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Mommylife

Psychologist evaluation

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Hello everyone as I'm new to this group I am currently in the beginning stages to get gastric bypass surgery but been having to do something to get the okay , so tonight I seen the psychologist and was a total fail he didn't approve of me getting it done and suggested I need to see a therapist for depression I'm a mom of 3 a stay at home mom yes I get stressed out but I don't feel like I'm depressed yes some days I feel like crap lol but isn't that normal ... any who I'm here wondering if anything had to do the same and what were ur end results thanks in advance ..

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Tons of programs require a psych evaluation, it is pretty common. 

And yes I have heard of folks on this forum getting denied or not recommended. 

Unless this particular psychologist/psychiatrist was specifically required, then there's no harm in getting a second opinion.

BUT, I will say this-- MUCH of your weight loss success, after surgery, is tied up in your head. If there ARE some kind of issues there, even unbeknownst to you, it would be wise to get them out in the open now and deal with them.  There are a LOT of changes after surgery, both in life, and physiologically. Hormones get crazy, feelings change. You will want to make sure that you are mentally prepared to accept the changes and challenges that will come. If there IS an issue that needs to be explored in therapy, in my book that's a positive to be able to work on it before surgery. It may slow your journey down a little but you will be better for it.

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Well that had to take the wind out of your sails a bit. I hope you find a therapist you click with and are able to get the process moving. If you truly disagree, seek another opinion. Don't get discouraged.

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10 hours ago, Mommylife said:

Hello everyone as I'm new to this group I am currently in the beginning stages to get gastric bypass surgery but been having to do something to get the okay , so tonight I seen the psychologist and was a total fail he didn't approve of me getting it done and suggested I need to see a therapist for depression I'm a mom of 3 a stay at home mom yes I get stressed out but I don't feel like I'm depressed yes some days I feel like crap lol but isn't that normal ... any who I'm here wondering if anything had to do the same and what were ur end results thanks in advance ..

Well, something like 40% of the US public has depression or anxiety. You WILL get stressed out before/after surgery and a lot of people get depressed if their weight loss isn't super duper fast or easy. It IS clear your chance of success is higher if you are dealing with any psych issues and have lots of social support. So, in the long run this might be a good thing that enhances your chances for success. I'd flip this around and try to see the positive in it. To answer you question, YES lots of people have this flagged, address it, and go on to successful weight loss surgery.

So like Gretta said, don't be discouraged, just stick one foot in front of the other and add this to the "to do" in preparation list before surgery. 

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I suspect your age is playing into the psychologist's decision. I had my first WLS at 27 and I know that my age was bought up more times than I care to remember. With the benefit of hindsight it was probably a very important factor as well. I did  well physically after surgery but all the social/emotional issues losing weight heaped onto me, plunged me into a pretty deep depression. I ended up heavily medicated for a couple of years and made some pretty poor decisions during that time that had very long term effects on my life.

Take the extra time you've been given as a gift. Use it well to address any and all issues that you think could play into your results moving forward. This is life changing surgery, and contrary to all the positive outcomes many people will fill you with, there are downsides. The younger you are going into this surgery, the longer those downsides will be playing a role in your life. I recently had to make the decision to have revisional WLS. The only way I could do that with any degree of comfort or surety was to tell myself that the life changing decision was actually made when I chose to have my first surgery over 30 years ago. The revision really wasn't a new decision at all, rather it was a consequence of the first WLS.

I hope you find a therapist that you can be comfortable with and is truly able to provide any insight and support you might need.

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How did you find the psych who didn't pass you? The way you phrased it, it sounds like he may not approve of WLS in general. Not to mention that I've never met a stay at home mom (or mom in general) with 3 little kids who have isn't stressed and overwhelmed a good chunk of the time. Isn't that basically part of the job description? Can you ask your surgeon's office for some recommendations for psychs?

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Was this a general psych or someone who frequently works with those readying for WLS? My program has a very specific psychiatrist, and all he does is determine mental fitness for surgery.

That said, remember they are professionals, and it is often easy for us to tell ourselves that we are coping well, and that what is happening is just normal stress. I told myself that too, when I was in a job I hated and a relationship that was unsupportive 10 years ago - I can now look back and see very clearly that I was deeply depressed, but if you had asked me then, I would've laughed at you. If you are certain you do not need any help regarding that, then seek a second opinion, but a solid introspective look never hurt anyone, either. 

If all else fails, ours typically recommends only 3 visits with therapy, to show you are on the right track, in order to schedule surgery, so it is hopefully not a dead end for you.

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27 minutes ago, delilas said:

Was this a general psych or someone who frequently works with those readying for WLS? My program has a very specific psychiatrist, and all he does is determine mental fitness for surgery.

That said, remember they are professionals, and it is often easy for us to tell ourselves that we are coping well, and that what is happening is just normal stress. I told myself that too, when I was in a job I hated and a relationship that was unsupportive 10 years ago - I can now look back and see very clearly that I was deeply depressed, but if you had asked me then, I would've laughed at you. If you are certain you do not need any help regarding that, then seek a second opinion, but a solid introspective look never hurt anyone, either. 

If all else fails, ours typically recommends only 3 visits with therapy, to show you are on the right track, in order to schedule surgery, so it is hopefully not a dead end for you.

@Mommylife I think delilas is right on this one - introspection never hurts.

