What to expect at the Psychiatric Evaluation for Bariatric Surgery

You’ve had the bariatric surgery consultation with the Surgeon and she informed you that the insurance company will require you undergo a psychiatric evaluation before you will be approved for surgery. Your mind races, what could they possibly be looking for? Could I have done all this work and research only to be turned down by a psychologist who’s only met me once? The short answer is yes.

The psychiatric evaluation is meant to ensure that psychologically, you can handle the effects of the surgery and that your reasons for having the surgery are sound. There are a lot of psychological impacts that you may not expect from the surgery. Believe it or not, losing 50 lbs. in a matter of weeks can be very unsettling; at times the rapid weight loss will feel out of control.

Gastric bypass surgery is a major life style change, not a fast weight loss gimmick. Not everyone has the ability to emotionally handle the changes required. Being morbidly obese does not mean you will or should qualify for bariatric surgery. Family support is also an important factor. Everyone in your household will be affected by your surgery and your dietary restrictions. If they are not 100% supportive, your chances of success diminish rapidly.

The medical implications of obesity are myriad and that’s why insurance companies approve payment for bariatric surgery, it saves them money in the long run. Studies have proven bariatric surgery, particularly roux en y, nearly instantly cures diabetes. The weight loss associated with gastric bypass lowers blood pressure, causes cholesterol levels drop, the strain on the heart is lowered considerably and sleep apnea is reduced or cured. Bariatric surgery will not to fix your love life or body image issues.

If you are not undertaking bariatric surgery solely for your own reasons, you shouldn’t have it done. Surgical changes to your body should not be done to please anyone but you. It will not fix your relationship; it will not make your family a healed and functional family unit. The medical goal of bariatric surgery is to relieve your body of the burden of too much fat and the health consequences associated with morbid obesity, bear that in mind.

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Comments 2 comments

Pollyannalana profile image

Pollyannalana 4 years ago from US

My sister had this surgery and wow the skin just hung on her. I don't think her husband liked it at all but the worst thing is she just eats what she wants (even if not as much) and not healthy at all. She weighs nothing at all now and has high blood pressure, uncontrollable.. and her complexion is awful! I can't really see that it helped her. I think I would rather starve the old fashion way, lol.


Aunt Mollie 4 years ago

I know a young woman (24) who had this done and it was a life changing experience. The end results are that she is now an active human being, much happier, and has set a course in the right direction. I do know that she had a horrendous food routine to follow the first year, but it has paid off.

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