that Nick’s complaint about weight gain( from meds), was the catalyst for the crime. Cascading affects. The med that caused weight gain was somewhat effective (but caused weight gain). The Dr accommodated Nick, by trying a less effective psych med, to curb weight gain.
Not justifying, Nick may have been very upset about losing his younger body, good looks, maybe comparing with Hollywood standards.
Not justifying, Maybe he longingly thought about earlier, better days slipping away, but couldn’t get back there, the glimmer of hope was constantly dashed. Both his body and his mind were “failing” him. This made him frustrated and desperate for a solution.
Not justifying or victim shaming! Maybe his parents insisted he take the meds, stay stable( as of 9/25?), if he wanted to live in the guest house in Brentwood (Good boundaries on their part). Not sure how they would enforce an adult taking meds?
Maybe this upset Nick, he felt trapped in his own body and mind, helpless, because he knew he couldn’t survive without his parents safety net. He despised Himself for relying on his parents, plus continuing mental illness and street drug use, further twisted his thinking.
Not justifying, Maybe, He had a pattern of taking his anger out on his kind parents, who were always “safe” people, he could show his true self, take his anger out on them, they always understood, helped him recover. (not talking about manipulation here, more like an end of the rope situation).
In the end, he got off the effective meds, lost his mind, and killed the parents who so lovingly tried to save him. Very sad.
MOO
The weight gain is the latest defense coming from Harvey @TMZ so naturally it's "NOT SOP".people on anti psychotic meds do face weight gain, diabetes, liver damage, heart damage and a host of other unappealing side effects. That is why bloodwork is done periodically and check ins with psychiatrist, to monitor things like weight gain and liver enzyme levels.
While doctors IMO would have taken NR's concerns into consideration, no responsible pyschiatrist would completely change a patients meds due to their complaint alone. I am still confused as to who thought these medication changes could or should be done while in teh wild (community) as opposed to a medical facility. That is IMO NOT SOP.
I agree that people on anti psychotic meds face weight gain. I'll add that people on several types of meds face weight gain also. Doctors of all types monitor their patients while on medications. Lab tests are the norm for checking liver, kidneys, etc but the majority of medication tolerance and/or intolerance comes from the patient. We have no way of knowing what NR reported to his doctor after the medication change. He could have reported everything was just peachy. I seriously doubt he told his doctor he was spiraling out of control or any other negative effect that could land him in a hospital environment. NR could have asked for a medication change so he would have an excuse to do what he had wanted to do for a long long time. If he was so stable and on such an even keel and did what he did, there would be no option for a NGRI defence and I trust that he is smart enough to figure that out. Just my opinion.people on anti psychotic meds do face weight gain, diabetes, liver damage, heart damage and a host of other unappealing side effects. That is why bloodwork is done periodically and check ins with psychiatrist, to monitor things like weight gain and liver enzyme levels.
While doctors IMO would have taken NR's concerns into consideration, no responsible pyschiatrist would completely change a patients meds due to their complaint alone. I am still confused as to who thought these medication changes could or should be done while in the wild (community) as opposed to a medical facility. That is IMO NOT SOP.
Any thoughts on reports that he underwent this medication change at home and not under close medical supervision? My family member was told that in order to come off his current meds and try new ones it would have to be done in a hospital setting so he could be closely observed. I as healthcare POA was present to hear it. We were told that is SOPI agree that people on anti psychotic meds face weight gain. I'll add that people on several types of meds face weight gain also. Doctors of all types monitor their patients while on medications. Lab tests are the norm for checking liver, kidneys, etc but the majority of medication tolerance and/or intolerance comes from the patient. We have no way of knowing what NR reported to his doctor after the medication change. He could have reported everything was just peachy. I seriously doubt he told his doctor he was spiraling out of control or any other negative effect that could land him in a hospital environment. NR could have asked for a medication change so he would have an excuse to do what he had wanted to do for a long long time. If he was so stable and on such an even keel and did what he did, there would be no option for a NGRI defence and I trust that he is smart enough to figure that out. Just my opinion.
There's so much information that's being spoon fed I only know the shape of the spoon. I'm only hearing one side and none of the questions I have about that side are being answered. Weight gain??? How much weight did he gain? What did he do to try and mitigate that weight gain? Did it happen overnight or gradually? Did the physician write out a script after an office visit or was this done by phone? I'll probably not get any answers until something comes out at trial. That is if there is a trial.Any thoughts on reports that he underwent this medication change at home and not under close medical supervision? My family member was told that in order to come off his current meds and try new ones it would have to be done in a hospital setting so he could be closely observed. I as healthcare POA was present to hear it. We were told that is SOP
Because, yeah, psych patients are not reliable historians and their accounts of things being peachy are not to be trusted.
