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In need of a psycholgical Gastric Sleeve

mr97

Member
Does anybody else find that the info. pre surgery unhelpful re. Underlining psychological issues about food?
I was never given a psychological assessment prior to my surgery despite having been sectioned on numerous occasions for mental illness and alcoholism. I have also had a binge eating disorder since I was a child as a result of non-sexual abuse - a direct cause of my becoming morbidly obese with comorbidities.
Last month I weighed 185lb that meant I had lost 19stone in weight since my surgery last year. I should be happy but I'm not as I still have not figured out my mental health problems nor can I find any specialist help despite opening up to my GP and Bariatric team about my problems that have now resurfaced.

I have gained and lost 19 stone in weight 4 times without surgery in the past so losing it all with surgery is hardly an achievement for me plus I know only to well how easy it is to regain my weight -especially carrying around an unfigured-out eating disorder – this adds to my feelings of uncertainty about maintaining a healthy mind or body.
Time and time again, the general advice on many forums and from my provider was that I should figure out my psychological problems prior to surgery. I find this most unhelpful advice. If I could figure it out I would not need surgery. And, how on earth are you supposed to just figure out such an all-encompassing entrenched disorder without any help.
I honestly tried my damnedest: mindfulness meditation, read nearly 30 self-help books, endured hours and hours of being patronised by an NHS counsellor who thought that saying things like, ‘my that is a big word that you used, you must be very clever; Eeee you have lost more weight all by yourself you are very clever’ By the way this is our last session you are only allowed 5 sessions NOT just because its NHS but it is to protect you from becoming reliant on me and these sessions! It’s to safe guard you! …By the way I run private sessions in town, I can give you my card, if you come to me privately you are not limited to the 5 sessions that the NHS stipulate – I kid you not this lady said all this prior to my leaving her office on my final session.
I wrote & wrote about my past in the vain hope I would unearth some deep seated memories that might reveal more about why I self-destruct with food; I even paid to see a private psychologist. This cost me £45 which is a big deal as I am on benefits due to my condition – talk about catch 22. She was lovely but I just couldn’t afford the treatment I needed. Horrified by my situation she wrote to my GP insisting that I be referred to a psychologist that specialises with EDs and even suggested Sea croft Hospital in Leeds as this was the nearest unit that deals with my issues. The place is over 90 miles away but I would travel there if I was referred. My GP decided he knows what is best for me and suggested a slimming club like weightwatchers or slimming world. Oh, he did follow it up by saying how clever I was to have lost so much weight.

My story is that I was desperately ill, 34stone and suicidal. I was offered surgery even though all concerned were fully aware of my psychiatric history. In fairness or rather unfairness to offer a desperate person a lifeline in the form of surgery and expect the person to be object enough to weigh-up unknown pros and cons without the benefit of hindsight is plain crazy. Only a complete masochist would say, "No thank you doctor, I need to toddle off and figure out why I binge eat first" ...Well I couldn't toddle anywhere when I was offered surgery I was housebound and had trouble breathing. So I could only sit in my bariatric chair and try and solve my psychological problems with the power of concentration. I can’t even solve cryptic cross word puzzles never mind effect an all healing epiphany from deep within by solving deep mental riddles.

I believe whole heartedly that surgery for many only deals with 50% of the root problem. Time and time again I hear people banging on about how surgery is just a tool. It is! But why is the crux of the problem - for many - presented in such a glib fashion? Oh, by the way, could you please cure your mental illness prior to surgery otherwise it won't work? No, we can't offer any help with this or even suggest where you could find some help - just toddle off and figure it all out, your surgical procedure is only a few months away so get your thinking cap on!

Having lost all my weight by rigidly sticking to a healthy eating plan and by working out, I’m now in the process of becoming very ill again. Being seen as fit and healthy by those lovely people responsible for forcing those in receipt of sickness benefit on jobseekers allowance I was forced onto a work program. Despite my GPs concerns and letters, the ATOS people could not or would not see my mental health problems and my struggles integrating back into society – I was house bound for over 12 years prior to losing 19 stone and did not even recognise my home town when I eventually started to go outdoors.

Even though the staff were ok it was all too much and I found myself becoming ill and back in a psychiatric ward. I’m now no longer under pressure by these people but I am still struggling. I am now on so much medication I feel mentally numb but unfortunately I feel emotional pain that has lately overwhelmed me resulting in my locking myself away and binge eating.

I’m feel so ashamed and such a failure. I have loads of determination to follow healthy life style plans in order to lose weight, but where is a healthy plan that I may follow to find peace of mind. I would do anything to get well and recover but I don’t know how.

