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Psychiatric Evaluation



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I have been waiting for over a month for mine to clear this is the only thing holding my surgery back. Just because I told her I was seeing a therapist for marriage counseling now she wants to pull records from everywhere. Did anyone have a problem with the psych evaluation? What were some of the reasons and how did you convince your psychiatric that you need this surgery?

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I told the psychiatrist that I had thrown up a few times a long time back and I had to jump through all kinds of hoops for possible "eating disorders". Any pushback on my part (OMG, look at me, I am NOT bulemic) just made them more convinced that I had issues. I learned pretty quick to just let them do their thing and get paid. They have the power to not clear you so you have to jump through the hoops now. It wasn't a matter of convincing them I needed it, it was a matter of them testing me to ensure I wasn't messed up or going to turn to throwing up food after the surgery.

Sometimes a little too much honesty during that psychiatric evaluation turns into a big pain in the butt, but I think you'll be fine if you just do what they say (take the extra time, and tests if needed). If you resist, you get an extra label added to your file.

Good luck! I am sure you'll be able to make it happen.

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I sure am glad I read this...I have the problem of being too open and giving too much away. I will be saying as little as possible and answering with yes or no responses as much as I can tomorrow!!! Lol

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I decided to have my eval. done by my therapist rather than the one the practice recommended. My therapist was qualified to do it (LCSW)? Or whatever it is. She didn't have experience doing this particular eval., but the practice I'm using had a thorough guide for any licensed therapist I planned on using. That said, I had seen my therapist originally due to marriage issues. I felt that she knew me better than any other therapist who may feel the need to thoroughly investigate things that my therapist is already aware of and understands. Hope that makes sense. She's know me and my husband more than a year and though she feels this is an extreme option, she told me that psychologically she knows there's no reason to not recommend me. She was thorough with the questions they wanted her to ask, and she apparently submitted a glowing report despite her personal reservations regarding the procedure. I had decided that someone more familiar with me, even though less familiar with bariatrics was my better option. It worked for me. Don't know if it's too late for you to do that or not, but thought I'd share my process.

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I'm sorry to hear that they are making you jump through hoops! Mine was very easy and straightforward so I don't have any experience to reflect back to you, but I will say to just keep pushing through and before you know it it will be over and done with. I truly think the pre-surgery wait is the hardest part of the entire journey and you are almost done!

Good luck and let us know how everything turns out :)

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My psych eval went ok, they just asked me a bunch of questions. They primarily wanted to see how I would cope with weight loss surgey and if I was ready for it. I answered honestly but wasn't severely honest on things that may teter too much information. At the end my therapist said she believed I'd do ok and would clear me. Now waiting on the approval to get surgery.

I hope everything works out for you and you get cleared soon. Good Luck

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It sucks just the waiting part. I had no idea my therapist could have done this where can I get a questionare?

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What kind of questions does the therapist ask during the evaluation? Just want to be prepared.

What kind of questions does the therapist ask during the evaluation? Just want to be prepared.

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Sorry...I hit the reply button twice.

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It sucks just the waiting part. I had no idea my therapist could have done this where can I get a questionare?

Lexsan, the first thing to do is call the insurance company to find out the therapist qualifications they would accept a report from e.g., Psychologist, Psychiatrist, LCSW, etc. if your therapist's qualifications match, you're good.

There isn't a questionnaire.... There was just a letter in my initial info. packet from my surgeon to the mental health professional. It told him/ her in detail what specific information they are looking for, etc.

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My surgeons office gave me a template for questions the therapist needs to ask. I went to my usual therapist and she had to refer me because she no longer did them and didn't feel comfortable doing it for me (she didn't want jeopardize my chances if she did it wrong). So I ended up going to another therapist who I never had a session with before but seemed nice and made me comfortable. I ended up finding her through my surgeons office.

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I'm just starting on my journey... While I was told I could use anyone... The office gave me a list of folks they work with who specialize in these types of evals and highlighted the two that would except my insurance which is FEPC BCBS.

Got this setup. Was told that I would have two appts. The first to chat for about a half hour and then there would be some written questions for me to answer. Visit two was more chatting and the results based on our first meeting. My old that the results portion was to help me with skills for success on this journey.

So part one is on Monday.... Will report back after that....

I also tend to chat tool much.....

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I have had 2 psych evals done. A couple years ago I had one done (my insurance changed and ended up not getting to have surgery). I passed it no problem. This time I was probably overly honest and my psych felt that I have pretty sever anxiety issues. She asked me to touch base with a therapist a time or two and have someone "in my back pocket" for after surgery anxiety issues. I did this, and I was given clearance. It may not be as bad as you think! Good luck!

I have had 2 psych evals done. A couple years ago I had one done (my insurance changed and ended up not getting to have surgery). I passed it no problem. This time I was probably overly honest and my psych felt that I have pretty sever anxiety issues. She asked me to touch base with a therapist a time or two and have someone "in my back pocket" for after surgery anxiety issues. I did this, and I was given clearance. It may not be as bad as you think! Good luck!

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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