Weight Concerns

Weight Concerns - Pre & Post Bariatric Surgery

Bariatric surgery, also known as weight loss surgery, is a medical procedure that aims to help individuals with severe obesity lose weight. This type of surgery involves making changes to the digestive system to limit the amount of food a person can eat and/or reduce the absorption of nutrients. Bariatric surgery is typically considered for individuals who have not been successful with other weight loss methods, such as diet and exercise, and who have serious health issues related to obesity.

There are several types of bariatric surgeries, and the choice of procedure depends on factors such as the patient's health, body mass index (BMI), and specific weight loss goals. Some common types of bariatric surgery include:

Gastric Bypass (Roux-en-Y):
This surgery involves creating a small pouch at the top of the stomach and connecting it directly to the small intestine. It reduces the amount of food the stomach can hold and alters the absorption of nutrients.
Sleeve Gastrectomy:
In this procedure, a portion of the stomach is removed, leaving a smaller, sleeve-shaped stomach. This limits the amount of food that can be eaten and reduces the production of the hunger hormone ghrelin.
Adjustable Gastric Banding (Lap-Band):
A band is placed around the upper part of the stomach, creating a small pouch. The band can be adjusted over time to control the size of the pouch and the rate of weight loss.
Biliopancreatic Diversion with Duodenal Switch (BPD/DS):
This is a more complex procedure that involves removing a large portion of the stomach, redirecting food away from the upper part of the small intestine. It both limits food intake and reduces nutrient absorption.

Bariatric surgery is not a cosmetic procedure; it is a serious intervention for individuals facing significant health risks due to obesity. Candidates for bariatric surgery typically undergo a thorough evaluation, including psychological and medical assessments, to determine their suitability for the procedure. The surgery is considered a tool to assist with weight loss, and individuals are often required to make significant lifestyle changes, including adopting a healthier diet and incorporating regular physical activity, to achieve and maintain successful outcomes.

Bariatric surgery has been shown to be effective in achieving substantial and sustained weight loss, improving or resolving obesity-related health conditions (such as type 2 diabetes and sleep apnoea), and enhancing overall quality of life for many individuals. However, like any surgical procedure, it comes with risks and requires careful consideration and ongoing follow-up care. Individuals considering bariatric surgery should consult with a healthcare team, including a bariatric surgeon and other specialists, to assess their suitability for the procedure and receive comprehensive pre- and postoperative care.

Support we offer:

Support from a psychologist is valuable for individuals undergoing pre and post bariatric surgery to address both the psychological and emotional aspects associated with the process. Bariatric surgery, such as gastric bypass or sleeve gastrectomy, is a significant decision that can impact various aspects of an individual's life. Here are ways in which a psychologist can provide support:

Pre-Bariatric Surgery Support:

Psychological Assessment:
Conducting psychological assessments to evaluate the individual's readiness for surgery and identifying any potential psychological challenges.
Emotional Preparation:
Helping individuals understand the emotional aspects of the surgery, including expectations, fears, and coping strategies for managing stress and anxiety.
Behavioral Change Counseling:
Assisting individuals in making necessary behavioral and lifestyle changes before the surgery, such as dietary modifications and exercise routines.
Body Image and Self-Esteem:
Addressing body image concerns and working on building or maintaining self-esteem, as individuals may have complex feelings about their bodies and the decision to undergo surgery.
Support for Coping Mechanisms:
Teaching and reinforcing healthy coping mechanisms to manage stress, as emotional well-being is integral to the success of the surgery and postoperative lifestyle changes.
Addressing Emotional Eating:
Identifying and addressing emotional eating patterns that may have contributed to obesity, and helping individuals develop healthier relationships with food.

Post-Bariatric Surgery Support:

Emotional Adjustment:
Assisting with the emotional adjustment after surgery, including adapting to changes in body image, relationships, and daily routines.
Lifestyle Counseling:
Providing ongoing support for the adoption of new lifestyle habits, including nutrition counseling, exercise routines, and behavior modifications.
Counseling for Relationship Changes:
Addressing potential changes in relationships, including dynamics with family and friends, as well as potential shifts in self-perception and identity.
Coping with Challenges:
Supporting individuals in coping with challenges that may arise, such as plateaus in weight loss, body image issues, and adapting to a new way of eating.
Preventing or Addressing Emotional Eating:
Continuing to work on preventing or addressing emotional eating, which may still be a factor even after surgery.
Support for Mental Health:
Monitoring and addressing mental health concerns, such as depression or anxiety, which can impact the success of postoperative lifestyle changes.
Long-Term Behavioral Maintenance:
Helping individuals develop strategies for maintaining behavioral changes over the long term, including addressing any lapses or setbacks.

The support provided by a psychologist is integral to the comprehensive care of individuals undergoing bariatric surgery. It goes beyond addressing the physical aspects of weight loss and contributes to the overall well-being and success of the individual's post-surgery journey.