Question:
Why do we need to see a Nutritionist and a Psychologist?

I AM IN THE VERY EARLY STAGES OF HAVING SURGERY. I AM NOW WAITING FOR AN APPOINMENT W/ DR. HALERSON IN SYACUSE NY. I HAVE HEARD THAT I MAY NEED TO SEE A PSYCHOLOGIST AND A NUTRITIONIST. WHY? WHAT DO THEY WANT TO HEAR? WHAT SHOULD I NOT SAY? THIS WORRIES ME. COULD THESE PEOPLE HURT MY CHANCE OF GETTING THE SURGERY?    — ELIZABETH K. (posted on February 5, 2003)

February 5, 2003
Elizabeth, don't be too concerned about these appointments. I saw a psychologist who bascially asked me a few questions, gave me a test on the computer, (took about 30 min.) then sent me on my way. I was honest with him but didn't give lots of details either. I think they are looking mainly for behavior disorders like bulemia and anorexia, depression etc. As far as the Nutritionist, she gives you overall guidelines on what to eat, when to eat, how much you can expect to eat. My follow up appointments are just to make sure I'm staying on track. Don't worry you'll do fine.
   — Jeana S.

February 5, 2003
Every doctor and insurance is different. I was not required to see a Psychologist. The doctor did not think it was necessary. About the nutritionist, I did see her once already and will have to continue to follow up with her post op. It is only for my benefit. It will make the outcome of the surgery a bit better as I will have her to guide me. It all depend on what the doctor wants. I would call his office prior to scheduling any of these appointmets.Good Luck.
   — Jan S.

February 5, 2003
My surgeon requires attendance at a support group meeting, a psychiatric evaluation, attendance at 2 diet classes, and anything else he thinks is necessary. Part of the reason for the psych eval is to make sure you are ready - mentally - for the surgery. The other reason for making you "jump through hoops" is that this is not something where you wake up one day and decide you want to have surgery. If you are willing to do what it takes to get there, the surgeon feels more confident that you are prepared for the surgery and will have a good outcome. Don't worry about what to say and not say in the evaluations, just answer questions honestly, and try not to worry!
   — koogy

February 5, 2003
Being a cynic, I think we see the psychologist as pre-ops so that the insurance company and surgeon have covered their rears, in case you were to later claim you weren't really "ready" emotionally for the surgery or its aftermath. I have good things to say about psychologists and counseling in general, but not in this context, when the basic pre-op exam is a one-shot session, often accompanied by a computer or number-two pencil test. I just don't see how they truly get any idea whether we're "ready" from such a cursory exam (not that I'd want to slow down the process any further, though!).<P>As far as the nutritionist goes, if the dietician appointment is designed to help you focus on how you'll eat as a post-op, it's CRITICAL. Lots of folks here are apparently sent home from the hospital with virtually no nutritional counseling on what is safe to eat, when, and on how to supplement their vitamins. It's really not fair to the patient. So, with a good nutritionist, this could be a very useful appointment!
   — Suzy C.

February 5, 2003
Some insurance companies require these, some don't. Mine did! I really didn't need it, because I was so prepared, mentally and physically. But, my boss also had surgery and her insurance company did not require these tests. Believe me, they should have. She had a terrible time mentally adjusting to the limit of food. It depends on the person. I researched and got my facts, she didn't. If you know what the surgery involves, that it is a tool and not a "for sure" weight loss, then you will be fine. Some people just aren't mentally ready to give up what it takes to succeed, and they will help with that. Good luck, it's not that bad.
   — Dana B.

February 5, 2003
I don't think they would hurt your chances, however these appointments might reveal some habits or issues that need addressed before you have surgery. For example, my meeting with the nutritionist help to determine if I needed to attend a four week class or a 12 week class, based on my current eating habits and attitude towards food. It's all in your best interest...you want to get the most out of the surgery.
   — Sarahlicious