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What Can I Expect At My 'psych' Appointment?



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I have my obligatory pre-op psych appointment this coming Monday, and I'm just wondering what to expect. Not sure why, but I'm more nervous about this appt than any of the others thus far. I mean, can they see me unfit or something? (not that I am, but my brain worries...)

For any other NorCal Kaiser peeps, what was your next step afterward?

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I also live in NorCal but I'm not with Kaiser. The psychologist I saw was named Lorraine Hutchinson. She specializes in bariatric surgery patients. You can see her website at http://www.hutchinsoncounseling.com.

She did the vast majority of the talking at my appointment. She talked a lot about the types of changes and emotional issues I'd be likely to go through with this surgery and weight loss. She only asked me two questions. She asked what I was most concerned or worried about, and she asked what I was most looking forward to. That was it! Nothing to be nervous about.

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I went through NorCal Kaiser (Richmond) and I was also nervous about the psych meeting, probably because I'd never seen a psychologist and had no idea what to expect.

It was fine. We talked for about 30-45 minutes. She'll want to know about stress in your life, how you cope, what kind of support system you have, etc. The psych appt also screens for other conditions like OCD and schizophrenia, so be aware that some questions will be really weird!

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I went through NorCal Kaiser (Richmond) and I was also nervous about the psych meeting' date=' probably because I'd never seen a psychologist and had no idea what to expect.

It was fine. We talked for about 30-45 minutes. She'll want to know about stress in your life, how you cope, what kind of support system you have, etc. The psych appt also screens for other conditions like OCD and schizophrenia, so be aware that some questions will be really weird![/quote']

What came next for you, after psych...and how did the time frame move along, since you're also a Kaiser gal?

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What came next for you' date=' after psych...and how did the time frame move along, since you're also a Kaiser gal?[/quote']

After the psych appt, your next will be with the case manager. They don't schedule that until you get to your goal weight. There will be lab tests and an EKG that you'll need to do before that appt. During the case manager meeting, you'll get a surgery date.

After the case manager meeting, there's a class on the surgery and post op nutrition. There's also a pre op physical. They try to schedule the class and your physical on the same day.

I was at goal when I had the psych appt and met with the case manager a little over a week later. The surgery date itself depends on your surgeon's schedule.

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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
      1. This update has no replies.
    • 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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