Question:
What happens in the psych evaluation?
I've had all the needed tests done that my insurance requires forme to do before surgery. The only thing missing is my appointment with the psychologist. I'm scared of it! I'm scared of what she's going to ask me and if she won't like what I have to say and my reasons for surgery and she'll deny me!! Can anyone tell me what happened during their psych evals and what you said?? I want to have Lap RNY done. I weigh 276 lbs. Thanks to all in advance!!! — sally_ogin (posted on August 26, 2007)
August 26, 2007
I too was scared, but when I got there it was 567 true/false
questions,.......I would like to be florist, I would like to be a sports
caster, I like being in big crowds. etc etc. Then two weeks later I saw
the psyc. He just ask why I wanted the surgery and wanted to make sure
that I realized that if I had use food as comfort before when being
depressed or upset that I wasn't going to beable to do it with just a 2oz
pouch. Just go in and be your self and relax.
— GeorgiaD
August 26, 2007
Yes, I had my psych eval I believe in May. First, I met with the
psychologist who visited with me about my feelings about the surgery, my
history, my plans for the future, etc. I explained to him I have wanted
this surgery for over 20 years, but until the first of January this year,
it was not covered. I explained to him I had done extensive research, and
was able to tell him the difference between RNY and lap band, as well as
the DS, etc. He told me I had obviously done my homework, and knew what I
wanted. He was very nice, and had worked with several people who were
wanting WLS. After we visited for about 30 minutes, I had to do the MMPI,
which is a questionnaire with I believe 600 questions. There are no right
or wrong answers, just your opinion. These tests indicate whether or not
you have been defensive in your responses, and how well equipped you may be
for the surgery. They are looking to see if you are depressed, if you are
in the right frame of mind for the surgery, etc. After finishing the MMPI,
I returned to the psychologist's office where I got to do the ink blot
test. It was actually kind of fun, but then, I have worked with
psychologists for the past 25 years, and they are just people like you and
me. I suggest you don't try to cover up any problems you may have, as the
defensiveness can be picked up through the MMPI and through the personal
interview. I had to return about 3 weeks later for a follow-up appointment.
The psychologist and I visited about the surgery, about my going back to
school to get a masters in Christian counseling, etc. After I had been at
the second meeting for about 15 minutes, the psychologist told me, "If
we close our eyes, we can pretend that this has lasted for an hour. You are
disgustingly normal!" So, I did not see this as a threat in any way.
The man even asked me to return to see him after I have lost the weight,
not as a patient, but because he just wnted to see me after I lose the
weight. We developed quite a rapport, so I rather enjoyed myself. I would
just say to just be yourself, be honest and upfront with any problems you
may have had in the past. Depression is not necessarily a reason to deny
someone the recommendation for surgery. However, if you are not in the
right frame of mind for the surgery, your counselor may be able to pick up
on it. Just relax. I think you will be just fine. Best wishes to you on
your journey! God Bless! LaNeta
— KansasGal
August 26, 2007
Sorry, I had another thought. I would recommend that you go to your
appointment armed with the knowledge of the types of WLS available, and be
able to respond to why you want that particular type of surgery. What are
your plans for the future? What do you think this surgery will do for you
in your future? I just thought of these as possible questions your
psychologist might ask you. Best wishes!
— KansasGal
August 26, 2007
Hi! My psych eval took four hours. I took the MMPI and two other brief
tests. I talked to the psychologist for one hour for the eval, and one hour
to discuss the results of the eval. The testing, while time consuming,
helps you to understand what your strengths and weaknesses are going into
WLS. Since WLS effects more than our physical self, the psych eval is very
helpful to find out what our individual "issues" are that have
contributed to our obesity. For me, I need to be in counseling for a few
months to deal with depression issues and the fact that I am an
"emotional eater." Thats it in a nutshell. Much easier to go
through than many of the other medical tests you may have to get before
WLS! Good Luck! ~Barb
— bferrari
August 26, 2007
The psychologist wanted to make sure I understood how the surgery would
change my life. She asked questions like "do you understand that you
will take supplements for the rest of your life?" I had done a lot of
reading and it was clear I understood the process. I demonstrated my
knowledge during the session. She also wanted to know if I had any
emotional issues that might affect my success. I was completely honest
with her. Being overweight is not great for self-esteem or health. When I
was younger it might have been vanity that brought me to this decision, but
now it is health concerns and the desire for a more positive self image.
She wished me luck! My surgery is Sept 17. Ask yourself, do you believe
you have good reason to pursue the surgery? If so, make sure you can
express those feelings and you will experience an authenticity the
therapist will recognize. The therapist is there to help you toward your
new life. I wish you a great experience talking to the psychologist. Tell
it like it is.
— [Deactivated Member]
August 26, 2007
My psych evaluation was horrible. The doctor accused me of lying and said
I must be truthful with my eating habits if I was going to be successful at
surgery, and he would not recommend me for surgery!! Thankfully I had been
seeing my regular psychiatrist & psychologist who sent letters to my
surgeon saying how I would be a perfect candidate! So then I was approved.
