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What is the pre-op psych eval about?



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Hi! I am scheduled for my pre-op psych eval on Wednesday 8/26 and was wondering what kinds of questions do they ask and what is the goal of the "session"? I know everyone probably has a variation, but I was curious of what was in store for me!

Thanks everyone!:(

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I can only comment on my experience with the psych eval and it was very postitive. He asked about my support network of friends or family and about my personal feelings about obesity. He asked me to recite the exact moment I had the epiphany and made up my mind to go through with it. Basic stuff about how I felt about the process in general. He offered to see me when or if I ever felt the need for care.

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It does depend. I had to answer what seemed like reams of questions (part of the MMPI) and then had a quick consult "So you just can't lose weight" me: "No, I can lose, but I can't keep it off" that kind of thing. "Do you drink to excess?" me "Not anymore, not since my wild misspent youth. Now I get too sleepy" LOL It does really vary widely.

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I just had mine 2 days ago. My psychologist has had a band for 9 years and lost 160lbs!!! She was great. Mainly looking to make sure I didn't have underlying depression, addictions and had some sort of support network. I did fill out an 8 pg questionnaire first which was a bit weird...pretty over the top questions. Good luck!

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Mine was all of the above.

She asked questions about my eating habits, drinking, drugs, meds, past diets, why I thought they didn't work, where I think I fail during dieting, what my stressers are, how I deal with them, what is my support system, etc.

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Mine was positive.

I stressed a bit about it, feeling like this person thinks she can reject or approve me for this after all I've been through? lol I was silly.

She too, has the lap band and admitted she wasn't the best candidate for the surgery.

What she did do was to question me if I was prepared for the change other people were going to make. Sure there is positive change (which I expected) but also, when one spouse (in my case) or friend even, becomes thinner and starts to get noticed more by the opposite sex- jealousy can be a factor. I was totally not thinking that way at all. I believe I now have a better understanding of how my relationships may change and how to better approach it if it does.

We covered mental health. I have been on an antidepressant that I see my primary doc for on a regular basis- so no problem there. :rolleyes:

The one thing that caught me off guard was that she asked me what was my ideal weight, what did I want to get down to? I hadn't thought of how much weight I wanted to loose, I just wanted to fit into a size 10-14 and be happy. That's what I told her and that was fine.

I guess by sharing all of this with you I'm telling you that it was not a test for me, just sitting down talking about where I am at, fed up of failed diet attempts, and where I want to go.

I was scared but it wasn't bad at all.

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Great! Thanks for all of the replies! I don't even know why I am wondering about it so much! I am just so anxious about everything! :biggrin:

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I just got denied cuz of my pych eval. I need to see a counselour before I can have the LBS. I am so very discouraged. I hope yours went well

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I am so sorry to hear that! I have been worried about how mine went. I guess you never know. A friend of mine at work-her brother had rny and had to go to several sessions before they gave him the green light. I guess we can just take this time to work on all of oureslves instead of just the physical....mind-body-spirit to ensure ultimate success! Keep your head up.....:biggrin:

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My thing is, what is it that they fail you on? I mean I am a pretty positive person in general, optimistic even, I have a good outlook on life, but I have come to the point where I am not happy in my body any more. I don't want to speak the honest truth to them and have them fail me when I know that after years of dieting and exercising and not being able to lose weight/keep the weight off I need the band to help me lose the weight finally.

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You know, I have no idea. It seems people have such vast differences as to what they had to do in each of their "sessions" it seems some have had a comprehensive in depth "exam" while others just "chatted" for 15 minutes or so. I have no clue as to what it is that they are looking for. I have yet to hear about mine, so I guess we will see!

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ok thanks :frown: my nutritionist/psychologist appt is on september 10! then i start my classes on the 24th :P. so we are moving forward

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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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