Screening for which psychiatric comorbidities should be completed prior to initiations of surgical, medical, or behavioral weight-loss interventions?

Updated: Jun 09, 2021
  • Author: Osama Hamdy, MD, PhD; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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Because of the potential harm of attempting weight loss in an unsuitable candidate, all patients to be enrolled in any surgical, medical, or other weight-loss program should be screened for serious mental illness (eg, severe or untreated depression) and for eating disorders.

Many of the psychological and psychiatric problems commonly associated with obesity are not contraindications to enrollment in a weight-loss program; for example, mild to moderate depression typically improves with weight loss. Nevertheless, clinicians and patients must be aware of these problems before enrollment. In addition, the clinician must ensure that any such problems are relatively stable, quiescent, or well managed before the patient begins a weight-loss program.

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