Need some support

Bfloabbott
on 3/3/07 10:35 am - Buffalo, NY
Hey guys, I could really use some "buddies" right bout now. Haven't been around here long, been hitting OH since last summer but only recently checked you guys out and you all reall seem to "click" if you will. Well here goes. I'm 52, married w/3 kids (2 grown) and of course I've been overweight all my life. Grew up in a family of "fatties". Dad died at 58 from heart disease and diabetes. As for me I had some cardiac problems about 15 yrs ago but nothing since. Diagnosed with sleep apnea 10 yrs ago and use a cpap and last year diagnosed as "pre diabetic". I've been looking into WLS for about 4 yrs, and started the process last year. I have my consult with the surgeon Mar. 27th, done all my paperwork and got my psych eval out of the way. That's where the problem comes in. Had to split it in 2 sessions cause ins only covers 1 hr at a time. At the 2nd visit, did a little test for memory and following directions and that was good. Had to do a 400 question true or false to give an idea of my psychological health. When he left the room he says " answer the best you can, no right or wrong here, leave it on your way out and I'll be sending my report to Dr Caruana, I think you'll do great with the surgery, yada yada".  Should have known when his office called and wanted me to come in again, just to wrap things up. Get in there and he starts with, you know we talked about alot of things like depression, thoughts of suicide, etc., and you answered the questionaire. Well, your score shows you are suffering from "clinical depression" and that can cause problems with how you cope after this or any surgery. Wanted to know what I would think bout taking meds like Zoloft or Prozac and one on one therapy sessions. I've been checking out websites on Depression and almost all have some list of symptons. Needless to say I recognize alot of them. Trouble sleeping, fatique, irritability, trouble concentrating and on and on. I'm afraid I'm going crazy and even more scared this could put an end to my WLS. As I look back on my life, seems like just about all the unhappy times were associated with my obesity. Sorry guys, just needed to talk to someone.Don
Dx E
on 3/3/07 11:16 am - Northern, MS

Hey Don, Glad you found us here. Don’t worry about it getting in the way of your surgery too much. Many folks who have depression are "patched up" and passed on to surgery. Getting the "Blues" taken care of is the priority. Depression and Obesity are very "Chicken & Egg." Depressed because you are Obese? Or- Obese due to the Depression? Doesn’t actually matter. Even after losing the weight if there was some depression there before? It’ll likely still be there. (just wearing smaller clothes.) The short of it is, No matter how we view ourselves, Mood is the result of brain chemistry. When we are sad, chemical neurotransmitters are released. When we are happy, the same. And fearful, and stressed, etc, etc... Big Ole Bio-Chem Stew going on. It is the result of how we are stimulated and it is the cause of how we respond to stimulation. A year of talking through, working through emotional issues will result in slow incremental brain chemistry changes, and we will begin responding to stimulation differently and our outlook and general mood can be raised. Or, Cut to the chase, Take a pill that does the same thing in a couple of weeks. I may be in the minority, (and certainly run contrary to the "Tom Cruise" approach) But believe in "Better Living Through Chemistry." Same as gardening…..2 approaches- I could slowly work the soil and remove insects manually and allow plant matter to de-compose into the soil to make it richer, Or, I can throw in a little Miracle-Grow and spray with pesticide. Which of the two makes sense? Call a Psychiatrist, get to the bottom of it, Explain "how you feel," and your concern about ‘side-effects’ and he’ll hook you up with something to re-set your brain chemistry levels that doesn’t Suk in other ways. With all of the "selective serotonin reuptake inhibitors" (SSRI) Such as- Prozac, Paxil, Celexa, Luvox, etc…The most common complaint is it kills your sex drive. (or makes it take ‘Forever’ to reach climax) Followed by some insomnia, little nervousness, and ‘loss of appetite.’ The "Really Bad Side-effects" that tend to make the News, are the ones associated with stopping the dosage suddenly. Tell your doc your concerns. Perhaps with the apnea, you already have a little sleeplessness? If so, the doc may prescribe something like Trazodone (which actually helps sleep) or Mirtazapine which also acts as a sleep aid. Wellbutrin is common for many Obese Folk. It certainly helps with post-op depression, as does Effexor.

