Have you ever wondered if you're truly ready—mentally and emotionally—for bariatric surgery? Or how much support matters throughout your bariatric journey?

In this episode of the BariNation Podcast, we talk with Dr. Kati Duncan, a licensed psychologist and owner of Assessment & Therapy Associates (ATA). We explore how the pre-op evaluation is a tool for success, not a barrier, and why working with a therapist who understands bariatric life makes all the difference. We also dive into emotional prep, connection, and the decisive shift when the physical and emotional weight is finally lifted.

IN THIS EPISODE:

• (00:00) Opening and introduction
• (01:39) Discussion of working with therapists who see bariatrics from a patient's perspective and discounted benefits for members of the BariNation Community
• (07:11) Insurance companies' requirements and being mentally ready for the bariatric journey
• (15:05) Preparing for pre-op and post-op surgery and bariatric life
• (23:16) Disaster planning and writing a letter to yourself before surgery
• (35:13) Natalie explains how she approached the period before her last surgery
• (41:04) The power of faith in believing bariatric surgery will work
• (46:47) Dr. Kati predicts the future of the bariatric space and leaves parting words for listeners

KEY TAKEAWAYS:

• The pre-surgical psychological evaluation isn’t a barrier—it’s a support tool designed to ensure patients are mentally and emotionally prepared for surgery and long-term success. When paired with a therapist who specializes in bariatrics, the guidance becomes even more impactful, offering relevant support rooted in a deep understanding of obesity and disordered eating.
• Connection is a biological necessity, not a luxury—and in the bariatric journey, preparing with self-compassion and surrounding yourself with people who truly understand can be just as vital to healing as the bariatric surgery itself.
• Obesity quietly consumes emotional and physical energy, often unnoticed until that weight is lifted. After surgery, many experience a profound peace and clarity, realizing how much space the constant struggle had occupied. Support groups and shared vulnerability play a vital role in recovery, offering a safe space to receive and eventually give back, creating a powerful healing cycle.
• Dr. Duncan commends Dr. Ann Rogers, President of the ASMBS, for prioritizing reducing stigma and improving access to obesity care during her presidency. There's a hopeful shift in how obesity is discussed—as a disease rather than a personal failing—encouraging more people to seek treatment. Finally, the Access to Care Committee, is dedicated to  making sure that every patient has access to obesity care.

RESOURCES:

• BariNation Website 
• Join the BariNation Membership community meetups to support you on your journey with obesity treatment. https://barination.com/pages/join-our-community
• Want to see bonus content? Head over to https://www.patreon.com/BariNationPodcast to get more and support the podcast for as low as $5 per month!    

OTHER RESOURCES: 

ATA Bariatrics and BariNation have teamed up to ensure you never walk this bariatric journey alone. Both organizations aim to connect patients with the education, tools, and resources needed to find and maintain personal wellness along their journey. Check out the link below!

Practice Partnership | ATA Bariatrics and BariNation

GUEST RESOURCES:

Assessment & Therapy Associates - Instagram

Assessment & Therapy Associates - Website

ASMBS Website

Access to Care Committee

BIOGRAPHY: Dr. Kati Duncan

I have worked with bariatric patients for over 20 years and truly love my work. I own ATA Bariatrics, a practice with 18 specialized providers dedicated to supporting patients through every stage of the bariatric journey. I’m excited to be part of the BariNation community and to continue helping patients thrive!

ABOUT:

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Bariatric Surgery, Bariatric Journey, Bariatric Life, Weight Loss, Obesity, BariNation Community, BariNation Community Support, Bariatric Diet, NSVs, GLP-1, VSG, Vertical Sleeve Gastrectomy, LapBand, Roux-en-Y, Gastric Bypass, SADI-S, Mental Health, Emotional Wellness, Therapy Support, ASMBS, American Society of Metabolic and Bariatric Surgeons, Access to Care