I was diagnosed with bipolar, anxiety disorder and severe depression a couple of years ago. after trying a quite a few traditional meds/combos, none of which helped, i am currently on something that actually works (and no, absolutely no weight gain...i am very cognisant of that issue myself):

adderall--60mg/day (commonly perscribed for add, which i also have but there is some new medical evidence that it helps some patient with bipolar)--works great for me

klonopin-4mg/day--anti-anxiety (so may not appply to all bipolar patients)

ambien-10mg--occasional insomnia

I am not sure I understand your question.  I had my psych eval done by my personal psychiatrist.  I was already in psychotherapy for many years prior to my surgery.  If they are recommending you get into regular therapy, I am supportive of that.  There is usually, more times than not, an underlying psychological issue beneath the overeating that caused our weight gain.  A good therapist can help bring those issues to light.  As we say in our support group, the surgeon operates on our stomach, not our heads.  We still have whatever it was that made us eat like we did after the surgeon is done his/her work.

Trish

I have diagnosed BPD and Major Depression.  I take Geodon, Topamax and Liquid Prozac, all with no weight gain and no side effects.  Good luck to you!

06/08 REFLECTION FOR THE DAY
A friend in The Program taught me to look at excessive guilt in an entirely new way, suggesting that guilt was nothing but a sort of reverse pride.  A decent regret for what has happened is fine, he said.  But guilt, no.  I've since learned that condemning ourselves for mistakes we've made is just as bad as condemning others for theirs.  We're not really equipped to make judgements, not even of ourselves.  DO I STILL SOMETIMES "BEAT MYSELF TO DEATH" WHEN I APPEAR TO BE FAILING?

TODAY I PRAY
May I be wary of keeping my guilty role alive long after I should have left it behind.  May I know the difference between regret and guilt.  May I recognize that long-term guilt may infer an exaggerated idea of my own importance, as well as present self-righteousness.  May God alone be my judge.

TODAY I WILL REMEMBER
Guilt may be pride in reverse.

I take Geodon 60 mg at night.  No weight gain, no side effects other than a good night's sleep. Get the help you need.  Research the meds.  Lexapro did nothing for me.  I also take Effexor in the AM.  I am quite stable with my moods.  Kathy