I'm really frustrated. I received a letter today from my insurance company saying that I will have to do 6 months of psychotherapy before they will further consider my request for VGS. They only required one session with the nutritionalist and a 6 month supervised diet isn't required. My BMI is 68! My doctor wrote, in his letter to the insurance company, that he didn't find it necessary to have any kind of psychotherapy. I'm really annoyed at the thought of having to wait 6 more months or longer. The waiting time to see a therapist around here us sometimes 2 or 3 months. My knees are not going to tolerate this weight much longer. I have no cartilage left and every step is agony. I've lost 50 pounds on my own since January but I need to lose 200 pounds before they can do any kind of knee replacement. I'm trying to stay positive but it's hard. I've seen here that most people only have to do an evaluation. Has anyone else been required to do 6 months of psychotherapy? Maybe there is a way out of it?