Therapists Role in Gastric Bypass Procedure

A Therapists Role in A Pre-Surgical Interview for a Gastric Bypass Procedure Abstract The purpose of this paper is to watch out the role of the psychologist when evaluating a unhurried seeking a gastric shunt procedure. To this date there is no bar avenue given to those conducting the interview. Due to the limited association of pertinacious term success post- surgical process a guideline is given for psychologists to follow. Continued research is needed to determine what whitethorn be needed in the interview that is not macrocosm addressed at this time.A Therapists Role in A Pre-Surgical Interview for a Gastric Bypass Procedure A huge problem in the United States for the average single(a) is obesity. While traditional weight loss programs be failing and more extreme methods are being employ, psychologists are being c bothed upon to determine if individuals are mentally fit to pick up a procedure called Bariatric surgery (ie, gastric bypass). This procedure is used for pop ulations of people whom are extremely obese. Therefore extremely obese long-sufferings are turning to this unconventional method to lose weight.Unlike traditional weight lose methods whose risks are low, gastric bypass procedures have high wellness risks involved. In order for this surgery to be successful patients need to reframe their sentiment after surgery to continue to maintain the weight that is lost collectable to the procedure. There have been no clear assessment tools psychologists use for pre-op assessment but many psychologists are using a standard assessment to determine if the individual is a firedidate for bar iatric surgery.Even though a patient whitethorn not want to undergo a psychological paygrade it is a necessary criterion in order to undergo this extreme weight loss procedure. The information a psychologist collects in the pre-op procedure is wherefore they are seeking surgery, feed and weight history, what are their habits currently in regard to decima teing, educating patient that prox lifestyle changes associated with fashion modification therapy, history and current social supports, and any psychiatric symptoms (current and ultimo) (Snyder 2009).The psychologists 3 responsibilities during the assessment is to collect a history about the patient, act as an educator providing information to patient about the psychological aspect of the surgery, and the therapist motivating the patient to seek post surgical behavior modification give-and-take while helping the client deal with emotions that may come up during the evaluation (Snyder 2009). The psychologists initial question is the patients reason for surgery and what are they hoping to accomplish.The therapist thereof will determine the clients expectations to assess if the client has fantastic expectations centered around the surgery results (ie. motivation due to only changing physical appearance). The results may suggest the patient may not be a footdidate for surgery. Re searchers have learned the motivation for surgery should be strictly for health reasons (Bauchowitz, A. , 2007). Patients that have unrealistic expectations regarding weight loss are prone to issues of depression when the surgery and outcome is not what they expected. The second plain assessed is a review of the patients take habits past and current.Researchers found that clients learned messages from family that were contributing factors to weight gain (ie. eat everything on your plate) (Gibbons, L. M. , et al. , 2006). Psychologists also determine if a client has had past failures with diets and if not the client is encouraged to pick up dieting before seeking surgery. The philosophy behind this way of thinking is due to getting used a healthy lifestyle with food intake. The role of the psychologist here is to educate the patient with what will be needed in the future to maintain their ideal weight.They are warned going back to old behaviors with eating behaviors and habits cou ld result in gaining all their weight back. Also, psychologists help the patient if they are dealing with shame for failed diet attempts in the past. Another area of assessment is determining the patients current eating behavior. It is all key(predicate) for the therapist to determine the motivation for behavior modification and also seek out eating unkept clients. The patient is also questioned about their plan for exercise post surgery.The biggest finding about non-compliance among failures with post treatment was the lack of motivation for exercise (Snyder 2009). Psychologists also determine if a client is bulimic due to the dangers of a bulimic client can have with gastric bypass procedures. Psychologists at this point educate the patient on the importance of exercise for long term benefits of surgery (Snyder 2009). The psychologist also educates the patient to help them to generalize what they are agreeing to when seeking gastric bypass. The therapist also should point out the consequences of going back to the past ifestyle with eating behavior (Snyder 2009). Another area of importance is the social profits of family and friends the patient has when having surgery. The social ne cardinalrk can make or break a patients success or failure. Therefore, it is important for the psychologist to understand the patients social network in the past and pass on. Negative consequences of the surgery (ie. affair) can lead to jealousy of the spouse and present sabotaging behavior of the spouse. Therefore it is important for a psychologist to address issues that could present themselves if applicable (Snyder 2009).One of the primary reasons an interview is conducted pre-surgery is to determine if there are any psychiatric disorders that might throw in with success of surgery. Symptoms of anxiety, depression, psychosis, mania, suicidal ideation, substance abuse, history of abuse, family history of mental disorders, and any treatment regarding mental health issues a re assessed. An examination called a Mini-Mental Status is given to the patient to determine any psychiatric complications that can present themselves (Fabricatore, Crerand, Wadden , et al. 2006). The MMPI-2 is a psychological test given to pre-surgical candidates for a gastric bypass. This is a way to authorise that the psychologists assessment interview are the same as compared to the MMPI-2. The psychologist should instruct the client to answer all questions honestly so the test results will be accurate. If the clients results show defensiveness with the test results the test may have to be taken again (Walfish, S. , 2007). The Millon Behavior Medicine Diagnostic allows for norms within the population that have undergone surgery.These two tests have been selected for psychologists to use even though there are other tests available. In conclusion, it is important for patients to be assessed before having surgery. The psychologist role is to understand the readiness of a patient a nd how emotional issues can challenge long term success. The psychologists role also is to educate the client on all possible issues that they may face post surgical. Overall, this demonstrates how important a pre-surgical evaluation is needed to increase success for the patient mindless and long term. References Allison G.Snyder (2009) Psychological Assessment of the Patient Undergoing Bariatric Surgery. The Ochsner Journal Fall 2009, Vol. 9, No. 3, pp. 144-148. Bauchowitz, A. , L. Azarbad , K. Day , and L. Gonder-Frederick . Evaluation of expectations and knowledge in bariatric surgery patients. Surg Obes Relat Dis 2007. 3 5554 558. Devlin, M. U. , J. A. Goldfein , L. Flancbaum , M. Bessler , and R. Eisenstadt . Surgical management of obese patients with eating disorders a field of study of current practices. Obes Surg 2004. 14 912521257. Fabricatore, A. N. , C. E. Crerand , T. A.Wadden , et al. How do mental health professionals evaluate candidates for bariatric surgery? Survey results. Obes Surg 2006. 16 5567573 Gibbons, L. M. , D. B. Sarwer , C. E. Crerand , et al. 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