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Psych eval tomorrow! Scared.



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Hi all! I have my psych appointment tomorrow and I'm scared that they will "fail" me. I have anxiety now and I'm scared they will tell me I can't have surgery due to that or that they will give me trick questions. What were you asked? How long was the appointment for you?

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I had four appointments (one was just the computerized test.) you won't fail- just make sure you go in prepared to answer questions on how you plan to be successful and such. A toddler could pass the questionnaire.

I'm sure you'll do great!

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There is no "fail". The point is to see where your are now and get you to a place where you will succeed. From some of the posts I've read here I think a psych eval should be required by law.

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I actually enjoyed my Psych Eval. The psychologist and I talked for about an hour and then I had to take this 500 question battery that took me at least an hour (maybe closer to 2). We talked about my relationship with food, and specifically all the changes I had made pre-op to prepare myself. I found it to be really reflective -- and since it was also covered by my insurance, not a bad use of my $25 co-pay.

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I was worried about the same thing. I even contemplated lying, but decided ultimately, that was a poor move. I've struggled with severe major depression (as in, I should've been in a mental health facility for months at a time), anxiety attacks, and OCD behaviors that led to bodily harm. I've experienced abuse, a lot of recent death, and sexual assault.

All of that was disclosed and because I am not currently seeing a therapist or taking medication (neither are necessary any longer), I was bumped from being top level quality candidate to second level quality candidate because of the risk for experiencing depression post-op. She said this wasn't enough for my surgeon to cancel the surgery and that many, if not most, receive similar evaluations. She told me flat out that in her experience, it is rare for her to determine someone a Grade A quality candidate (I'm really trying, but can't remember her phrasing so I'm making up my own) because people are very rarely overweight for no reason to begin with, but on top of that we carry the emotional baggage that is a result of being overweight. I guess I should say, though, I'm not the expert, nor am I your surgeon or part of their team, so what I (or the person who evaluated me) says is irrelevant if your surgeon says differently.

Even after all that, I still went home feeling sick and terrified I wouldn't be approved because of that.

It's natural to be scared about telling someone our most private concerns while knowing the whole point is for them to "evaluate" you. That's basically just judging when you get down to it, and being judged is not something that sits well with most of us. We may be used to it, but it immediately puts us in a vulnerable mindset. There's nothing wrong with being scared, but please don't let it keep you from being totally honest like it almost did me. The best way they can help you prepare is to have all the information they possibly can. This way, if any issues do arise post-op, they'll have had a sort of warning so there is a plan in place to get things back on track quickly.

I promise it isn't even half as bad as your mind will make it out to be. It'll be over before you even know it.

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I was worried about this too because of my history with anxiety and depression. Meeting with the psychologist was actually quite pleasant and the questions were relatively easy, it was more of a conversation.

The second part was the online quiz that was sort of like a personality test if you've ever taken one of those. The one thing she told me she was looking for was consistency between the questions she asked and the online test questions. Just be honest and you'll be fine!

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My psyche eval was so easy and if you're with Kaiser you should have nothing to worry about. Just think of it as a therapy session. They want to know what you've learned and what changes you have made and plan to make after surgery. Good luck tomorrow though you really won't need it.

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Mine was super easy. I say and talked to him for about ten minutes while he got to know me and asked me a few questions about the surgery and lifestyle change. Just to make sure I understood what I was undertaking. Then I took this long test that was like 250 to 300 questions. Some of them were really silly. Nothing to trick you, just a lot of questions to make sure you have both ores in the Water.

You'll do fine, don't sweat it.

Edited by #BirdDog

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mine just asked about my eating behaviors & said she was happy to hear that i wasn't an emotional eater who eats when stressed. so maybe try not to say that part- if you are. or do say it! they can help you . that's what this is about. getting the help we need.

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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.
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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.

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