Abby315

I have had 3 clients in the last 6 months between the ages of 20-40, who have had the procedure. I know that there is some sort of mini mental status exam done for everyone that gets the surgery, however I personally do not think that is enough.All 3 of my clients have pretty severe mental illness, including BDL personality, Schizophrenia, hx of cutting, and hx of suicidal ideation and attempts. Maaybe I am looking too much into this. However some of my clients have stated that their Mental illness symptoms became worse after the surgery, with one of them stating that they wishe they never had the surgery, because they were happier being fat. Any thoughts? Has anyone else noticed this in their work place?

I would be very direct with them. Avoid getting into a "conversation" about the drugs they are seeking, dont give them any extra attention or say the words "I'm sorry" to them if you cant give them what they want. This will just make them think you will eventually give in. Even though it sounds "mean", I have family members who are addicts, as well as many clients where I work and I treat them the same way...