Handling obese patients is complex, as bariatric surgery plays a salvation role effects on them.
Strong frustration felling are developed as a result of unsuccessfully trying to lose weight through different methods and often reinforce hopeless sensation, faith losing and anger in obese patients who silently suffer social pressure as established symbols of physical inability or the antithesis of skinny patterns –often abnormal- present in our culture.
Patients for these procedures must be carefully chosen in order to avoid post-surgical psychiatric complications.
It is strongly advised not to intervened patients with psychosis, mental dysfunctions or those whose mental structure reduces the minimum capacity required to collaborate with the whole process.
As high risk patients are considered the ones with severe addictions, poor impulse control or severe compulsive-obsessive disorder..
In a less dramatic category are the ones with moderate to severe levels of anxiety and other with major depression problems.
Supporting the patient in getting used to new feeding habits, lifestyle and handling the social pressure for the new small food intake habits are the first steps for a successful post-surgery psychological process.
Surgery provides an effective biological weapon lowering anxiety for in taking food. Some patients develop this anxiety dreaming of having plenty of food while sleeping without affecting their lives or their decision of loss weight.
Once first results are gotten, patients who persistently keep symptoms of depression or anxiety must be under psychotherapy.