Psychology of Ozempic

Here What I Want to Say About Ozempic:

It’s risky to take it without psychological support.
Because Ozempic only mutes desire — it doesn’t eliminate it.

And psychologists have long warned: suppressed impulses never end well.
Every addiction is, at its core, an uncontrolled craving for pleasure.

At the root of that craving lies what Freud called the Id — the most ancient, instinctive part of the psyche, driven by the need for pleasure and instant gratification.
A hungry baby wailing until it’s fed is pure Id in action.

But the Id isn’t just childish whim or greed. It’s the vital life energy itself — the force that keeps us alive, both as individuals and as a species.

Neurobiologically, that energy runs through the dopamine reward system.
A burst of dopamine feels like a hit of joy. The brain releases it to reinforce survival behaviors: you catch a deer — dopamine hit; you eat it — dopamine hit; you defeat your rival — dopamine hit.

“Pleasure seeking behavior is the foundation of survival and evolution.”

But humanity figured out long ago that the Id can’t be left running the show.
You can’t build civilization on impulse alone — it’s the “steal–drink–go to jail” model of life.

So we learned to tame that wild force.
Laws, morals, etiquette, traditions, religion — all tools to keep the Id in check and society moving forward.

The problem is, the methods were clumsy. Mostly repression, guilt, and punishment.

And since the Id hates being caged, it finds workarounds:

• in some people — wild, compulsive pleasure-seeking,

• in others — depression and anxiety from constant inner tension,

• and in others still — sudden breakdowns after years of being “good.”

Now, about Ozempic.
Its mechanism of action is simple: it dampens the sense of pleasure and the urge to repeat it.
When nothing feels exciting anymore, it’s easier to stop doing what used to tempt you.

Studies show that people on Ozempic often quit not only overeating but also smoking, drinking, even using drugs.

No surprise there — the drug blunts the brain’s dopamine response.
You remember that something used to light you up, but now… nothing.
You look at a steak and a glass of wine — and feel absolutely nothing.

Biochemically, the pleasure signal just doesn’t reach the brain.
But psychologically, the desire itself is still there.

It’s simply been silenced and ignored.

And the psyche does not like to be ignored.
So I wasn’t surprised by new research showing that Ozempic use can increase depression, anxiety, and neuroticism, and in men, trigger erectile dysfunction.

“When the reward system is silenced, life loses its flavor.”

Suppressing the craving for pleasure can help curb addiction —
but it can slide into apathy.

“Doctor, will I live?”
“Sure. But what’s the point?”

That’s why it’s so important to combine Ozempic with psychotherapy —
so your therapist can help you keep your joy in living after Ozempic switches off the pleasure of eating.

Because without conscious work, your life energy can fade —
and you’ll end up a thin, well-behaved, but quietly miserable person who no longer wants anything at all.

References

• Liao, B., Able, C., Sonstein, J., & Kohn, T. (2024). Prescribing Ozempic and Wegovy for Weight Loss is Associated with an Increased Risk of Erectile Dysfunction and Hypogonadism in Non-Diabetic Males. The Journal of Sexual Medicine, 21(Suppl. 1), qdae001-148.

• Kornelius, E., Huang, J. Y., Lo, S. C., Huang, C. N., & Yang, Y. S. (2024). The risk of depression, anxiety, and suicidal behavior in patients with obesity on GLP-1 receptor agonist therapy. Scientific Reports, 14(1), 24433.

• Sheridan, C. (2025). Not just obesity: GLP-1 receptor agonists advance on addiction. Nature Biotechnology, 43, 455–457.