Kerri,
I don't know you, but I'm very proud of you for coming here and writing with such honesty. Many of us have grown up feeling shame when we don't do well at something, especially when it's something so emotional and painful as our struggle with weight loss. But most of us have slid off the wagon more than once and have had our share of struggles no matter what surgery we've had. You sound ready to get back on track and therapy is key to understanding the why behind our issues with food.
Remember this...you have paid your surgeon for his professional services. He is a doctor, not your mother, father, sister, brother. He can't "make" you feel bad. Only we do that to ourselves. If he is insensitive, remember that most surgeons are very direct and to the point. He's not trying to hurt you, but the truth often hurts. Do go in expecting sympathy or understanding. You paid him to perform the surgery not for emotional support. My surgeon is a great guy and wonderful surgeon but he's very blunt and I know I'd be setting myself up for disappointment if I expected him to tell me it's o.k. when I've stumbled. It's just not his style. You're paying him for a service and as long as he takes care of you medically, he's doing his job. In my experience most doctor's don't have great bedside manner.
You already know what's been going on and like you said, nobody is harder on us than we are on ourselves. Allow yourself a little grace. The past is the past and what you do going forward is what counts.
I hope he gives you an upper GI to check your pouch. Mine was very dilated even though I was emptied for a year. I pushed the limits to the point that I had to have my band removed on May 6th. Yes, I'm scared but there came a point when I knew what I was doing and the effects of my over eating and pb'ing too often caused terrible issues with reflux and greatly compromised the gastro/esophageal junction so the flap that opens and closes to keep bile (and food) down no long works properly. Having no band is better than suffering the reflux, night cough, etc. and I had to make the choice for my health's sake. That IS what it's all about, after all. I may or may not revise down the road, but right now I'm focused on healing. Lucky for me I lost 100+ lbs and have only gained back 25 but I still plan on finishing this journey, with or without surgery.
Keep us posted. It sounds like you are in a good place and I bet your doctor will admire the fact that you have admitted your part in this and how strong you are to keep trying!
Blessings and Grace,
Lisa O.