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Psychological contraindications for bariatric surgery are conditions or factors that may make a person ineligible for surgery, or increase the risk of poor outcomes after surgery. These can include:
1. Active substance abuse or dependence: People who are actively abusing drugs or alcohol may not be good candidates for bariatric surgery due to the risk of poor outcomes and complications.
2. Severe psychiatric illness: People with severe mental health conditions such as severe depression, bipolar disorder, or schzophrenia may not be good candidates for surgery due to the risk of poor outcomes.
3. Inability to adhere to post-operative lifestyle changes: Bariatric surgery requires significant lifestyle changes, including dietary modifications and regular exercise. People who are unwilling or unable to make these changes may not be good candidates for surgery.
4. Unrealistic expectations: People who have unrealistic expectations about the outcomes of bariatric surgery may be at risk of disappointment or dissatisfaction with the results, which can lead to poor outcomes and psychological distress.
5. Inadequate social support: People who do not have adequate social support, such as friends or family members who can offer support during the recovery process, may be at increased risk of poor outcomes and complications.
6. Eating disorders: People who have a history of eating disorders, such as anorexia or bulimia, may not be good candidates for bariatric surgery due to the risk of recurrence or worsening of symptoms.
It is important to note that these are general guidelines, and each individual's case is unique. A psychological evaluation is typically performed before bariatric surgery to assess the individual's mental health and identify any potential contraindications or areas of concern. The goal of this evaluation is to help ensure that the individual is physically and mentally prepared for surgery, and to provide recommendations for post-operative care to help maximize the chances of success.