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Hi. I wouldn't be too worried. WLS centers/physicians expect that most patients will not come in with a "spotless record" of mental health. There could be lots of reasons why they are making you met with their psych. It may be that anyone who has had a particular diagnosis is automatically referred to the psych, or they may be overly cautious. Some programs also have a requirement that all patients going in for WLS must see the psych.
I had a similar experience. I was approved for surgery despite having a history of major depressive disorder and PTSD. I was also seeing a therapist and on anti-depressants at the time of my evaluation and surgery. The docs really just want to make sure that you can handle the stress of surgery, you're not having surgery for the wrong reasons, etc.
Good luck!
Hello there all, I am pre op and ive just seen the SW. After asking alot of questions and "hearing my experiences" she is still referring me to be assessed by the Psychiatrist. I have ptsd and I'm seeing a psychotherapist and have done so for over 2 years. I have given a letter from my Therapist stating that I am more than capable and have been successful in working through alot of issues. I am so scared that they will deny me. I dont have any eating disorders, i skip meals alot but im changing that. im no sure what to do or expect at that appointment. Should i brace myself? or am i worried for nothing? Please share.
Thanks
Lots of great advice from the previous posters. I truly went through withdrawal after my surgery. I realize now that withdrawing from any addiction wreaks havoc on the human body. I'd gone through withdrawal from tobacco & alcohol years ago. Withdrawing from food addiction has been the journey of a lifetime. I'm still on that journey.
I had true depths-of-despair depression about a 2 months after my surgery. I almost "checked out," if you know what I mean. Thank goodness something saved me & I hung on, because now I'm skinny & a completely different person (on the outside, if not 100% on the inside yet).
Life has not become a walk down a primrose path for me just because I've lost 124 pounds. I'm still married to the same guy (THAT'S a miracle) & I still have this brain with all its history, good & bad. But I can see so much clearer now that my body's had a chance to balance out a bit.
I think I had trouble with malabsorption of Zoloft after my surgery. Of course I didn't know it at the time. The crushed pills tasted awful (everything pretty much did for quite awhile after surgery) & I'm sure I skipped a few doses when I was detoxing from the general anesthesia. That really contributed to me going into a downward spiral after surgery. Lack of support from my family was a big obstacle, too.
Check my OH blog for my post-op entries. Be gentle with yourself! I wish you the best of luck!
I think that makes sense. My insurance covered my WLS (open RNY) because I had a BMI of over 35 with at least one co-morbidity (in my case, insulin-dependent diabetes, high cholesterol, high blood pressure, & clinical depression with anxiety & PTSD).
I had to have a psychological evaluation & see a counselor 3 times before my surgery. I was denied twice & then suddenly approved, after about 14 months of trying.
I didn't get approved on the strength of mental health alone, but I think anything that's true that you share with your physician & insurance company can only help you.
In my case, I worked steadily to get approved. I didn't "fight." I made a deal with myself early on that I would go with the flow of the process. It wasn't all polka-dots & moonbeams, but I did use a LOT of cognitive behavioral therapy (which, in itself, takes a lot of time & energy) to choose to remain calm & use my talents (research, writing, & communication in general) to get approved.
I'm still evolving into a healthier person mentally. I attend Overeaters Anonymous meetings because I still deal with wanting to turn to food as a numbing agent.
I wish you all the best on your journey!
Thanks.
May I am 9 years post GBS. I never had any addiction issues of any kind. I went to alcohol rehab 3 years ago..did not work. need help and advise
Hello,
Believe it or not I have exactly the same diagnosis' as yourself...I mean exactly... Well i made it through everyone...the Nut, RN and SW but then she took my file to rounds. The surgeons initially said no way ...and I haven't had a flare up in over two years and not a really bad one for 5 years. I had a very supportive letter from my psychiatrist and then they said maybe. They brought me in to talk to the SW again and they offered me a choice of the surgery or the medical program. I still haven't decided. They are sending me on to the surgeon...I want to try and get the sleeve so my med's absorption isn't as much of an issue. But ultimately my surgeon makes the choice. So now I wait to see him. My psychiatrist is even offering to transfer me to my own hospital for observation after the surgery so any adjustments can be made to the med's. So long story short....I have to make a decision and they are "encouraging" me to do the medical program. It is not a nice place to be in...now i am really torn .... What to do, what to do??????
S
Hi, I am in the same process right now. I take several meds. I am asking the surgeon if I can have the sleeve as it is my understanding it causes less problems with absorption. The problem is that my clinic rarely does the sleeve. Ultimately my surgeon will be making the decision. Also...remember that as you lose the weight your body may not need as much medication as before so it may all work itself out. Good luck and hope everything works out