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Bariatric surgery and depression



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Hi my name is Jackie. I am working through all the hoops that are required before I can have bariatric surgery. I had my psychological evaluation and there was concern about my suffering from depression and my obsessive eating. I was wondering if anyone out there had the surgery and had the same problem I have, depression and obsessive eating. How have things worked out for you? Any help is greatly appreciated thank you

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I have suffered from depression for 14 years since my divorce. On and off medication through the years. I am three months post op for gastric bypass. Down total of 75 lbs. I am currently off my cymbalta and feeling better than I ever have in my life. Hope it continues.

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Raising my hand here. I've suffered from depression for years. I've taken all kinds of stuff. But no more....I am facing my demons head on and the sleeve is working for me. Other than the first couple of weeks, I've had no depression and I'm feeling great. The compliments from others has kept me "UP".

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There is a correlation between WLS and depression, but WLS does not exacerbate depression. The correlation comes from expectations not met post-surgery, and a resulting depression, or an inability to integrate new body image when weight is lost.

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Raising my hand here. I've suffered from depression for years. I've taken all kinds of stuff. But no more....I am facing my demons head on and the sleeve is working for me. Other than the first couple of weeks, I've had no depression and I'm feeling great. The compliments from others has kept me "UP".

I took myself off of Zoloft. My doctor's were NOT HAPPY. I'm really struggling right now to manage the depression without medication. However, I felt the Zoloft just wasn't working anymore and I DO NOT want to take medication for depression for the rest of my life.

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I am taking Zoloft and Lamotrogine. I don't mind taking the medication for life, if it is going to help me. I have a tendency to obsess over food and just want all the information I can get to make sure I'm not jumping into the fire.

Jackie

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Well, I guess I am a little worry that you obsess over food. During the early months, this surgery practically makes you obsessive because you have to be so careful to eat properly why you are "getting the hang of it".

I think it would be of real value to connect with a nutritionalist who understands your emotional issues over food so you can have a partner in working through it.

I am also not sure that I agree that the only reason people get depressed post WLS is unrealistic expectations. I am pleased as punch, happy as can be - my expectations have been wildly exceeded... the part of my life that is the very best is how I look and the healthy improvements from losing all that weight. I still have down days though. I think what the real challenge is that we have old patterns - literally neuropathways in our brains - of how we deal with stuff. Okay, now remove the numbing feeling from over eating from the patterns and it can be disorienting while you figure out how to live well and improve those brain responses. This is not just about breaking a "habit". I actually have no desire to overeat and I stay active, stay social and do alot of things to "replace" the old ways, but it is still a work in progress. I no longer have a way to numb feelings and I guess this is how addiction transference might start. I am working with someone on this and working to retrain my unconscious responses and learning how to experience negative feelings in a different and healthy way since over eating is no longer a choice I have any desire to make.

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Cowgirl Jane, Thank you so much for the open and honest response. During my initial meeting they mentioned addiction transference. I had forgotten about that until you just mentioned it. I meet with the nutritionist next week. I will definitely add that to my list of things to talk about.

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I watch addiction transference like a hawk. Last summer I became aware that i was really really hopped up on coffee. Like coffee became something that made me feel good, killed appetite etc and I was drinking ALOT of it... it was all great until I started getting jangly nerves and all.

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    • BabySpoons

      Sometimes reading the posts here make me wonder if some people just weren't mentally ready for WLS and needed more time with the bariatric team psychiatrist. Complaining about the limited drink/food choices early on... blah..blah...blah. The living to eat mentality really needs to go and be replaced with eating to live. JS
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    • Theweightisover2024🙌💪

      Question for anyone, how did you get your mind right before surgery? Like as far as eating better foods and just doing better in general? I'm having a really hard time with this. Any help is appreciated 🙏❤️
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      1. NickelChip

        I had about 6 months between deciding to do surgery and getting scheduled. I came across the book The Pound of Cure by Dr. Matthew Weiner, a bariatric surgeon in Arizona, and started to implement some of the changes he recommended (and lost 13 lbs in the process without ever feeling deprived). The book is very simple, and the focus is on whole, plant based foods, but within reason. It's not an all or nothing approach, or going vegan or something, but focuses on improvement and aiming for getting it right 80-90% of the time. His suggestions are divided into 12 sections that you can tackle over time, perhaps one per month for a year if a person is just trying to improve nutrition and build good habits. They range from things like cutting out artificial sweetener or eating more beans to eating a pound of vegetables per day. I found it really effective pre-surgery and it's an eating style I will be working to get back to as I am further out from surgery and have more capacity. Small changes you can sustain will do the most for building good habits for life.

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        That sounds awesome. I'll have to check that out thanks!

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