I read the article this morning, as I was intrigued to see who the 'well respected forum member' was, and I can't say I was surprised.
My opinion is probably going to be controversial, it normally is.
I've watched rachael's journey from the beginning, and it was obvious to many that she would have problems and needed psychological and emotional support. If you read the original and current Walsall massive thread, particularly her version of the psyche assessment, you'll see what I mean. Many members here tried to give her at least some support and offer advice, but it was generally ignored.
Now with regards to the general subject, it shows the importance of good psyche assessment and good long term aftercare. I believe all WLS patients should undergo a comprehensive psyche assessment and receive any treatment needed before having surgery. Even more so for private patients who often have a very short journey from thinking about surgery to going under the knife.
Anyone who goes into a psyche assessment with the mindset of being watchful what they say, concealing their past issues or depressions, and believing the psyche to be another pointless hoop to jump through are heading for trouble in the long term. Every time I see a 'what shall I say or not say to the psyche' thread my heart plummets.
Now I'm not saying that those without a psyche assessment are doomed to fail, or that private patients are all future crazies, just that many of these post op problems could be avoided so easily with the right support and treatment pre-op.
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