Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Mental Illness & WLS



Recommended Posts

So it looks as if my 15 years of waiting is over..I finally have insurance that covers Sleeve Surgery.

I have Mental Illness. I'm diagnosed with Anxiety, Depression, and Borderline Personality Disorder. I'm concerned about getting clearance from my psychiatrist (I've just became her patient 3 mths ago).

Is there anyone on here who has been diagnosed with Mental Illness and has/had difficulty for surgery clearance?

Renea in AL

Sent from my Z828 using the BariatricPal App

Share this post


Link to post
Share on other sites

The purpose of getting clearance or having a "psychological evaluation," required by most insurance plans and some surgeons, is to show that:

- you understand the risks of surgery (every surgery has risks, by the way)

- that you understand that surgery doesn't guarantee weight loss, but rather is a tool to aid you in eating properly to lose weight

- that you're capable of understanding guidelines for eating properly and following other instructions from the surgeon and others in the practice, e.g., the RD

- if your insurance plan is aware that you're in treatment for mental illness, it wants to know that your meds do what you want and need of them, i.e., that you're stable and functioning

That's the extent of what I'm able to say right now. I'm not a medical or mental health professional, nor do I work in a surgery practice of insurance company.

P.S. Lots of people on the site talk about having to fill in pages and pages of questionnaires for an evaluation with a psychologist to whom they're referred by their surgery practices. It seems a load of horsepucky, a new "industry" mining the pockets of patients. A few people have mentioned that the surgery offices insist that they see the psychologists they refer them to. If this happens to you, be firm. I hope some of the site members stop in here to tell you more.

Nothing to get nervous about unless and until something happens that is nervous-making.

Edited by WLSResources/ClothingExch

Share this post


Link to post
Share on other sites

So it looks as if my 15 years of waiting is over..I finally have insurance that covers Sleeve Surgery.

I have Mental Illness. I'm diagnosed with Anxiety, Depression, and Borderline Personality Disorder. I'm concerned about getting clearance from my psychiatrist (I've just became her patient 3 mths ago).

Is there anyone on here who has been diagnosed with Mental Illness and has/had difficulty for surgery clearance?

Renea in AL

Sent from my Z828 using the BariatricPal App

I have anxiety and depression and was cleared to have surgery. I saw someone other than my regular therapist though. Maybe that's an option for you?

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

I have anxiety and depression. For my psychological evaluation the therapist cleared me but her supervisor made me have mandatory therapy for 12 sessions with a re-evaluation. She sited that I didn't handle stress well and well I had to laugh. They told me the process is to make sure either succeed and not let a stressful moment take over. It was my "fuck it" attitude that flagged me. I was cleared and now have thr date of 12/27.

Sent from my SAMSUNG-SM-G930A using the BariatricPal App

Share this post


Link to post
Share on other sites

I was cleared by my psychiatrist and I have depression, anxiety, and PTSD.

What WLSResourses/ClothingExch said is exactly why they ask for clearance. It's not about what illness you have, it's about your ability to understand the potential risks & gains of surgery, if you have the capacity to understand & follow the directions, etc. As long as your mental illness(es) don't interfere with these, you will be cleared in a jiffy. ????

Sent from my SAMSUNG-SM-G900A using the BariatricPal App

Share this post


Link to post
Share on other sites

I have severe depression and a severe anxiety disorder with PTSD, I was cleared for surgery, I also have a long history of being hospitalized for my conditions. But it ha been nearly two years since I was hospitalized and I have been through a ton of therapy, the psychologist just wanted to see that I was now stable on my Meds and not being hospitalized all the time and he asked for a letter of recommendation from my psychiatrist. But I had my surgery last Monday dec 5

Share this post


Link to post
Share on other sites

I have severe depression and a severe anxiety disorder with PTSD, I was cleared for surgery, I also have a long history of being hospitalized for my conditions. But it ha been nearly two years since I was hospitalized and I have been through a ton of therapy, the psychologist just wanted to see that I was now stable on my Meds and not being hospitalized all the time and he asked for a letter of recommendation from my psychiatrist. But I had my surgery last Monday dec 5

Thanks for sharing. I too have been hospitalized and partial-hospitalized and frankly I thought that would be a hiccup.

????Renea in AL

Share this post


Link to post
Share on other sites

I've suffered from depression and have been medicated for it my entire adult life. At my psych eval, he would ask me questions, and this is how I would answer:

Psychologist: Do you struggle with depression/anxiety?

Me: Not when I'm medicated.

Psychologist: Do you have feelings of dread, obsessive thoughts, etc?

Me: Not when I'm medicated.

I passed with flying colors.

PS: It's the darnedest thing, but since I've had surgery over 2 years ago, I have not needed medication for depression. I still struggle with it periodically, but what's different is I can come out of it, where I couldn't before. I don't know if the surgery has changed the chemistry in my brain or what?

Weird, hu?

Share this post


Link to post
Share on other sites

These are all good questions. Please talk with your psychiatrist about them. Consider framing the discussion as you wanting to have surgery and asking that person how they can help you succeed. Discussing it that way puts the onus on your psychiatrist to help you rather than you asking that person if it's okay to have the surgery. It's a subtle distinction and I hope it serves you well! Let us know how it goes!

Share this post


Link to post
Share on other sites

I have PTSD, Anxiety, Depression and Bipolar disorder and I passed my psych eval. I've been under treatment for my mental illnesses for a year and it's been a year since I've been hospitalized. I also have been hospitalized many times in the past due to my illness and I've been in partial-hospitalization (aka Partial) twice. I totally understood what I was getting into...and almost backed out of the process twice, but now I'm glad I didn't.

Edited by Kimba Marie Angelina Wiggins

Share this post


Link to post
Share on other sites

So it looks as if my 15 years of waiting is over..I finally have insurance that covers Sleeve Surgery.

I have Mental Illness. I'm diagnosed with Anxiety, Depression, and Borderline Personality Disorder. I'm concerned about getting clearance from my psychiatrist (I've just became her patient 3 mths ago).

Is there anyone on here who has been diagnosed with Mental Illness and has/had difficulty for surgery clearance?

Renea in AL

Sent from my Z828 using the BariatricPal App

I have mental illness and was cleared just fine. As long as you're not having delusions, you should be cleared. My struggle now (four days post-op) is drinking my meds.... way nastier than you would imagine!

Sent from my HTC Desire 626s using the BariatricPal App

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • vsg.with.sharon

      Hey everyone!
      I’m new here! Looking for some friends! 🥰
      · 0 replies
      1. This update has no replies.
    • LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 3 replies
      1. Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

      2. Selina333

        I'm in Houston so kind of near you and had the sleeve in Dec. Down 61 lbs. Feeling better. Was definitely worth it. I hope the everything is going well for you. Update us when you can!

      3. Doughgurl

        I am back home after my bypass surgery in Tiajuana. I'm post op day 4. Everything went great! I guess I'm one of the lucky ones who have not encountered much pain at all, no nausea thus far and I'm having no problem keeping down broths and water. Thank you for your well wishes. I cant wait to keep up this journey and have a chance at better health and simply better quality of life. I know there will be bumps in the road ahead, and everything won't be peaches and cream, but at least I have a great start so far. 😍

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×