All of that to say- There’s Plenty of options available and your doc can adjust your prescription to reach the best therapeutic level with the minimal side effects. Don’t resist because of Psyche-Doctor Stigma. If you had pain in your knee, you wouldn’t think twice about taking something for it. So, pain in your Psyche? Same thing. Call the Doc. Schedule the appointment, and Get ‘er Done! No extra Points for suffering. There’s NO Medicine- NONE that can claim to have NO Side effects. Aspirin, (bleeding ulcers) hell Tylenol has some really evil side effects. (liver) The question is do the therapeutic results outweigh the drawbacks? Same as Bariatric Surgery. It does have drawbacks, But, Statistically, it adds quality and quantity to life. Welcome to the Men’s Board! Hollar out if we can help! There’s plenty of guys here who have taken their share of Anti-depressants. I hope you find all of the experience, info, and support that this bunch has to offer. Best Wishes- Dx

kevin moran
on 3/3/07 1:16 pm - stockton, CA
Yo Don: Depression............................................................................................................................................................................................................. It has been with me for at least 12 years.... Thank God I had good eough friends who steered me to the right doc. As DX shared... it is a very bewitching condition.... I seemed to "bargin" with it for years... I took my meds until I felt better... than I stopped my meds ( with-out Doctors advice )))... than it came back.. so I took my meds again..... than I felt better...yadda yadda yadda... Finally after several years of "self-diagnossis" I let my Doc.all the shots... ALL OF THEM... and suprise !!!!!!...I am as stable as I have been in as long as I can remember.... Last Month due to serious financial setbacks... I experienced anxiety for the first time.. guess what... I told my doc..( after treating it with ambien by myself..ugh).. he understood... gave me meds which have really relly helped... I also.. spend time golfing.. it helps... meditation... I also made a deal with the "big Guy" you know GOD... every day I ask him to help me with my life... It works when I work it... The other day my wife looked over at me and said "why are you smiling".. somewhat embarrased.. I told her I was feeling overwhelmed.. and I made a deal with the "big Guy"... I would put both hands out in a meditation position ( you making rings ) and hum... and when I did this I would look up  to him and smile... to remember that nothing was too big for him to handle.. this always makes me smile and when I smile.. my depression & anxiety are tamped down... My doc also told me that even when I got back to a healthy weight I would not be cured.. he ws correct ... I know so many men who feel inferior for needing meds to be manly ( you know.. keeping it all together ).. Well for me this was a myth.... If I developed diabities.. I would take meds to bring my body chemistry back into balance... so why bargin with brain chemistry..... There is no black or white.. find a doc you trust.. follow instructions... I am glad you had the balls to bring it up..alot of us are too afraid.. you are to be comeded for your bravery.. I wish the best to you in this journey
lap rny / 1/25/2006
320 Then / 180 now
jvolker
on 3/3/07 4:30 pm - Cornfields of Central Illinois, IL
Yeah, what they said.  You have entered the right door here pal!  Welcome to a room full of guys that know exactly what you are facing!   Don't fall into that trap of thinking there's a stigma with seeking for CD.  You certainly won't find that judgement in the Locker Room, nor should you among anyone that knows anything about depression.  Get the treatment...it won't stall you from your ulitmate goal and in fact should work to make your success even greater! Congrats!  Glad you found us!
DAN PACKARD
on 3/3/07 4:45 pm - KOKOMO, IN

Don Glad you found the men's board, it is a great place to talk with other guys who have or are going thru what you are going thru right now. Fortunately when I had my Psych Eval in Nov 2005 it was a 15 minute in and out visit.  From talking to others they now are giving those 400 questions and a lot more detailed interviews. I believe this is more to satisfy insurance companies then it does making sure you can deal with the WLS. I have to have a Psych Eval on Monday in order to have a stimulator implanted to stop pain from degenerative arthritis.  Before long these insurance folks will require a Psych Eval to have a tooth pulled.   I have been on an anti depressant now for about 5 years.  My depression was from carrying 450 lbs of fat around and how I felt like I was a fat slob.    I have been taking CELEXA, TRAZODONE (as Dex mentioned) and ROZEREM (which is a new sleeping med that is not supposed to be addictive). I suggest you do what ever it takes to get the WLS done.  I will tell you it will make a new person out of you.   Again glad to have you with us and if we can help you anyway, just drop a post on here.   Dan

 

