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I think pre op counseling is essential. So often you hear "I don't understand why I'm fat, i don't eat like a fat person"....that's not generally the case. Knowing why you overeat/self sabotage is pivotal to success. Even now, fighting regain i can 100% see what emotional responses are in play From before surgery and have the tools to address it.
I did the same thing 20 years ago. I was on the path for RNY. At that time, there was a requirement that I attend 5 group talk sessions before I got my date. I was on session 3. I was in my my late 20s and 280. I did not yet have my date, but was working toward it, and had every intention of going through with it. My family talked me out of it, and shortly thereafter, I got a different job that had different insurance that didn't pay for it anymore. So I couldn't even go there anymore. Fast forward 20 years, I'm about the same weight, scaring 50, and on 1/1/22, I start a new insurance plan that covers it. My initial consult is 1/20. The whole point of this is to show there are others who have balked for one reason or another. It's ok. Everyone is on their own path, but also on the same path.
I absolutely think therapy and counseling are key to our success. Prior to surgery, I didn't think I needed counseling, but after it was a whole new ball game. I found that emotional eating was a source of my weight issues and didn't realize it. After counseling and some redirecting of my stress/emotions I handle things much better, at least I think so. I would say that recognizing what your root cause is can be very important to your long term success. I didn't do counseling early enough so I did experience regain more quickly than I would have liked.
on 12/16/21 4:51 am - Amarillo, TX
I think it is very important. As one who should've sought that help sooner I can't overstate how important it is.
on 12/16/21 4:35 am
I found individual talk therapy, monthly group discussions with my bariatric surgeons fellow patients and even twelve step groups like Overeaters Anonymous and H.O.W... to be very instructive and helpful .
Through listening to others share I learned about emotional and bored overeating I didn't want to admit to myself ... and I also learned tried and real ways of coping such as making a list of ten things that relax you that don't involve calories or food ( and then engaging in as many of those activities as you can before you break down and overeat .
on 12/16/21 4:08 am
I think it's absolutely key. New coping strategies have to be developed, plus with all the change you under go, it's good to have someone to work with on any issues that pop up.

HW: 306 SW: 282 GW: 145 (reached 2/6/19) CW:150
Jen
A December to Remember Giveaway
CONGRATULATIONS TO CHEAPSKATE, YOU ARE OUR WINNER! PLEASE CHECK YOUR EMAIL. YOU WILL HAVE 48 HOURS TO CLAIM YOUR PRIZE.
For this exciting December To Remember Giveaway, there will be one winner per day. The Giveaway begins on Monday, December 13, 2021, through December 31, 2021. Winners will be selected at random.
This giveaway is open to legal residents of the United States and must be a minimum of 18 years of age to participate. Participants must be registered members of ObesityHelp.
Question: Do you think that counseling and behavioral therapy are key to a weight loss patient?s success and why?
Prize: WickedCutz Gift Box, Jerky, Meat Sticks, Wicked Seasonings. $100 value.
What a fun question and so interesting to see people are doing. I don't count mty macros anymore I now just keep my calories between 1000-1100 and my carbs below 60. I had surgery in 2010 and after a bout of regain I decided to cut certain foods out and its helped.
I am currently 9 months post-op, so still in the active weight loss period. My goal is around 900 kcals, >70gm protein, I try to keep my carbs

HW 296 SW 267.8 GW 130 LW 128.2 CW 131.6
Age 55 5 ft 4 inches
Roux-en-Y 3/24/21
Internal Hernia 1/14/22
Gallbladder 3/22
Volvulus 10/7/23-Reversal of RNY 11/19/23
The last of the human freedoms, to choose one's attitude in any given set of circumstances. (Frankl, 1946)
I aim for 1200 calories, 80g of protein. I'm 17.5 years out and 59 years old, it's really difficult to keep my weight in check.
I weigh myself every day and log everything that passes my lips into MyFitnessPal every day.
Not gonna lie, it's hard to maintain my weight.
Proud Feminist, Atheist, LGBT friend, and Democratic Socialist