If you have 3 youngsters and home and you're their primary caretaker... then you'll have lots of issues after your surgery. Not much in life is tougher than bringing up kids  and being on call 100% of the time... and needing time for yourself too. You want to have all your ducks in order before surgery, including how you can confidently take care of all these things. You might need a family member to come in and help during the time right after surgery, for example. Not everyone has that kind of backup or family support. Just saying...

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Hi there. I "failed" a psych eval for WSL about two years ago. It ended up being a good thing. My bariatric surgery program has 2 dedicated psychologists. Even though much of their time is spent doing these evaluations, they are also therapists that specialize in working with patients who struggle with their weight. I asked the psychologist who evaluated me if she would take me on as a patient for regular therapy sessions, and even though her schedule is super busy, she squeezed me in and it has been life-changing.

I now know that the reason that I didn't pass the eval was not because of depression (I actually do have depression, but it's been well-managed for years). It was because she could tell that I wasn't in the right head space for WSL and she worried that I would struggle to succeed post-op. It has been amazing working with someone who specializes in patients just like me, and I have learned so much.

About three months ago, I came to the decision to start the process of preparing for WSL once again. My state of mind about it is completely different than it was two years ago, and I can now say with complete confidence that I'm ready for this. I met my surgeon a couple of weeks ago and he said that the psychologist recommended me highly for the procedure, and because of the work I did with her, I believe that I now have the tools for success. 

Although my detour lasted two years, it is entirely possible that you might be ready after just a couple of therapy sessions. Good luck, and don't get discouraged.  

TammyP, Cadoodle, Cyprus and 6 others like this

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Hi, I had surgery on 3 March 2017 (now 16 weeks post op) and I suffered from severe depression before surgery (last 22 years), and thought that I would be ok with the surgery. 

The surgery proved to be a lot harder than thought and I have had a lot of complications. I'm seeing a specialist tomorrow as my anti depressants have stopped being absorbed since the surgery. It has been hell and I had a session with a psychologist, who gave me the tick for surgery.

I have constant stomach pains. I don't want to eat or drink, or take medication or supplements as it hurts so much.

Please don't underestimate depression, as it can be hell trying to deal or fix it afterwards.

Take care and hang in there. WLS is a major event.

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On 6/9/2017 at 5:28 AM, Boho Rosy said:

Hi there. I "failed" a psych eval for WSL about two years ago. It ended up being a good thing. My bariatric surgery program has 2 dedicated psychologists. Even though much of their time is spent doing these evaluations, they are also therapists that specialize in working with patients who struggle with their weight. I asked the psychologist who evaluated me if she would take me on as a patient for regular therapy sessions, and even though her schedule is super busy, she squeezed me in and it has been life-changing.

I now know that the reason that I didn't pass the eval was not because of depression (I actually do have depression, but it's been well-managed for years). It was because she could tell that I wasn't in the right head space for WSL and she worried that I would struggle to succeed post-op. It has been amazing working with someone who specializes in patients just like me, and I have learned so much.

About three months ago, I came to the decision to start the process of preparing for WSL once again. My state of mind about it is completely different than it was two years ago, and I can now say with complete confidence that I'm ready for this. I met my surgeon a couple of weeks ago and he said that the psychologist recommended me highly for the procedure, and because of the work I did with her, I believe that I now have the tools for success. 

Although my detour lasted two years, it is entirely possible that you might be ready after just a couple of therapy sessions. Good luck, and don't get discouraged.  

I'm pleased that your evaluations picked this up and that you are in a better space now. 

In hindsight, I wished that it had happened to me, as I may be in a better place now. Once surgery is done, it can't be reversed.

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On 5/18/2017 at 2:13 AM, Mommylife said:

Hello everyone as I'm new to this group I am currently in the beginning stages to get gastric bypass surgery but been having to do something to get the okay , so tonight I seen the psychologist and was a total fail he didn't approve of me getting it done and suggested I need to see a therapist for depression I'm a mom of 3 a stay at home mom yes I get stressed out but I don't feel like I'm depressed yes some days I feel like crap lol but isn't that normal ... any who I'm here wondering if anything had to do the same and what were ur end results thanks in advance ..

@Mommylife Hope all going well with you. All these posts @Michael_A, @Aussie H, @Boho Rosy, @Cyprus => it's actually good if the psychologist flags something. As @Cyprus and @Aussie H noted WLS can unmask or reveal issues that food had disguised / hidden / suppressed. WLS just changes your innards, not your head or your heart. A lot of people have crises after WLS related to these... Best to get your ducks in order. Even if the psychologist is wrong there probably is no ill will, it is just that flags are being raised. 

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16 hours ago, Cyprus said:

Hi, I had surgery on 3 March 2017 (now 16 weeks post op) and I suffered from severe depression before surgery (last 22 years), and thought that I would be ok with the surgery. 

The surgery proved to be a lot harder than thought and I have had a lot of complications. I'm seeing a specialist tomorrow as my anti depressants have stopped being absorbed since the surgery. It has been hell and I had a session with a psychologist, who gave me the tick for surgery.

I have constant stomach pains. I don't want to eat or drink, or take medication or supplements as it hurts so much.

Please don't underestimate depression, as it can be hell trying to deal or fix it afterwards.

Take care and hang in there. WLS is a major event.

Thank you for sharing this info, I'm sure it wasn't easy to open up like this.

Sharing this experience will no doubt help someone else :-)

Best wishes to you!

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