My situation is not the norm, so if anyone is about to have surgery please do not be put off by my post, in fact I would have my surgery again in a heartbeat as it is best tool I know of for helping to lose weight and for many it’s all they really need. I just wish that health care professionals who seem to take great pleasure in announcing the fact that surgery is merely just a tool, would acknowledge that for some people the surgery is secondary to their psychological problems and that asking people to simply figure out there problems prior surgery is NOT helpful. In some respects it almost like asking me to toddle off and figure out a cure for cancer.
 
What an eloquent post and I can only express my enormous sympathy for your situation. I think you are right, for some people binge eating is no less an eating disorder as those who suffer from anaorexia or self harm ether way they are deep seated mental health problems that for most part the other conditions can and do receive help.

I don't wish to be unhelpful here but there is the possibility that you may never get to the bottom of your eating disorder. I'm sure you've considered that and is there another way of looking at ways you can manage it rather than seek a cure?

WLS is the first step but as you say there are many potholes along the road that must continue to be navigated. It doesn't get easier for some people and I think for you it may always be a battle. I wish I could give you a more positive response and I agree with you that our current healthcare system does not meet your needs and I hope you are able to continue to press for the support you need. It would be a great shame to damage the tool you have by binge eating and it may be dangerous for you to do that now as your stomach has undergone major surgery although as we all know you there are many slider foods we can eat much larger amounts of which are probably low nutritional value.

Try to use protein as your go to food as at least you can't do too much damage but I really hope you are able to receive much more support for your eating disorder and indeed use these forums too. Wishing you luck.
 
Hi Mr97 or should I say old friend. Good to hear from you. You are struggling and I don't have any answers for you I habve been struggling too. I have still lost over 9 st but had lost over 10 my weight has plateaud right out now. I am terrified of putting on more weight. Our minds are very complex and I believe that all the counsellors in the world probably cannot help but there will be one you just have to meet them that's of no help but it juist takes that one person to unlock that chain. Keep talking and sharing what and when you can. Always here for you. PM me if you need to. x
 
This is such a difficult one and I'm sure many can empathise hon. I know that I battle every day with this and I don't think there is an easy answer. Is it possible for you to change gp practice or see other gps within the practice? Are you well enough to write a letter of complaint regarding this gp's refusal to refer you?

I too have that fear that one day I will start back on that slippery slope. For now that fear keeps me walking the tightrope, but I can imagine slipping only too easily.

You say losing the weight is not an achievement but it is! It is not an easy road we walk and the weight loss journey is so different to any diet. So please allow yourself that credit.

I have no real answers for you, and I know its even harder to get help when you're unwell. The only other suggestion I've got is your bariatric team who should have a specialist psychologist on board who may be able to help.
 
Thank you ladies, for your helpful and very supportive comments. I guess a part of me was seduced yet again into the illusion that losing all my weight I would somehow find the key to unlock some deep psychological flaws in my makeup. I put this down to being human and desperate rather than just harbouring naive expectations about weight-loss.
Being such a private person and painfully worried about others seeing the full extent of my eating disorder, I have come to the realisation that by sharing my situation may be helpful not only for myself but for others too.
You see I'm am one of those people that enjoys sharing the joys of eating a wonderful healthy diet and exercising; recording weight loss and posting lovely events such as getting into normal sized clothes etc. On the flip side, when I become unwell and my confidence is shattered, I avoid reporting this like the plague – partly because I feel it’s just plain negative and I’d much rather my posts be associated with positivity and partly because I feel I’m informing people that I’m a failure after all! Usually, at this point I become one of the statistics and just disappear for the forum.

It’s so silly really as most of us have been pretty well defeated by weight related issues prior to opting for surgical intervention. Most of us know the drill: losing weight equals feeling good, renewed hope and a nice pair of denim jeans. The reverse is horrible but very real. In fact, even when I was at my biggest having joined WLS forum, I tended to seek out the posts of those who had started to regain somewhat and were struggling with their demons as in my heart I knew weight-loss in itself is not a cure. Losing weight – vast amounts of weight - is very, very easy for me when my mind is made up, however, keeping the weight off by not turning to food when demons resurface is something that always eludes me.

Another fear of being open is feedback for those who I can only describe as Jeremy Kyle types. Those that think that their own experience is the yardstick to success and maintain a one spanner fits all approach to life. …I always imagine these types as wannabe tough guys, eating packets of doughnuts at their computer desk, desperate to give out an impression to all and sundry of a person that they’d love to be in eyes of the world yet don't messure-up and finding a micro Walter Mitty Style out-let via the internet in an attempt to present themselves in a certain light. LOL.

