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Pre-Surgical Psychological Evaluation for Weight Loss Surgery

A pre-surgical psychological evaluation is a crucial step before undergoing bariatric surgery. This assessment helps identify potential challenges and risk factors that could affect your weight loss success and overall health. It also ensures you are fully informed and emotionally prepared for the surgery and the major lifestyle changes that follow. Additionally, many insurance providers require a bariatric psychological evaluation before approving coverage for weight loss surgery, making it an essential part of the process.

All evaluations are conducted via TeleHealth for your convenience and flexibility. 

Available to serve patients in California, Indiana, New Mexico, Utah, Florida, Arizona, Idaho, Vermont, South Carolina, and Nevada

I provide HIPAA-compliant pre-surgical bariatric psychological evaluations online, tailored for individuals preparing for bariatric surgery. My goal is to offer the same high-quality care as an in-office visit, with the added flexibility of completing the evaluation from the comfort of your home. This online process allows you to fit the evaluation into your schedule, ensuring convenience without compromising the thoroughness of your assessment. By choosing my online bariatric evaluation, you'll receive expert guidance to meet your surgery requirements while maintaining privacy and security throughout the process.

How does it work?

Step 1: Make An Appointment

Schedule an appointment with Dr. Meyers to discuss your bariatric needs and explore personalized treatment options.

Step 2: Self-Assessment

You'll complete questionnaires and self-report assessments to gather insights into your attitudes, behaviors, and emotions. These assessments, along with your interview results, create a comprehensive report for your bariatric evaluation, ensuring your medical team fully understands your mental and emotional health before surgery.

Step 3: Initial Clinical Interview

The evaluation process with Dr. Meyers starts with a clinical interview, where he will ask detailed questions about your medical history, mental health, substance use, and weight management. This assessment is essential for understanding your situation and developing a personalized plan for your bariatric journey.

Step 4: Send Medical Report

Within 72 hours of your interview, Dr. Meyers will review your evaluation results and promptly sent the final report to your physician and bariatric surgery team for further care coordination.

Schedule an Appointment

As you prepare for weight loss surgery (bariatric surgery), you'll meet with me, a licensed mental health professional, for a pre-surgical psychological evaluation. This evaluation isn’t a pass or fail test, but a vital step to ensure you're on the path to success. During our session, we’ll discuss your mental well-being, address any challenges that may impact your post-surgery weight loss journey, and confirm you're emotionally ready for the major lifestyle changes ahead. I’ll also guide you through what to expect after surgery, ensuring you’re fully prepared for the next steps in your weight loss journey.

Before your appointment, you'll need to complete a comprehensive intake process, which includes multiple questionnaires about your personal and medical history. Please allow enough time to complete it before starting—on average, it takes 20-45 minutes. This step is crucial for ensuring we understand your needs.

What to Expect from the Results and Recommendations

The assessment will highlight your strengths, pinpoint areas that need attention, and identify factors that will help optimize your long-term weight loss success. The recommendations for psychological clearance typically fall into four categories:

  1. Fully Cleared for Surgery: No additional mental health services are required.
  2. Conditionally Cleared for Surgery: Surgery is recommended, but ongoing psychological support will be necessary before and after the procedure due to moderately controlled mental health issues or behavioral problems.
  3. Surgery Deferred: Surgery is postponed until the patient shows improvement in areas such as poorly controlled mental health issues, severe eating disorders, or behavioral challenges through continuous psychological treatment.
  4. Not Cleared for Surgery: Surgery is not recommended due to severe issues like active psychosis, significant substance use problems, or a history of multiple suicide attempts.

For specific questions about your weight loss journey, please contact your bariatric surgery team.

Information provided for educational purposes only. Consult with your healthcare provider for personalized medical advice.

What is bariatric therapy?

Bariatric therapy, also known as therapy for bariatric surgery patients, is a specialized form of treatment focused on providing emotional support and addressing the psychological needs of individuals before and after bariatric surgery. This therapy promotes overall well-being and helps ensure a successful weight loss journey.

How can therapy help me?

A number of benefits are available from participating in therapy. Therapists can provide support, problem-solving skills, and enhanced coping strategies for issues such as depression, anxiety, relationship troubles, unresolved childhood issues, grief, stress management, body image issues and creative blocks. Many people also find that counselors can be a tremendous asset to managing personal growth, interpersonal relationships, family concerns, marriage issues, and the hassles of daily life. Therapists can provide a fresh perspective on a difficult problem or point you in the direction of a solution. The benefits you obtain from therapy depend on how well you use the process and put into practice what you learn. Some of the benefits available from therapy include:

  • Attaining a better understanding of yourself, your goals and values
  • Developing skills for improving your relationships
  • Finding resolution to the issues or concerns that led you to seek therapy
  • Learning new ways to cope with stress and anxiety
  • Managing anger, grief, depression, and other emotional pressures
  • Improving communications and listening skills
  • Changing old behavior patterns and developing new ones
  • Discovering new ways to solve problems in your family or marriage
  • Improving your self-esteem and boosting self-confidence
Do I really need therapy? I can usually handle my problems.

