I just saw the WLS psychiatrist and am now depressed. She said she thinks the surgery is a go, but she has some concerns. I know that I'm ready. She's worried what I'll do when difficulty arrises. I told her, that when that time comes, I'll have to talk to someone to get past it. What else can one do? I know that I'll have hard times, but does that mean I shouldn't have the surgery? I have tried many times to lose weight and I know that this surgery will help me obtain this. I understand that it's not a cure all, but a tool to work with. I don't plan on "falling off the wagon", but I also recognize that some days will be harder than others and I may want to eat. If and when that happens, all I can do is to get back on my feet. Isn't this what other people do? Now I'm afraid, what if this doesn't work either....

From what you're saying, she's approving you for the surgery, but you're concerned she won't let you have it?

Tell her you want to work on a program of behavioral change to get new behaviors in place before the surgery, so that you have that many fewer to worry about post-op, and perhaps have some basis for understanding how to change your behaviors after the fact.

Talking to someone and getting past it doesn't often work. An action plan will go much farther.

I see the behaviour therapist May 6th to work on eating behaviours. Hopefully he will have an action outline that I can tailor to my needs. I appreciate your response. I would like to know what other people do when they hit those hard times.