Thanks again guys. Just by being supportive and understanding lets me know I’m not alone with my demons.
 
Hi mr97

I know our mental health system well , unfortunately I have a child with mental health issues and I've had my fair share too, our NHS system just does not seen well equipped enough to deal with these problems, like you, I've had the 5 sessions of counselling for non food related issues, but even so, I got to my fifth and felt like a child that had a toy removed! It took me at least 3 sessions to open up!! I then bumped into her in my local supermarket and she blanked me, apparently it is due to confidentiality !!!

This may be unhelpful but is there such a thing a fa? Like aa and na? If not perhaps there should be, there is a lot to be said for being in a group of people that all have very similar issues and that don't judge.

I also feel like you, this forum is good but I don't yet feel confident enough to open up fully for fear of the judgemental few that claim to have done it all correctly and seem to take great pleasure in pointing out others faults. I couldn't and can't cope with that at the moment, I feel so fragile.

I hope you find some peace by writing in here, and I hope there is some solution for you
Keep writing
It's a good way to offload at the very least, it's also good to know your not alone xxx
 
Hello Mr 97
im at a lose at what to say because I cant really help I just want to let you know that you are supported here as much as any cyber mate can be supportive .
I realise any one can have down days as well as up and its helpful for us to have a view on both of these so I/we don't only get a one sided view on wls.
I wish you well
 
Thank you, Adrienne. I always find it very sad that people who clearly have entrenched enduring difficulties around food are offered the token 5 sessions with a ‘pot luck’ NHS counsellor. Especially as for many of us as this is the crux of the problem and owing to lack of adequate help available left most of us to become so life threateningly ill we require surgery as an intervention. My 5 sessions with a lady that just thought by praising me after every sentence I spoke would be enough to help on my merry way. Talk about putting a band aid over an open fracture and hoping for the best!
I even joked with my consultant that he would have more success by way of a more perminant ‘tool’ by removing 75% of my brain rather than my stomach. There are times I wish such a procedure were possible when I become ill.

There are some very supportive understanding people here at WLs but I don’t blame you one bit for being careful with your emotions. There is nothing worse than being shot down in flames by someone whose only aim is to reinforce some bad-ass Robocop style approach to life in a continually battle to rid themselves of their little man/woman syndrome. Every forum has their share – the internet is full of these brave souls. LOL

As I said in my last post, I always imagine those who feel the need to belittle others in any form as bitter people peddling their crap from the safety of their computer desk – when they not out buying ice-cream that is! lol

Thanks again for your post and I hope you find something that works for you, too.

PS. Re. support groups I’ll send you a PM.
 
los in it - thank you. You are so right! I blame myself for not being more open about when I struggling. Its all too easy to get swept along with talking about NSV and reporting losses and I tend to feel like I'd be a kill-joy to start reporting about depressive episodes and reaching food my old comfort food so I just ommitted to share about them. Silly really as it tend to create a two teir forum - not that it is, it's just I can make it seem so by withdrawing into myself and being alone.
Thanks again.
 
Yes Mr97 you are very brave to find the courage to bear your sole and let people know what a terrible time you have and are enduring, with little or no support. I am so pleased that you are now back to telling us how you feel because that is a way to help you endure what you are going through. You and I both know there is no quick fix and our demons will always be there, food still excites me and still the 1st thing I reach for when things go wrong. Some people find this journey easy, I think it is a very difficult and bumpy ride on the outward vision I am very good at putting on a front but its the struggle underneath which is what we suffer from and with we are like swans serene and whiter than white yet take a look under the water and our feet are furiously flapping around in the water. My life lurches from one crisis to another always has and always wioll through no fault of our own that is just the way it is in our family. We have always struggled and our kids are always going to struggle to, as much as we want the best fro them things happen beyond our control. I try very hard to stay positive it is not easy I spend very little time alone as I like to be around people. That is how I cope where as you go for the solitary approach. People will always btry to railroad you into their way of thinking and our lives to be truthful will always be full of great endurance and challenges that we have to face and find a way of getting through and dealing with it. We all need to find our own ways, what suits one does not suit another.

Such a brave and lovely man Mr97. I wish more people had the opportunity to meet you in the flesh so they can see just what a lovely kind and caring person you are that has been put in little boxes and judged just because they were to weak to look at themselves. Head up look forward don't llok back only forward now.