Everyone goes through challenging situations in life, and while you may have successfully navigated through other difficulties you've faced, there's nothing wrong with seeking out extra support when you need it. In fact, therapy is for people who have enough self-awareness to realize they need a helping hand, and that is something to be admired. You are taking responsibility by accepting where you're at in life and making a commitment to change the situation by seeking therapy. Therapy provides long-lasting benefits and support, giving you the tools you need to avoid triggers, re-direct damaging patterns, and overcome whatever challenges you face.

Why do people go to therapy and how do I know if it is right for me?

People have many different motivations for coming to psychotherapy. Some may be going through a major life transition (unemployment, divorce, new job, etc.), or are not handling stressful circumstances well. Some people need assistance managing a range of other issues such as low self-esteem, depression, anxiety, addictions, relationship problems, spiritual conflicts and creative blocks. Therapy can help provide some much needed encouragement and help with skills to get them through these periods. Others may be at a point where they are ready to learn more about themselves or want to be more effective with their goals in life. In short, people seeking psychotherapy are ready to meet the challenges in their lives and ready to make changes in their lives.

What is therapy like?

Bariatric therapy sessions provide a supportive, confidential space to explore and address emotional challenges, body image concerns, relationship shifts, and lifestyle changes associated with bariatric surgery. Therapists collaborate with you to develop effective coping strategies, offer self-care guidance, and support your emotional well-being throughout your weight loss journey.

Because each person has different issues and goals for therapy, therapy will be different depending on the individual. In general, you can expect to discuss the current events happening in your life, your personal history relevant to your issue, and report progress (or any new insights gained) from the previous therapy session. Depending on your specific needs, therapy can be short-term, for a specific issue, or longer-term, to deal with more difficult patterns or your desire for more personal development. Either way, it is most common to schedule regular sessions with your therapist (usually weekly).

It is important to understand that you will get more results from therapy if you actively participate in the process. The ultimate purpose of therapy is to help you bring what you learn in session back into your life. Therefore, beyond the work you do in therapy sessions, your therapist may suggest some things you can do outside of therapy to support your process - such as reading a pertinent book, journaling on specific topics, noting particular behaviors or taking action on your goals. People seeking psychotherapy are ready to make positive changes in their lives, are open to new perspectives and take responsibility for their lives.


What about medication vs. psychotherapy?

It is well established that the long-term solution to mental and emotional problems and the pain they cause cannot be solved solely by medication. Instead of just treating the symptom, therapy addresses the cause of our distress and the behavior patterns that curb our progress. You can best achieve sustainable growth and a greater sense of well-being with an integrative approach to wellness. Working with your medical doctor you can determine what's best for you, and in some cases a combination of medication and therapy is the right course of action.

Do you take insurance, and how does that work?

To determine if you have mental health coverage through your insurance carrier, the first thing you should do is call them. Check your coverage carefully and make sure you understand their answers. Some helpful questions you can ask them:

  • What are my mental health benefits?
  • What is the coverage amount per therapy session?
  • How many therapy sessions does my plan cover?
  • How much does my insurance pay for an out-of-network provider?
  • Is approval required from my primary care physician?


Confidentiality is one of the most important components between a client and psychotherapist. Successful therapy requires a high degree of trust with highly sensitive subject matter that is usually not discussed anywhere but the therapist's office. Every therapist should provide a written copy of their confidential disclosure agreement, and you can expect that what you discuss in session will not be shared with anyone. This is called “Informed Consent”. Sometimes, however, you may want your therapist to share information or give an update to someone on your healthcare team (your Physician, Naturopath, Attorney), but by law your therapist cannot release this information without obtaining your written permission.

However, state law and professional ethics require therapists to maintain confidentiality except for the following situations:

* Suspected past or present abuse or neglect of children, adults, and elders requires therapists to report to the authorities, including Child Protection and law enforcement, based on information provided by the client or collateral sources.

* If the therapist has reason to suspect the client is seriously in danger of harming him/herself or has threatened to harm another person.

Is bariatric therapy covered by insurance?

Insurance coverage for bariatric therapy depends on your specific plan, so it's important to contact your provider to verify if therapy services related to bariatric surgery are covered. To ensure you receive the care you need, many therapists also offer self-pay options or sliding scale fees, providing flexibility for different financial situations. Be sure to explore these options when considering bariatric therapy.