So first off, I had my required psych eval for weight loss surgery. I was worried about this not because of any extreme psych issues,addictions or inability to demonstrate that I understand what I am getting myself into, rather, where the line gets drawn between eating behaviors that would preclude me from being able to pursue weight loss surgery at this time. I did a lot of thinking prior to this appt and realized that I have changed a lot in the past year to get to this point. More engagement in good behaviors, more mindfulness of bad choices, attempting meditation, tracking my steps almost all year long with my fitbit, and in the last two months, fairly decent eating behavior change. Not perfect, but enough to result in about 16 lbs of weight loss in the last two months.
In case you are pre-op and want to know what the psych eval might be like, here is what mine was like. I was told to prepare to be there for 3 hours, I was there for 1 hr and 50 min. When I arrived, they gave mea first test called an eating inventory that was maybe 40-50 questions, mostly true/false. I didn’t like it, because it used the word hungry a lot, and was hard to answer with that word in there for me. It listed lots of circumstances in which I might be hungry, and I know that what I do is not hunger. It’s want, desire, not hunger. So that was hard. But quick.the second test was the MMPI2, and had over 300 questions. I actually thought it would be longer. It was easy.some weird questions, some of which made me chuckle…but not bad. Then there was something called BDI, I think, again fine. And a final one I can’t remember, but it was quick. I think that was all. I waited a bit, then got called back with the psychologist. He set expectations, and started in on interview, asking me about the procedure I wanted. We then discussed through all the typical areas, motivation, support, family composition and history, my existing gad and depression, etc. It was fine. He told me my Tests confirmed what we discussed, no major issues, confirmation of anxiety and mild social avoidance. Which of course I know. He also tried to probe more in my ADHD diagnosis to confirm, not sure if he agrees I have it or not.I am not sure I do or not, either. In the end he told me he saw nothing that would prevent me from moving forward, that he would be reporting back that I could move forward, assuming I stay on my meds and would recommend the bariatric centers support groups. He said it would take about a week to get back to my doc.