Take care xxx
 
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los in it - thank you. You are so right! I blame myself for not being more open about when I struggling. Its all too easy to get swept along with talking about NSV and reporting losses and I tend to feel like I'd be a kill-joy to start reporting about depressive episodes and reaching food my old comfort food so I just ommitted to share about them. Silly really as it tend to create a two teir forum - not that it is, it's just I can make it seem so by withdrawing into myself and being alone.
Thanks again.
I find those behaviours so compulsive. Even though I know why they happen, or know why I'm doing something, some days I just stop fighting. And I do think that's the hardest part, to keep fighting endlessly.
 
Thank you, Chrisa. It is people like you that give people like me the strength to share and keep in touch via the forum. As you know the first time I left my house after being housebound for twelve years was to go to a meeting you arranged in D'ton. Just as you mention in your post with the analogy of the graceful swan - on the surface - is kicking like crazy underneath the water in order to maintain such grace. I find that I can judge people’s outer appearance/grace as being gospel, whereas under neither they are kicking like crazy - especially dealing with life and, basically just 'stuff' as not many people wear their heart on their sleeve.
It is hard at times to be honest especially if you find yourself in one of the hated sub-groups (on benefits aka a scrounger or a recipient of NHS funded WLS aka waste of tax payers money) you only have to open a newspaper or watch the news to see how people are unfairly judged by society. As we all know everyone on benefits is unworthy of them and everyone who works is virtuous and nice; obese people should not be obese and definitely not be wasting the extremely precious tax payer’s money funding WLS; tax payer’s money should only be set aside for nice things that benefit nice worthy people. Lol …Its almost like a watered down version of nazi Germany. I bet they are some nice individuals out there that would willing take part in some cull if asked such is the disgust by the many that are easily affected by the media’s ‘rhetoric’ and identify themselves as the ‘worthy’ or simply a hard working family member, that the government like to bang on about to ensure the rift stays intact. There is so many views bantered about by those speaking form the high moral ground that it is no wonder society is in such a mess fuelled by self-righteous egotistical individuals - the very same people you regularly see apologising for stealing money in some expenses scandal or being rewarded with a job as a newspaper columnist for just at best being plain rude to the point of cringe worthiness ...Katie Hopkins anyone?

Why I read the news is beyond me, perhaps I’m a sucker for pain! There is possibly some truth in that as my self-destruct button is well oiled and well used; unlike my self-worth button that still has its factory seal plastic wrap intact and hardly ever pressed. LOL.

The worst thing of all is when I get on my own nerves. I don’t know if anyone else falls into the same ‘trap’ but I can become such a victim and so full of unattractive self-pity that I almost class these feelings as ‘home’ in a masochistic sort of way. I can stay in this state for hours if not days until I get so sick of myself I have to literally frog-march myself out of this state and actively seek out positive outlets – eg this post on this forum.

For those who do not think I’m just barking mad and somewhat identify with my ability to see the worst in life – at times – and resort to negative self-sabotaging behaviours as viable option, I can thoroughly recommend some mindfulness meditation. If you google ‘mindfulness’ you find heaps of info. I recently purchase a meditation cd called ‘Headspace’ and find it very useful. It takes some practice, if like me you have a busy almost untameable mind, but it’s very helpful and I find it makes so much sense on a deep level. It’s not a cure all type thing but I really feel better practising mindfulness than not. There’s also ‘mindful eating’ too, which is basically taking time with your food and eating slowly (mindfully) the complete opposite to you eat when on a binge, if binge eating is something you suffer from.


Thanks again, WLS forum for allowing me to vent. I really find putting my thoughts and feelings down therapeutic. And, if I make anyone smile by what I have said I’m glad. If I have upset anyone with what I have said, please know this is not my intention as my words are only an expression of my current state of mind.
 
i totally agree. And deep down I think a part of me feels that no psychologist or counsellor can 'fix' me - this is just who I am. And dealing with that takes a certain amount of energy every day so I can't do all the things 'my mum used to do'.
 
keep up with the posts as and when you can. I think you should write a book. or send your story to a magazine you write really well. I can't think that anyone would be offended by what you have said. You HAVE PUT IN WORDS THE THINGS THAT WE EXPERIENCE THRUGHOUT OUR WLS JOURNEYS. x
 
Lol thanx Chrisa
Yvessa - yes, I identify with you so much. A part of me whats to beleive I will find the right therapist who will fix me but in reality, deep down, I know there is no quick fix.
 
adrienne - I tried to send you a reply to your PM, but I got a message informing me that your PM box is full and that you need to delete some messages in order to receive future PMs.
 
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