What Is Assessed
Eating patterns (binge, grazing, night eating), mood and anxiety disorders, substance use, body image, motivation, social support, and understanding of the procedure and lifelong follow-up.
Why It Matters
Untreated binge eating disorder, active substance misuse, or unstable severe mental illness can affect outcomes. Identifying these allows treatment to begin before surgery, not afterwards.
It Is Rarely a Hard No
Most patients proceed to surgery. When concerns exist, a structured plan (therapy, medication adjustment, additional dietitian work) is agreed before scheduling.
After Surgery
Continued mental health support is helpful for many patients, particularly during the rapid weight-loss phase and when adapting body image and relationships.
References
- ASMBS — Recommendations for the Pre-Surgical Psychosocial Evaluation
- Mechanick JI et al., 2019 Update
This content is for general information only; it does not replace an examination, diagnosis or treatment.
Medical notice: The information on this page is for general patient education only and does not replace medical diagnosis, treatment, or a surgical decision. The appropriate method for you can only be determined after a physician's assessment and necessary tests.
Medical content editor: Op. Dr. Gökhan Ateş — Specialist in General Surgery
Last updated: · Patient information content
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