Psych Eval time...
Also, if anyone is from the SF area, I would love to know who you used. :)
Thanks!
Have a super week :)
-Courtney
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My appt was about an hour and we went over childhood, past dieting attempts, why you wanted it and how you planned on maintaining and thats pretty much it. Super easy.
Psychological Evaluation
Your psychiatrist needs to include at least the following information:
- The reason for the evaluation
- How does the patient think the surgery will benefit him/her
- How long has obesity been a problem
- Sources of stress or concerns in present life
- Personal history (lives where, home situation, family interactions, etc)
- Medications
- Tobacco, alcohol, recreational drug use, if ever. (How long since)
- Family history (include physical abuse, child sexual abuse)
- Schooling
- Marital status (history to present)
- Behavioral observations
- Test results (validity indicators)
- Impression
Your psychiatrist needs to rule out/look for the following:
- Drug use
- Alcohol use
- Untreated depression
- Suicidal tendencies
- Eating disorders
- Compliance issues
- Comprehension (Does the patient really understand the surgery and needed lifestyle changes?)
- Ability to make lifestyle changes
- Compliance in diet
- Compliance in exercise
- Understanding of the need for follow-up no matter how far away the patient lives
- Reliability
- Understanding that noncompliance puts them at risk
- Unrealistic expectations
- Inadequate support
- MMPI
I only had to one session... it was about an hour and a half.. maybe two hours.
She asked things along these lines:
-My current living situation
-My lifestyle (school, work, single/married etc)
-My relationship with my parents and family
-Family history
-Drug abuse
-Suicidal tendencies
-Destructive Behaviors
-Sexual/Physical abuse
-My relationship with food
-How long obesity has been an issue for me
-My goals after the surgery
-My expecation of the surgery
-What if the surgery doesnt work
-Romantic history (if my obesity has ever held me back romantically/sexually)
And then she just talked about the after effects like possible plastics, revisions, and kept emphasizing that this was going to be for the REST of my life.
She cleared me on the spot. She was impressed with all the research I have done and what not.
I would definitely bring up OH and the forums and what not because my psych didn't even know about it and she was impressed that it was a whole online support community.
Also, my surgeon provided the psych for me. They work personally with a few different psychs and nutritionists that way I dont pay out of pocket for each session... All I have to do is pay $150 a week before my surgery and that covers all my nutritionist appointments (once every 2 weeks until my surgery, and then after my surgery once every 2 weeks for the first 3 months) and it covers my psych eval.
Good luck! and let us know how it goes!