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Posted (edited)

This isn’t really a rant or a rave. More just a topic that I am curious to hear others thoughts on. I had my psyc eval this morning and it got me to thinking….a lot. On one hand I was extremely irritated that I feel like we are being discriminated agains to have to do a psyc eval to begin with while on the other hand I question whether a one time appointment is enough and we should be required to do more.

First let me say that when I say that it should be required for us to do anything I do not believe that insurance companies should be the ones dictating ANY of this. I think that doctors should be making medial decisions, period. With that being said they are involved so should they be allowed to require a psyc eval for one surgery and not another? Not ANY others as far as I know. I mean all the hoops that are required for weight loss surgery, I haven’t done anything like this for any other surgery It really feels like discrimination. How is it that in this day and age they are still getting away with it.?

On the other hand are they on to something and is the evaluation really enough? For those of us who have been through it all would you have benefitted from ongoing therapy to deal with all the life changes and some professional help to change the disordered eating behaviors that most of us have to some degree? Should this be a requirement? Or perhaps they should just have to educate us about therapy and provide access to it for those who choose it. Or instead of the evaluation beforehand require one visit post surgery just so we could see what therapy is like and we can decide if it worth it. Maybe the surgeons should be required to have a therapist on staff that can handled their patient load. Should the doctors step up and require more of their patients than the insurance company does (if they believe it’s beneficial)? Is that even allowed? or should all of this be the patients decision?

Just something to think about

Edited by ShoppGirl

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Hard to be wrong when you take both sides. :)

I expect that with time the Psych eval will go completely away. Back in the day it was considered necessary and some people were even turned down or delayed in favor of therapy. Being bumped was a legitimate concern in my program, but I fooled them completely. Now it's a rare case that the psych eval changes anything. Some programs have patients take a psych test online, no shrink. It's a box to check on a list. Insurance will eventually want to save that money. Or maybe not, it may save them more as a stumbling block on the way to surgery. See, I can take both sides too. ;)

As for actual therapy before or after surger, I'm torn. Requiring therapy is a bad idea. If the patient isn't completely engaged and prepared to be honest in therapy it's a waste of time. The therapist only knows what they are told. Carp in carp out. You can't require engagement or honesty.

I agree that therapy for most of us would be benificial with the above caveats. Well, not for me, of course. ;)

Good luck,

Tek

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Posted (edited)

27 minutes ago, The Greater Fool said:

Hard to be wrong when you take both sides. :)

I expect that with time the Psych eval will go completely away. Back in the day it was considered necessary and some people were even turned down or delayed in favor of therapy. Being bumped was a legitimate concern in my program, but I fooled them completely. Now it's a rare case that the psych eval changes anything. Some programs have patients take a psych test online, no shrink. It's a box to check on a list. Insurance will eventually want to save that money. Or maybe not, it may save them more as a stumbling block on the way to surgery. See, I can take both sides too. ;)

As for actual therapy before or after surger, I'm torn. Requiring therapy is a bad idea. If the patient isn't completely engaged and prepared to be honest in therapy it's a waste of time. The therapist only knows what they are told. Carp in carp out. You can't require engagement or honesty.

I agree that therapy for most of us would be benificial with the above caveats. Well, not for me, of course. ;)

Good luck,

Tek

lol. This made me chuckle a few times, thanks for that. Yea I know I cant seem to take a side. I finally landed on the fact that they just need to take a long hard look at the system as it stands and give it an overhaul. Seems like maybe it’s been quite a while since they have. I think I may be onto something in them requiring one actual therapy visit post op instead of this evaluation pre op (that’s I agree seems more of a box to check than anything else). Just so the patient can see what it’s all about and decide for themselves if it’s right for them?? I am talking about what’s actually in favor of the patient succeeding. Not in terms of the insurance company saving money.

Edited by ShoppGirl

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Posted (edited)

I don't think a therepy session is the solution for which you are looking.

I'm shocked and dismayed by the questions posted here by early post-ops. Everything should have been covered by their program team. Nay, it should have been pounded into their patients heads. What to expect, possible problems, the diet, and every other last detail. Twice.

Unfortunately, many programs fall terribly short on information.

Another unfortunately, some patients simply don't listen.

The combination can be heartbreaking.

Let's you and I rule the world and make some changes!

Tek

Edited by The Greater Fool

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Posted (edited)

My friend failed the psych evaluation twice. She had unrealistic expectations of the surgery and for herself. She wanted an easy way and the psychologist feared she was going to hurt herself. So... she went to another and then another. The third one approved her and she had her surgery in 2015. On the other hand, my virtual psych evaluation was 20 minutes, cost $40, and I don't think the woman even looked at me.

I absolutely agree that it is not warranted or necessary for the surgery. Doctors need to make that decision regarding their patient's care. As far as my surgeon was concerned, it was another box to check off and nothing to worry about. She didn't take it seriously, but did require it only to meet the insurance company's requirements.

Edited by DianeF
to remove familial link

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1 hour ago, DianeF said:

My friend failed the psych evaluation twice. She had unrealistic expectations of the surgery and for herself. She wanted an easy way and the psychologist feared she was going to hurt herself. So... she went to another and then another. The third one approved her and she had her surgery in 2015. On the other hand, my virtual psych evaluation was 20 minutes, cost $40, and I don't think the woman even looked at me.

I absolutely agree that it is not warranted or necessary for the surgery. Doctors need to make that decision regarding their patient's care. As far as my surgeon was concerned, it was another box to check off and nothing to worry about. She didn't take it seriously, but did require it only to meet the insurance company's requirements.

Yea. Mine seemed like a joke as well. I mean he did ask questions about my history and my expectations as well as what support system I had and stuff like that. I just didn’t feel like it was really on depth enough. I feel like someone who was just saying all the right things could have easily passed.

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