
What is a presurgical psychological evaluation?
It is an assessment with a mental health professional (often a specialized psychologist), that often involves at least 2 parts. First, there is psychological testing that can include standardized questionnaires, measures about eating habits and expectations, and evaluations of social support and expectations. Second, there is a psychological interview where the psychologist will follow up on the psychological testing, assess expectations and awareness of the surgical process, and provide recommendations for success. After the evaluation is complete, the psychologist will write a report that will go to your surgical clinic (and they may send that to your insurance company for coverage of your surgery). The first part can take anywhere from 1-2 hours, the psychological interview can take anywhere from 45min-1.5 hours, and at my practice, I write and send the report to the clinic within a week of the interview. In my practice, the psychological testing can be completed online or at my office. The psychological interview can be done through a HIPPA compliant virtual meeting on my portal, or it can be done in person at my office. You will sign a release to have the report sent to your surgical practice of choice. The evaluation is good for 1 year and can be sent to alternate surgical practices if you change your mind about which surgeon you are using.

What is evaluated?
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Mental Health Challenges: Most people have some symptoms of mental health issues. However, this evaluation is assessing if you have issues like depression, anxiety, or eating disorders that could make it harder to recover or stick to the new diet and lifestyle after surgery. Having a mental health history does not make you an inappropriate candidate for surgery (in many causes overcoming mental health issues can build coping skills and reliance that will only help with your new lifestyle after this surgery). However, there are some mental health conditions that can negatively impact surgery outcomes or could get worse with the stress and lifestyle changes of this surgery. The purpose of the evaluation is to provide recommendations based on your mental health presentation at this time.
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Seeing How You Handle Stress/Uncomfortable Feelings: Surgery means changing how you eat, how you see your body, and even how you interact with others. The evaluation checks if you have healthy ways to deal with stress. If food is your primary way of coping with stress and upsetting feelings, it will be important to learn new coping skills to manage stress because after surgery, food will no longer be a viable method of handling stress or uncomfortable feelings.
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Making Sure You Know What to Expect: the evaluator wants to ensure you understand what is going to happen with your body during this surgery and what will be changed forever. They also what you to understand what the surgery can and can’t do. The evaluator will check if you have realistic ideas about how much weight you’ll lose and the effort it’ll take to keep it off. Surgery first requires adequate recovery and support, and the lifestyle changes needed after surgery are meant to last a lifetime. This is not another diet or temporary weight loss lifestyle change.
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Gauging Your Commitment: After surgery, you’ll need to follow specific guidelines about food, exercise, and medical visits. The evaluation checks if you’re motivated and ready to stick with these changes for life. The evaluator will also want to make sure you are aware of the commitment and resources that you will need to have in your life for success.
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Looking at Your Support System: Having family, friends, or support groups can make a big difference. The evaluation checks if you have people to help you through the process. If you don’t have a support network, the evaluator will might need extra support, like counseling, joining support groups, getting more involved with positive people in your life.
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Lowering Risks: If you have trouble controlling impulses or managing emotions, you might struggle to follow the post-surgery plan, which could cause issues like weight regain. The evaluation spots these risks so you can get help, like therapy, before surgery.
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Meeting Insurance or Program Rules: Many insurance companies or surgical programs require this evaluation to make sure you’re prepared, which helps lower the chances of problems after surgery.
How do I get started?
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Setting up your evaluation: You can call or text (I prefer text because I am often in session during the day, and I can return your text when I have breaks, and you can respond to me when you have time) at (770) 570-9193. Please allow 24-48 hours to respond on weekdays. Sometimes a voicemail or text does not come through clearly, and when that happens, I don’t have your information. If you have not heard from me or my office within 48 hours, please don’t hesitate to reach out again.
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Part 1 Psychological Testing: If you want to complete this part of the evaluation online, I will send you a link to my online portal where you will fill out your background information, insurance information (if you are using insurance), and the psychological questionnaires and other measures. You will also be provided with consent forms, practice information, and asked to provide a release of information to your surgical practice of choice. I ask that you complete this information in a quiet environment by yourself and provide the most honest responses for the best outcomes. If you would prefer to complete this information in person, we can set up a time for you to come to my office and complete everything mentioned above in paper format.
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Part 2 Psychological Evaluation: After you have completed part 1, I will review all your information, responses, and score the standardized questionnaires. From that, I will create questions for a customized psychological interview. The interview can be done virtually on my HIPPA compliant virtual platform or in person at my office. If you choose the virtual option, you will need a smart phone or computer, and I ask that you are in a private place so that you can answer personal questions without others listening. If you use a smartphone, you may be asked to download the app Telehealth by Simple Practice. If you are using a computer, the virtual platform can be pulled up on most internet browsers. I cannot perform the interview while others are present or while you are driving a vehicle. You can complete the interview in your car, but it must be parked and no one else can be in the vehicle with you. The interview portion can take anywhere from 45 minutes to 1.5 hours.