HePaid4That
on 3/3/07 8:38 pm
Hi Don, welcome to the locker room.  Although I've never been diagnosed with depression, there is depression some times.  To be honest, that corresponded a lot to the weight.  What I can tell you is no drug is better than how skinny feels.  If it is truly chicken/egg in your case as DX outlines above, you will be amazed at how the depression goes away when the scale goes down every day.  Think back to other times you have lost weight.  What was your mindset then?  Did that change when you plateaued or started gaining weight, or is the depression about other things separate from the Weight.  Don't let this get in the way of the surgery.  This board is filled with guys who are on top of the world as a result of their decision and the weight loss. I'm not an expert here or play one on TV, but that's my 2cents. Welcome once again.  Great to have you. Greg
Rob S.
on 3/3/07 9:35 pm - DE
Hey Don, Your concern is fairly common.  Prior to my surgery almost four years ago, I was a walking time bomb.  I was "clinically depressed" taking Prozac.  I had severe sleep apnea (24 setting on CPAP), high blood pressure and cholesterol and was pre-diabetic.  Plus I  was taking additional pills for arthritic knees and lower back pain.  At 50 years and 340 pounds I was a wreck. When I started researching WLS, I hooked up with a great psychiatrist, who I did 10+ sessions with to deal with emotional eating, depression, and changing life habits.  I still use the techniques that she helped me with. Today at 179 pounds, I don't have sleep apnea or the CPAP machine anymore.   I still take medication to help with sleep (Trazadone to help with sleep cycle, and Ambien CR to help increase quality of sleep), but no other medication.  I believe in meds if they can improve your quality of life (assuming the side effects are not severe).  Exercise has alleviated all of my knee and back pain.  It also has given me a new zest for life.  I use yoga techniques for the to keep depression at bay.   Most of the items that you (Trouble sleeping, fatique, irritability, trouble concentrating) should decrease or disappear once you adapt your new WLS lifestyle.  Treat the psych evaluations as something positive and try to use them to improve your situation, not just get through them.  You can learn a lot if you take advantage of sharing your true situation and not just trying to figure out what the psychiastrist wants to hear. I also found that most of unhappy times had a direct correlation to my morbid obesity.  Since WLS, I have been able to handle situations (such as job loss, deaths, etc.)  without turning to eating.   I actually look forward to planning my life now, rather than just wondering whether I would be around in a week.    Sorry, too much thinking for a Sunday morning. Rob
Marcel L.
on 3/3/07 10:27 pm - Longueuil, Canada
Hi Don, That's tough. One thing that came to my mind reading your post was that you stated having a CPAP for the last ten years. I'm sure you know how to use it, but the symptoms you describe are the same that finally had me diagnosed as having sleep apnea. My question is, and I probably am way off here, when was the last time you had your CPAP calibrated for you? What I mean is,: is it at the right pressure? because if it's not,  even while using it you could still be having apnea episodes which would lead to those symptoms: memory loss, fatigue, trouble concentrating, trouble learning something new. All these symptoms are easily confused with depression, because they are in  a way causing you to be depressed. So maybe you are depressed due to obesity, or maybe it could be a physical source such as a CPAP needing to be re-set higher. Just an idea I thought I'd share. As I said I probably am wrong, this is not a medical advice and I'm not even close to being medically qualified to make any diagnosis. I'm just another "fat" guy trying to lose weight. Anyways, good luck to you. Regards, Marcel
FatManWalking
on 3/3/07 10:40 pm - Deep in the Heart of, TX
RNY on 12/11/06 with
Don, You are in good company. Winston Churchill, Abe Lincoln, Buzz Aldrin, Ted Turner, Terry Bradshaw, Mike Wallace, John Cleese, you, I, and many other successful powerful men share the same condition. All have dealt with bouts of depression. I commend your courage to acknowledge and deal with the situation. It does get better, with treatment. While it might be associated with your obesity, it might not, too. Either way, your are much more likely to have a successful WLS experience if you are aware of, and dealing with, the situation. My "black dog", as Churchill called it, was the cause of my weight problem, not the result of it. Losing weight, making big money, being the best in my field, having a beautiful wife and family, did nothing to cure my depression. In some ways it made it worse. As a man, it takes far more courage to admit you need some help, than to ignore the problem and hope it goes away. Rapid weight loss, in itself, is a real blender for your brains. Best to have the support in place before the black dog is sleeping on your doorstep. There are quite a few of us here in the locker room with direct experience in this area. You are in good company. Welcome to the Locker Room. JP
carbonblob
on 3/4/07 2:27 am - los angeles, CA
Well Don, they say the surgery doesn't fix your head. so do what you have to do. thanks for sharing your experience. a lot of guys on here can relate to your experience as well. i guess i got in before this whole wls thing exploded. my eval was only a half hour and ran out the door. now it's like 500 questions and all this scrutiny for the surgery. but it's better to find out problems and deal with them because the whole point is not to revert back to food to heal yourself when things in life go south. then it's just one more thing to beat yourself up with and you don't need that. i hope everything turns out ok for you......Carbonblob
Most Active
Recent Topics
×