Bariatric Surgery: A Psychological Analysis

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There are two mean reasons that a psychological evaluation is required for a bariatric surgery:

1) It is a requirement put in place by most insurance carrier 's to identify any underlining eating disorders or anything that will hinder the success of the outcome of the surgery.The evaluations are not to eliminate patient 's, but rather to make certain that the patient is in stable mental health and to understand the impact that the surgery will have in their lives.

2) To assure the success of the surgery for the patient. If during the evaluation the patient is found to have eating disorders, they can be addressed before the surgery and education can begin to teach them proper eating habits. This type of surgery is a life altering surgery.
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I had 4 heart attacks at the age of 36 years old, high blood pressure, Type 1 diabetes, and had shattered my spine requiring a spinal surgery.

At 3 years later , I am no longer diabetic, my heart has healed and shows little signs of damage due to the heart attacks, and the weight of my spine has made life easier. To date I have lost a total of 160 lbs. Before I had my surgery, I researched all the different types and which was better for the long run, as well as which one kept the weight off. The number one thing to remember with any bariatric surgery, it does not happen over night . It took me a year of preparations to finally have the surgery. I had to attend 6 nutritional classes within a year, 6 mental evaluations with in a year, classes to understand the actual procedure and how it changes your body, how /what to eat after the surgery and various other requirements. A patient must understand that whatever procedure they choose, this is a very difficult surgery, and literally requires the patient to learn how to eat correctly, not just nutritional but also what your body will not
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It was a very hard surgery to under go. I truly believe that had I not had the surgery I would not be alive today. I know the elephant in the room is , How did you get so "fat"? I was not lazy by any means. I worked four jobs for 15 years, eating little to nothing all day, then when I realized I was hungry, I had felt starved, so I over ate. I learned in my nutrition classes how bad that is for your body. When going long periods of time without eating tells your body and brain to gorge, to take in more then the body actually needs because it fears it will not be fed again. I know it sounds strange, but that is exactly what is going on. All subconsciously. I did not think that I was over eating, my rational thinking was, " I need to eat a lot because I will not have time to eat

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