Psychosocial Evaluation and Management of Weight Loss Surgery Patients

  • Raymone Shenouda


There has been an alarming increase in obesity rates in the USA, other industrialized countries, and even in developing countries in the last few decades. Obesity-related diseases including hypertension, hyperlipidemia, and cardiovascular disease have also been on the rise with their associated costs. Weight loss surgery (WLS) is one of the few effective and durable treatment options for obesity, reducing morbidity and mortality associated with obesity as well as complications. As a part of their preparation for WLS, patients are required to have a psychosocial evaluation, but there is significant variability in the structure of this evaluation and in the credentialing and training of the clinicians performing this evaluation. Presurgical psychological evaluation could guide the patient and the WLS program to achieve the desired goal of weight loss, thus improving the patient’s medical and psychological well-being. This chapter summarizes the current WLS procedures and trends in their utilization and describes domains of the pre-WLS psychological evaluation and post-WLS psychopharmacology to optimize psychiatric care of WLS patients.


Weight loss surgery Eating disorders Obesity Psychosocial stress Psychopharmacology 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of PsychiatryYale UniversityNew HavenUSA

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