If your surgeon or pain program asked you to get a psychological evaluation before your procedure, you might be wondering why, and whether it could stand in your way. Here’s what these evaluations are, and what they aren’t.
Why programs ask for one
Many bariatric and pain-management programs, and some insurers, require or recommend a psychological evaluation before procedures like bariatric surgery, spinal cord stimulator (SCS) trials and implants, and peripheral nerve stimulation (PNS). The goal is to understand readiness and identify supports that can help you do well afterward.
What the evaluation looks at
- Your understanding of the procedure and your expectations
- Coping strategies and emotional functioning
- Support systems and readiness for changes
- Behavioral factors and treatment adherence
- For bariatric surgery: eating patterns and lifestyle readiness
- For SCS or PNS: pain history, daily functioning, and treatment history
What it isn’t
It isn’t a test you pass or fail. Identifying a concern does not automatically prevent surgery. Recommendations may include education, treatment, behavioral preparation, or extra support to improve readiness and outcomes. Having depression or anxiety does not automatically disqualify you.
What to expect
The process usually includes a clinical interview, standardized questionnaires, and a review of your referral or program requirements. Many evaluations can be completed by telehealth, depending on the program and clinical needs. With your authorization, a written report is sent to your referring provider or surgical program.
Learn more on our pre-surgical psychological evaluations page, or check your plan on our insurance page.
Ready to take the next step?
Have your referral or program requirements handy, then start the screening form so we can confirm the next step.
Dr. Youssef Nakhla, PsyD, is a licensed clinical psychologist (CA PsyD #36042) providing psychological assessment with Cogniscribe Psychology at offices in Roseville and Fair Oaks and by telehealth across California when clinically appropriate. This article is educational and is not a diagnosis or a guarantee of insurance coverage.