Psych Eval?

279
on 11/23/10 8:36 am - OR

I am kind of nervous that insurance will look for ANY reason to not approve this expensive procedure, and am wondering if the psych eval is one of those ways.
Can y'all share what they asked (not specific), what types or whatever..
And anyone been denied BECAUSE of the psych eval?

WiseTears
on 11/24/10 2:56 am - Chicago, IL

If the psychiatrist evaluating you believes that you have underlining issues( i.e. depression or an eating disorder) causing you to become obese, then they will suggest therapy before recommending surgery. In fact, all insurances required that you recieve a psychological evaluation before going under the knife in hopes that this will be the last attempt at weight loss. So, you wont neccessarily be denied but your surgery could just be postponed until you seek treatment.  

Some of the questions they will ask: years of obesity, family history, eating habits, tramatic experiences, etc. I remember specific questions about suicide, binge eating, smoking, stress, depression, expectations of weight loss surgery, etc. My psychiatric evalu was 45 minutes. The most important thing when doing this is to be transparent about any issues that you are facing in life. If you are not, it will directly affect your accountability after you have the surgery. For instances, I was diagnosed with depression and binge eating from my psych eval. Even though, they postponed me for 3 months until I sought treatment, it was the best day of my life. It gave me a reason to dig deeper to understand why I was obese and to address tramatic experiences from my childhood. I recently went back to get my psych clarence for the surgery and thanked the psychiatrist for noticing the depression and bing eating. Be TRANSPARENT & ACCOUNTABLE!

    
279
on 11/24/10 8:21 am - OR
Thank you!
Reverend
on 1/19/11 6:54 am
My psych eval result wasn't exactly a glowing recommendation.  They asked me to fill out over 25 pages of paperwork before they saw me, in which they asked for the same information over and over again.  I quit filling out forms that were clearly repetitive, and when he wrote my evaluation, he said something to the effec that I "don't follow directions well," and that may have an impact on my success with weight loss surgery.  He wrote that if the doctor's office put a high priority on motivating me, I might do ok.

Pretty arrogant, I thought, considering he based that on me not wanting to write my social security, address, and health insurance information in 20 different places.

Anyway, I did have a point here.. =) BC/BS IL approved my surgery, and never mentioned the psych eval.

But, if you're asked to fill out 25 pages of paperwork.. do it. =)

Peace,

Jonathan

       
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