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Lunarhue

Getting a BA & BL while being treated for depression?

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Hi there!

So, I'm hoping this isn't too personal or anything of the sort- but I was wondering if anyone had been undergoing treatment for depression or something similar when they went in for their surgery? I've been suffering with moderate depression (due to a combination of back injury at the time and just being completely overwhelmed by my final year of uni) for just over a year now, and while it's manageable- I'm not 110% better. I'm currently on anti depressants (prozac) and finished seeing my psych a few weeks back. While I'm feeling super confident about my decision to get the surgery (I was looking at getting my breasts done long before the depression hit) I've finally had a surgeon ask for a clearance for surgery letter from my GP.

While I have no problem with getting the letter (and luckily I was able to get an appointment for today, so hopefully it all goes well!), is it usual for surgeons to request this? I'm looking at going with Dr Pornthep in Bangkok and he's the first surgeon to ask for such a thing between all the Thailand surgeons I've spoken to and the ones I've seen here in Australia. Once I get this and forward it onto the agency I'm going through, I'll finally be able to get his surgical recommendation which I'm looking forward to reading!

Anyway- I was just wondering, did anyone go through something similar and how was your experience? I'm a little worried my doctor won't clear me for it and I hate to think that this depression might hold me back from getting something done that I've wanted for so long. I obviously wanted to be completely honest filling out my assessment sheets, but at the same time- I know this is something I want and have wanted for so, so long.
 

Edited by Lunarhue

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I'm sorry that you're going through this...I hope that you start to feel better soon.

I don't have any personal experience in this area as luckily I've never suffered from depression or been medicated for it, however I worry for you in the days and weeks that follow surgery. It's normal to go through 'post surgery depression' which can last for weeks following a BA. I would be scared that you could end up in a really bad place on top of what you're already working through.

I think I'd work on getting better before having a BA. Just my 2 cents though. Others that have been through a similar thing might feel differently.

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I'm undergoing treatment for severe depression and an ed at the moment. As a team my gp, psychologist and dietician discussed whether surgery should go ahead. They obviously had concerns but after weighing up the pros and cons I was given the clear. The doctors all wrote separate letters that they've addressed to my surgeon. TCI hasn't requested a clearance letter so I'm not sure it's really necessary for me to have but I'll bring it with me anyway. When filling in the paperwork I was upfront like you have been. My surgeon didn't question me so I'm guessing he was fine with it. I didn't feel the need to bring it up but if he did after reading the forms I was happy to discuss it.

I think as long as its under control and you're not a risk to yourself or those around you, your doctor will give you the go ahead.

In terms of seeking out more thorough treatment over the recovery period I'm all for it because it can never hurt to have some extra support. For you that might mean scheduling a few psychologist appointments etc.

Anyway, best of luck! As I said I'm sure you'll be fine x

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Hi Lunarhue,

I'm sorry to hear this, I also suffer form depression. Having depression and making such a huge life decision is definitely something I worry about, and as MaisieF pointed out, I am particularly worried about having a severe bout of depression after the surgery, due to the phase people sometimes go through afterwards from the anaesthetic, but also just the huge flood of mixed emotions and things might be very difficult to cope with. If I were you I would feel assured that the surgeon you're going through is the only one who has asked for this documentation as it means they are not money hungry and are actually thinking of what is best for you! That says a lot! It's because they always say don't make any bg decisions when you're feeling this way as when you feel "better" it may not be what you want anymore. In saying that, I am the same as you in the way that I have always wanted this my whole life and know that (As long as there aren't any complications such as CC) I most likely won't regret it.

Probably the main thing if you go through with this is making sure you have a good support network available to you for the surgery to be there with you on the day and the following week for when you are feeling all these mixed emotions, because I have no doubt I will be having bouts of crying and asking what on earth you've done! Choose someone who you know will not judge you and understands you and why you're doing this and will be happy to be with you throughout the ups and downs of this journey!

In reference to you being worried that you won't get a clearance, the fact that he has asked means if you were to be given one he is most likely going to go ahead with it. When you speak to your doctor just ensure you can show complete maturity about it and show that you've done your research and proof of coping mechanisms that you can employ if things go a bit sour for you! Being depressed does not mean you are not allowed to make your own decisions at the end of the day, it is not a incapacity to decide things for yourself whatsoever! The doctor will know and understand this, but showing the things I suggested will reassure them to give you a clearance! 

Hope everything goes well for you!

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I think your surgeon in Thailand likes to rely on the opinion of your 'local' medico's here, who know your 'history'.

It will be a time saver for him and at the same time covers himself.

I am sure it will NOT be an obstacle for you to achieve what you want.

Best wishes!

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