Throughout my life I have had insulin resistance and was on Metformin for
years to regulate my sugar levels since my body couldn't process it
correctly. I didn't sit around and eat all the time like what was assumed
of me because of my size. And I did wonderful with the surgery! I lost
216 pounds in 14 months. I followed the rules to the letter and never had
any problems! So I would say tell them the truth it will all work out
anyway! And like the other posters said, be knowledgeable of your choice
of surgery, and of your health problems.
— GAYLE CARMACK-LYONS
August 26, 2007
Hi - I had my psych eval in June (Boston, MA) It took about 25 minutes.
the first part of the eval was general questions about the surgery and did
basically seemed to be geared towards making sure I knew what I was getting
into. The 2nd part of the eval was questions like who is the current
president, what is the date, stuff to make sure I was coherent and aware of
my surroundings, i guess. It seems that from some of the answers here,
each facility has a different approach, so just be confident!
— sbonner
August 26, 2007
I was also nervous about seeing the psychologist, but I knew that this was
what I needed and wanted so I just went knowing that I was going to be 100%
honest. I had a short visit with the psychologist before I took the MMPI
which I had actually taken before. It is nothing to be scared about. Just
be honest. After the test was scored I met again with the psychologist and
he asked me a few more questions. We had just lost our 25 year old son to
a brain aneurysm and so he really wanted to talk to me about that. In the
end he wrote a nice letter recommending me for the surgery. I had it 2
1/2 years ago and have met my goal. I will pray for you. Go, be honest
and it will be fine. God bless you and your journey.
— cmancl
August 26, 2007
hi, no need to be scared.....their main goal is to make sure that u r
mentally ready for this surgery, and to understand all aspects and any
complications that may occur or not...just be honest with them and urself,
and u'll do fine........Tina Gunnels,1 yr postop Sept.12th
— Tina G.
August 26, 2007
My visit was 45 min. thats it! I was not to nervous I was just wondering
what he would ask. And he asked when was the first time I noticed I had a
weight problem. What have I done about it before. did my parents or
grandparents have any health problems ect. I didnt have to do no
questionaires. It was pretty easy.
Sabrina
— sabrina S.
August 26, 2007
Hi - don't worry ! My experience is similar to most listed here. I am a
therapist, as well, which I thought made it more difficult. Trying to out
psych the psych! One thing I noticed is that they really want to ensure you
understand the necessity of following the doctor's and nutritionist's
instructions for post op care. I've noticed with folks in my support group
that following orders is often difficult and we "think" we know
better - which we usually don't! Good luck with everything - I'm 3 1/2 mo
post op for lap RNY, followed all there instructions - still have a small
ulcer at 1 mo out but am great now, have NEVER felt better and have lost
about 75# to date!
Paula in Michigan
— pvmeulen
August 26, 2007
I had 3 different psyche evaluations. The first one said I was a tragic
person and that I was not a candidate and needed long term therapy. I was
in an emotional state at that time.
The second one said he thought I was trying to be too normal. The MMPI
tests are deceiving. They do not give you a choice as to the answer. for
example, at some time you may have thought about suicide, but who hasn't
wished to die at some time and other questions about what you'd like to do
that has no relationship to you having surgery. he said he thought I was
detrmined to have the surgery and would keep trying. he recommended I be on
a drs diet and exercise program before I was allowed surgery. Hello?
The third test I took gave you a choice about answers, so it wasn't yes or
no. that one I passed with flying colors. I had no problem getting approved
at that office. And I've done great. Even with marital problems, a
controlling husband and other issues, I feel so much better about myself, I
think I can do anything. I have energy, no longer want to die, but want to
make the most of my life. I have lost 100 lbs so far.
— geneswife
August 27, 2007
My psych eval took maybe an hour tops. It was very simple and to the
point. She wanted to make sure that I knew what was going on and that my
life would change. She wanted to make sure I had support behind me that
would help me get through this with success. It was nothing to be scared
of. Just be honest. They just want to make sure you can handle the
surgery and that you aren't crazy. But then, we are all a little crazy!
Take care. Hope this helps. Rudie
— rudiev
August 27, 2007
She is just going to ask you questions to ascertain whther you can handle
the surgery. She wants to find out if you understand all the lifestyle
changes that you will have to make, and whther you are committed to the
plan.
— Novashannon
August 27, 2007
I am sure every psychologist is different, but ours has us answer (on
paper) three different "tests" - some of the questions were WAY
out there, like "have you ever hit someone over the head with a
bat" or "do you torture animals" - very strange stuff, but I
guess there are people out there that think these things are OK. Another
tests asks about food or you eating patterns - nothing crazy - just like -
"do you enjoy the taste of food" "is taste rated over what
you pay for food" "would you go out of your way to have a meal
you like then stay home and make it yourself" "do you eat over
the sink" "do you sit down to a meal at the dining room
table". The other are questions about your mood, attitude and
depression. Answer truthfully and you will be fine. ONce you are done with
the tests, there are about 20-30 questions the psychologist will ask you -
about your chilidhood, how long you've struggled with your weight, what you
have tried in the past, etc. Nothing too crazy or scary. She/he will go
over the test results of your tests with you, too. Basically you will know
right away if you "passed" the tests. Just be yourself, be
pleasant, shake hands, make eye contact and above all be upbeat and
positive.
