Introduction to Psychological Consultations for Bariatric Surgery Patients
A preoperative psychological consultation has become the standard of practice among bariatric surgery programs in the United States. During these psychological evaluations, the assessment of areas specific to bariatric surgery is essential to assist with patient preparation for surgery. In this chapter, the most common structured and semi-structured clinical assessment strategies are discussed, as well as specific assessment topics including dieting history, psychopathology, eating behaviors, substance use habits, adherence, knowledge about bariatric surgery, social support, and psychosocial stressors. Key psychometric instruments used with this population, treatment planning/decision-making patterns, and clinician preparation issues also are discussed. The use of empirical literature and sound clinical judgment to inform and justify behavioral treatment planning is critical for the appropriate treatment of bariatric surgery candidates. As this chapter emphasizes, the preoperative psychological consultation serves many purposes including enhancing behavioral preparation for surgery, educating patients about psychosocial aspects of the bariatric surgery experience, and building rapport for future clinical support as needed.
