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Psych evaluation- what is it like?



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Hi all- I'm new to the forum and I was wondering what the psych evaluation is like. I searched the threads and saw that some people were able to do the evaluation online and speak to counselor or psychiatrist.

What questions do they ask?

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I was asked what my understanding of the surgery was (i.e., that getting sleeved involves removal of most of the stomach but no banding or rerouting), what the potential risks and complications are, what the progression of liquids/foods would be afterwards, etc. Just to make sure I knew what I was getting into, basically. Then she asked me who my support people would be and how I could cope with stress without eating. Then she asked about my psych history, starting with whether or not I'd ever had a substance abuse problem and from there to whether or not I'd ever had a mood disorder. I do have a mood disorder, so she got the contact information for my psychiatrist and psychologist and called them to verify that I was treatment-compliant, mentally ready for surgery, and went to all my appointments.

It was all pretty straightforward and MUCH less stressful than I thought it would be.

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Mine asked how my childhood was I said good he asked about my understanding of the surgery and my support. I did take like 3-4 tests before talking to him they were mandated but all in all not as bad as I thought and I was freaking out thinking I wasn't goin home lol they were gonna put me in a straight jacket n take me away, yea I get a bit worked up lol you will be fine ????

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Hi all- I'm new to the forum and I was wondering what the psych evaluation is like. I searched the threads and saw that some people were able to do the evaluation online and speak to counselor or psychiatrist.

What questions do they ask?

Sent from my iPhone using the BariatricPal App

Mine was a great experience.

It was like talking to a friend.

She was very supportive and kind.

She'd had me watch several videos she made first. The content and manner of how she presented her info in these videos was highly educational and thought provoking. They really helped me formulate my gameplan well before our visit.

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After I spoke with the therapist I had to answer a written multiple choice questionnaire. Over 450 questions!

One I remember is "do you feel like you are being tested?"

I'm thinking, "well, aren't I?"

In the end, she wrote her diagnosis which was exactly what I said about myself... I guess I know myself pretty well. If I didn't live 100 miles from anywhere, I'd have enjoyed it. But driving 4 hours round trip kind of took any fun out of it... One week until my surgery still...

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@@Dub thanks so much. It's good to know it was a positive experience. I still have awhile to go since I just stared the process with my dr. Had blood work done then setting up a follow up to get the ball rolling. I'm looking forward to it, i wish I would have considered WLS years ago. I can't wait to look back on this 6-12 months post op. Thank so much for your response.

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@vsgalabma thank you, everyone's responses have def calmed me! I'm still at the beginning stage- talked to my dr and had labs done. Lol I just want to be as well-informed as possible :)

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@@betterme38 lol thanks so much I was concerned about them making me feel victimized for being overweight or lazy. It's a stressful process already and didn't want I feel like the pysch eval was impossible. :)

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My gp is an idiot. Ex-army doc, about 15-20 years my junior. He was who I used during my 6 month weight loss /exercise plan required by insurance. That was cheaper than anything else. I live in the high Hill Country of Texas, 30 miles from the doc.

He made everything more difficult than necessary. The daily caloric amount and the exercise... Heck, I had two months without losing a pound. I lost a total of 30 lbs in 6 months. I completed the six months at Christmas. After that I gained 20 lbs, because I'm a fat person... Then I needed to lose that 20. Unsupervised I lost it in about a week using my tried and true method... I can lose weight like crazy... Can't keep it off.

Anyway, my gp wanted do treat me like boot camp I think... The printed diet he gave me had UNLIMITED KETCHUP!

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Hi all- I'm new to the forum and I was wondering what the psych evaluation is like. I searched the threads and saw that some people were able to do the evaluation online and speak to counselor or psychiatrist.

What questions do they ask?

Sent from my iPhone using the BariatricPal App

I LOVED my psych evaluation. I'm a therapist so I walked in thinking she couldn't tell me anything new. I was soooo wrong! She asked questions about my history as a child related to my weight, my support system, family history, etc. I actually realized that, although family was present, they weren't very supportive at all. My evaluation was very eye opening. I will go back after the surgery, I'm sure!

Dawnie_doo

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@@Dub thanks so much. It's good to know it was a positive experience. I still have awhile to go since I just stared the process with my dr. Had blood work done then setting up a follow up to get the ball rolling. I'm looking forward to it, i wish I would have considered WLS years ago. I can't wait to look back on this 6-12 months post op. Thank so much for your response.

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Not even 6 months out here and there is no part of my life that isn't better now.

You are going to love the experience.

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At my psych eval the doctor asked mostly about my understanding of my surgery and if I was depressed or had ever been depressed to the point of needing medication. He made sure that I had family support. I was told that the appt was going to take close to an hour but I was out of there in less than 20 minutes. It was quick and easy.

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Hi all- I'm new to the forum and I was wondering what the psych evaluation is like. I searched the threads and saw that some people were able to do the evaluation online and speak to counselor or psychiatrist.

What questions do they ask?

Sent from my iPhone using the BariatricPal App

I LOVED my psych evaluation. I'm a therapist so I walked in thinking she couldn't tell me anything new. I was soooo wrong! She asked questions about my history as a child related to my weight, my support system, family history, etc. I actually realized that, although family was present, they weren't very supportive at all. My evaluation was very eye opening. I will go back after the surgery, I'm sure!

Dawnie_doo

I'm not a therapist, but I enjoyed mine too, aside from the 450+ multiple guess quiz. The final written result was exactly what I'd said about myself. Hah... I'm old enough to know myself I guess.

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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
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      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.
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      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.

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

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