There's so much information that's being spoon fed I only know the shape of the spoon. I'm only hearing one side and none of the questions I have about that side are being answered. Weight gain??? How much weight did he gain? What did he do to try and mitigate that weight gain? Did it happen overnight or gradually? Did the physician write out a script after an office visit or was this done by phone? I'll probably not get any answers until something comes out at trial. That is if there is a trial.
I've yet to see one photo of him looking like GQ model. That's my opinion.That's perceptive about the contribution of the weight gain aspect of the medications in this tragedy.
Nick was said to have looked like a GQ model.
>>>
Markowitz, a friend of the Reiners, called them a "stronger than strong" close-knit family. He says he used to stay with the family whenever he was in Los Angeles.
Markowitz painted a different picture of Nick Reiner.
He recalled a young man who loved basketball and had traveled to Europe to learn more about his family's Jewish roots. He says he saw Nick and the family in L.A. just 10 days ago.
"[Nick] was going through some rough times for many years, but his soul was so pure and gentle," Markowitz said. "He was on the upswing. Looked like a GQ model. I wish I could give you a tidbit or something, like 'oh, he looked bad and this and that'-- he didn't. That's what's so spooky about mental illness."
NPR
Article with more information on the medications that cause weight gain in Psychiatric treatment:
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Clinical studies indicate that a high prevalence of metabolic syndrome exists in individuals afflicted with serious mental illnesses, particularly those with schizophrenia. In addition, psychotropic agents, including antipsychotic medications and antidepressants, have been found to be associated with substantial weight-gain (Newcomer, 2007).
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The strength of the causal relationship between antipsychotic drug exposure and weight-gain can be assessed using a drugs trial conducted with antipsychotic-naive patients. Tarricone and colleagues (2009) reviewed 11 studies reporting the effects of antipsychotic drugs on body weight in patients naïve to antipsychotic drugs. The mean values of weight-gain in these patients were highly significant from the first few weeks of treatment. The sample averaged around 3.8 kg in gained weight and an increase of 1.2 in body mass index (BMI). Thus, weight-gain associated with antipsychotic drug treatment appears to occur rapidly in the first few weeks and continue during the following months (Tarricone et al.. 2009).
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It may be more difficult to treat obesity in individuals who have gained weight as a result of antipsychotic treatment as their medication increases appetite and produces fatigue and the illness itself decreases motivation and social activities (Centorrino et al. 2006).
Weight-Gain in Psychiatric Treatment: Risks, Implications, and Strategies for Prevention and Management - PMC
Thank you for sharing your insight about medications, their interactions, side effects and resulting issues it adds greatly to the conversation.
All imo
Nick was special and rules/guidelines did not apply and since RR said his mistake was listening to the "professionals" NR called the shots.Any thoughts on reports that he underwent this medication change at home and not under close medical supervision? My family member was told that in order to come off his current meds and try new ones it would have to be done in a hospital setting so he could be closely observed. I as healthcare POA was present to hear it. We were told that is SOP
Because, yeah, psych patients are not reliable historians and their accounts of things being peachy are not to be trusted.
There's so much information that's being spoon fed I only know the shape of the spoon. I'm only hearing one side and none of the questions I have about that side are being answered. Weight gain??? How much weight did he gain? What did he do to try and mitigate that weight gain? Did it happen overnight or gradually? Did the physician write out a script after an office visit or was this done by phone? I'll probably not get any answers until something comes out at trial. That is if there is a trial.
Any thoughts on reports that he underwent this medication change at home and not under close medical supervision? My family member was told that in order to come off his current meds and try new ones it would have to be done in a hospital setting so he could be closely observed. I as healthcare POA was present to hear it. We were told that is SOP
Because, yeah, psych patients are not reliable historians and their accounts of things being peachy are not to be trusted.
I've yet to see one photo of him looking like GQ model. That's my opinion.
Thank you for sharing this. Very compelling. I have felt from the beginning that family dynamics played a big roll in this. It's hard to discuss because, to some, its victim shaming. How Nick perceived his family dynamics is important. I'm very interested in future episodes where he goes into even more depth in family dynamics. These dynamics don't excuse this cold-blooded murder. It might help explain the intense rage that was displayed in his parents murder. Nick's perception is his perception-- right or wrong.
I tend to ignore these kinds of diagnoses when the expert has never met or treated any of the parties involved. I wouldn't pay attention to a physician who did this, nor would I for a psychologist.Thank you for sharing this. Very compelling. I have felt from the beginning that family dynamics played a big roll in this. It's hard to discuss because, to some, its victim shaming. How Nick perceived his family dynamics is important. I'm very interested in future episodes where he goes into even more depth in family dynamics. These dynamics don't excuse this cold-blooded murder. It might help explain the intense rage that was displayed in his parents murder. Nick's perception is his perception-- right or wrong.