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Writer's pictureDr. Azi Ghaffari

The Importance of Psychological Evaluation Before Bariatric Surgery

Introduction: Bariatric surgery is a life-changing procedure that can significantly improve the health and quality of life for individuals struggling with severe obesity. However, the journey to successful weight loss surgery is complex and requires thorough preparation. One crucial aspect of this preparation is a psychological evaluation. At Chicago Behavioral Clinic, we understand the importance of addressing mental health as part of the comprehensive care for bariatric surgery patients.


Understanding Bariatric Surgery: Bariatric surgery includes various procedures designed to help individuals lose weight by making changes to the digestive system. Common types include gastric bypass, sleeve gastrectomy, and adjustable gastric banding. These surgeries can lead to significant weight loss and improvement in obesity-related conditions such as type 2 diabetes, hypertension, and sleep apnea.


The Role of Psychological Evaluation: A psychological evaluation is a standard part of the pre-surgery process for bariatric patients. This assessment aims to identify any psychological factors that may affect the patient’s ability to adhere to post-surgery lifestyle changes and ensure they are mentally prepared for the challenges ahead.


Key Components of the Psychological Evaluation:


Mental Health History:

  • Evaluating the patient’s mental health history, including any past or present mental health conditions such as depression, anxiety, eating disorders, or substance abuse. Emotional Readiness:

  • Assessing the patient’s emotional readiness for surgery and the significant lifestyle changes that will follow. This includes their ability to cope with stress and their support system. Behavioral Assessment:

  • Examining the patient’s eating behaviors, relationship with food, and history of dieting. Understanding these behaviors can help in developing strategies for maintaining weight loss post-surgery.




Expectations and Motivation:

  • Discussing the patient’s expectations and motivations for undergoing bariatric surgery. It is crucial to ensure that patients have realistic expectations and are motivated by health and well-being rather than cosmetic reasons.


Benefits of Psychological Evaluation:

  • Identifying Potential Issues: The evaluation can identify psychological issues that may need to be addressed before surgery to increase the chances of a successful outcome.

  • Providing Support: It offers an opportunity to provide patients with the necessary support and resources, such as counseling or support groups.

  • Enhancing Long-Term Success: Addressing mental health aspects can improve adherence to post-surgery lifestyle changes, thereby enhancing long-term weight loss success and overall well-being.


Conclusion: A psychological evaluation is an essential step in preparing for bariatric surgery. It helps ensure that patients are mentally and emotionally ready for the significant changes ahead. At Chicago Behavioral Clinic, we are committed to supporting our patients through every step of their weight loss journey. If you are considering bariatric surgery, contact us to schedule your psychological evaluation and take the first step towards a healthier future.


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