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Psychological Evaluation



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I am in the middle of my pre-op requirements I originally planned on being able to have my surgery around May, but (and this is embaracing to say) but I flunked my psych evaluation and the psychiatrists recommendations were to have 6 months of therapy before I have the surgery and then I go back to see him, so now it won't be until September or so but I'm still in the same calendar year so my insurance deductible will still apply. But I just wanted to know if anyone else had this same outcome and did it help you more when you had the surgery in the long run, Because that is the way I am looking at it is it will just make me more successful when it comes time for me to have the surgery. I do have some depression problems and self-esteem issues to work through but just wandering what everyone thinks and any similar stories and what were your results???

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Nothing to be embarrassed about...I think it's important that you are in the "right place" emotionally before getting the surgery. You will be far more successful! This is why the psych evaluation is important and part of the quality WLS programs. I have mine Tuesday...hoping I "pass" but if I don't - I will know I need work on my mind before I get any on my body! Hoping that you can have the surgery in Sept and do well!

Sent from my XT1254 using the BariatricPal App

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I almost flunked because I was proactive enough to have therapy for several years leading up to my weight-loss surgery. My regular therapist fought for me, and it worked.

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I just had mine on Friday. It went well, she said I was a great candidate for surgery. Basically the bottom line is she stated she sees many people who have severe food addictions and don't fix the underline problem and come back later after surgery and have gained most weight back on. So, I think if there are things that would hurt in the long run fix, discuss now so you will be successful later:)

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I did mines about a month ago. It went better than I expected. I thought for sure because of depression and anxiety, and a history of psych medications that it would complicate things. But she ultimately felt that I didn't have unrealistic goals about the surgery...meaning that I knew I would still have to work my butt off and that it wasn't a quick fix. Take the extra time to really prepare yourself. You'll be fine.

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I have serious bipolar disorder and didn't "flunk" mine - I firmly believe it is because I am currently in long-term therapy and being followed by an excellent psychiatrist, both of whom went bat for me to say that I am completely compliant with my treatment regimen, have their full support, and understand what my surgery entails. That, I think, is what they are looking for if you have a mental illness.

Interestingly, their promotional material says major mental illness makes you a poor candidate, but when I met them they told me that it is currently untreated mental illness that is a postponer, not the diagnosis per se.

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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. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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.

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