— jammerz
August 27, 2007
Each psychological evaluation is diffferent. Mine was a very comfortable /
informal session that took about 30-45 minutes. The psychologist asked
questions about how long I've had weight problems and previous methods of
weight loss I've tried. He wanted to make sure that I wasn't jumping into
wls without considering other methods of weight loss and / or without a
complete understanding of what life would be like after surgery. He asked
several questions regarding my mental stability, i.e., depression and
family history of mental illness. He asked other questions but they were
no big deal. I'm sure your session will go smoothly. GOOD LUCK !!!
— AngelaC.
August 27, 2007
As you can tell from the responses, there are many ways a psychologist can
evaluate you for surgery. As one, I guess I was very relaxed in going into
my own eval as I have been in therapy and done years of research into the
RNY and meditated a great deal on my motivations for wanting the surgery.
There is also a great range in the competence of psychologists in
evaluating pre-op candidates. The first and main criteria, is that you do
not have a serious mental illness like schizophrenia, bipolar disorder,
depression that has not been dealt with in the past. The second criteria
is looking at your realistic expectations for the surgery; not everyone has
fantastic results and there are the possibilities of major complications
after surgery including, although very small, of dealth. Then there is the
question, can you follow the strict lifestyle changes you must make. All of
this evaluated along with your knowledge of what will go on with you
because there are so many things that change for us after the surgery that
we could not even anticipate. Last, but not least, are your reasons for
having the surgery. If you really spend some time with your self and some
paper or a really good friend being open and honest before you see the
psychologist, the answers with come as you want them to come. Good Luck!
— Elaine L.
August 27, 2007
Hi Sally,
Don't you worry about that evaluation one little bit! I was completely
terrified over it and then when I got there, it was a breeze!
What my psychiatrist did was to have me take a MMPI2 test, which basically
is something to make sure you have a normal thinking, reacting personality
and that you can make intelligent, life changing decisions and know what
you are getting into. I walso took a IQ test to make sure I was not
considered to be mentally deficient and should not be allowed to make those
kind of decisions. Then, we just sat and sort of talked about my reasons
for wanting the surgery, my famly history and why I thought I had an
obesity idssue to begin with. I was totally honest with him and he
suggested things that will and are helping me deal with emotional eating,
etc but he still qualified me for the surgery. Don't be scared to be
honest. Unless you are a drooling, monosyllabic zombie, you should do
fine! :)
Good luck and rest easy!
Lynn W.
— Lynn W.
August 27, 2007
Thank you all for your answers! I feel so much better about this now!! I
will definitely follow your advice and just be calm and honest next
tuesday. I am so excited and can't wait!!
God Bless!!
— sally_ogin
August 28, 2007
I took a true and false answer questionaire , some of the questions
repeated themselves, I completed the test, then she ask me some questions.
I do not believe you have to worry just like a job sell yourself to get the
position.
— pinkcoat37
August 28, 2007
My eva was very simple and easy. My evaluator was a gastric band patients,
and just wanted to make sure that I understood there would be some changes
to my lifestyle and that the band is a tool - not a magis wand. It is
still work and you need to understand that. Its was actaully a pleasant
conversation and was conducted onver the phone. Just be truthful about
your answers because that is the best this for you!
— beckiemclarty
August 28, 2007
My eval was very simple and easy. My evaluator was a gastric band
patients, and just wanted to make sure that I understood there would be
some changes to my lifestyle and that the band is a tool - not a magis
wand. It is still work and you need to understand that. Its was actaully
a pleasant conversation and was conducted onver the phone. Just be
truthful about your answers because that is the best this for you!
— beckiemclarty
August 29, 2007
Here's another opinion to consider. It depends on the psychologist or
psychiatrist? I had both! I had my first interview with a psychiatrist that
didn't know diddly squat about Gastric Bypass Surgery and did everything in
her power to discourage me from having the surgery. She was required by my
medical group. Secondly, I had an interview with the psychologist who works
directly with my surgeon. She was friendly, helpful, encouraging, and knew
her stuff about gastric bypass. I only hoped this would be the end of these
interviews, but I was to have a third interview (again required by my
medical group) with the psychiatrist again, and I went through the same
garbage as before. I just stood my ground and tried to convince her gastric
bypass was the only WL that would be successful for me! And through much
prayer, it worked, she actually wrote a recommendation for me to have the
gastric bypass surgery. And now I am 5 days post op!!!
— wheezer53
August 30, 2007
I found that the main focus of the psych eval was to make sure you really
understood the lifestyle change needed in order to really make informed
consent. I felt like the point was that you thought this out fully, you
understand the impact on your lifestyle and that you are ready to make the
committment.
We did also talk about previous attempts at weight loss, how being
overweight impacts me etc.
I felt it was a good thing to go and the doc said he normally doesn't deny
anyone who fully understands what they are embarking upon so hopefully that
will make you less anxious
— Stacey D.
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