Bariatric surgery and depression

FrancescaS
Community Member

In May this year I had bariatric surgery as I was morbidly obese (sleeve gastrectomy), and since this time my depression has worsened and I'm currently in the midst of a major depressive episode. I'm wondering if there are any other BB forum participants who have similarly had bariatric surgery and also find themselves in a similar situation?

I’ve been doing a lot of reading about depression following sleeve gastrectomy surgery, in the hopes that I will discern why it has happened to me.

Most scientific/academic articles say that depression and other psychological conditions are more prevalent in bariatric surgery patients than they are in the general population. This is ascribed to the physical and psychological impact that obesity has on patients’ lives. The articles claim that bariatric surgery has a positive affect on patients’ lives given the health benefits of surgery and the boost to self-esteem that comes with being thinner. However, some studies have shown that a small number of bariatric patients have a psychological downturn following surgery, and one study has found that the likelihood of attempted suicide is 4-5 times higher in bariatric patients than it is in the general population. These articles make the case that this psychological downturn is the result of patients not being able to eat as much as they are used to, and/or patients turning to alcohol and substance abuse to manage their emotions following surgery, and/or patients having unrealistic expectations of the benefits of bariatric surgery. What seems to be absent though, to my mind, is analysis of the physical impact of bariatric surgery on brain chemistry.

Now, I am not a chemist, am not a scientist, so I cannot wait until further research is conducted into this issue. My pressing need is to dig myself out of the hole that I’m in. Or grab a ladder and start climbing.

Is there anyone else here in a similar situation?

FrancescaS

11 Replies 11

Hi Franchesca, I'd love to hear how you're doing now 4 years on?

I Just saw a surgeon today regarding a bariatric procedure and I haven't been able to stop crying since I left. I know I need more than a procedure to deal with my eating disorder, but this surgeon was quite disinterested in me as a person. I felt like a number on a BMI scale and a $ in his pocket.

It was pretty awful but I am stuck needing a new knee and the surgeon not wanting to do that procedure until I loose weight.. In the meantime Im a full time carer for my severely disabled child with 100 % care requirements 24/7

Its a pretty serious situation and I'm not sure who I can turn to to help me.. Right now its all simply too hard and Im wondering how I can keep going.

Not sure if this thread is still active but just incase anyone has any ideas..

Thanks in advance..

Hi Burden,   Thank you for reaching out here on the forums and sharing what is going on for you. We're sure that a lot of our community members will relate to these feelings and hopefully some of them will pop by to offer you words of wisdom and kindness.   It sounds like things are incredibly hard right now, you must be feeling so overwhelmed and exhausted by everything. Being a full time carer for your son while also trying to navigate through the health system with your own physical and mental health issues would be really tough.     It’s so disheartening to learn that you’ve had such a negative experience with your surgeon. You deserve to be seen and treated as a person, not a body or a number. You mentioned that you are needing ore help with your eating disorder.   There is an organisation called the Butterfly Foundation which offers support for eating disorders  We'd recommend you check out their website - https://butterfly.org.au/ They also have a helpline that you may like to call to see if they can give you some guidance as to where to get some help. 1800 33 4673. They are open 8am – midnight AEST, seven days a week.   If you would like to talk through some of these feelings we would recommend that you get in contact with the Beyond Blue Support Service. They are available 24/7 by phone on 1300 22 4636 or on Webchat 1pm-12am AEST on our website: www.beyondblue.org.au/getsupport  One of our friendly counsellors will be able to talk through these feelings with you and can offer support, advice and referrals.