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Psyc appt, what are they looking for?



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Have to wait until July 17th just for the WLS options/info class before I even get referred by my PCP to bariatric surgery. I have Kaiser in Sacramento CA. I know I'll have to go to a Psyc appt. What are they looking for? What type of questions do they ask?

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They seem to be looking for :addictions, depression, things that might hurt your chances for success.

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@@quiltermom65

Its pretty basic stuff. I agree with the posts above.They are looking to see if you are in a good mental state to change behaviors. They want to make sure you are successful.. They are not trying to stop this process for you.

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They're looking to identify conditions and behaviors and compulsions that could cause you significant problems down the road.

That certainly doesn't mean you're going to be rejected if you have ANY degree of those conditions / behaviors / compulsions. Not at all.

But they're trying to identify people several standard deviations south of normal re things like suicide ideation, unwillingness to comply with medical instructions ("Nobody is the boss of me!"), unrealistic expectations re WLS ("When I lose all my excess weight all my problems will be over"), current and recent substance abuse and addictions, etc.

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When I had mine she asked a lot about my motivators for the surgery, what my plans are for success and maintaining, asked a lot of questions surrounding depression or a history of depression and did an assessed of my support system post surgery.

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When I had mine I was terrified that the fact I've only been free of abusing drugs and alcohol would surely stop the process. It did not. The psychologist was wonderful and even spoke to my regular therapist. They want to help you. They aren't there to be roadblocks but to help insure success.

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Thanks for the information. I feel better about it now. It sounded so scary.

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I went to the psychologist that the surgeon's office employs. I wasn't worried going in, but I felt really put on the spot during the session. After hearing my history of binge-eating and losing/regaining, she kept asking why I think I haven't been successful at keeping weight off, and when I answered she kept telling me that those things won't go away after surgery, so what makes me think it'll be different this time? I seriously thought she was going to recommend I not have the surgery. Then I mentioned the fact that I had previously seen a therapist who specializes in weight issues, and I'd like to start going back to her. The psychologist loved that answer LOL, and suddenly she eased up on the questioning and started smiling at me. I left there saying I would go back to that therapist (already have an appointment!!) and also participate in the group sessions that the surgeon's office regularly has, and she told me she thinks I'll do great, and she wished me well. So my suggestion is to be honest, and to be open to therapy and group support.

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I went through Options too. Southern CA San Diego. My classes ended 05/14 and I just got my surgery date of 07/29.

The psych evaluation was very easy and only took about 15 minutes. There was no written test. It was just a relaxed, no stress, one on one talk with the doctor, who asked very general questions about your weight history, support, and surgery expectations.

Seriously I've had labs that took longer and were more worrisome. You'll do fine!

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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💪
      · 0 replies
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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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      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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