DNA Counselling Psychology Psychology, Psychotherapy & Counselling for Newbury and Thatcham

Psychological Support and Assessments for Plastic and Cosmetic Surgery

I specialise in preoperative and postoperative psychological therapy for patients having cosmetic surgery.

Preoperative therapy is useful to help patients explore their expectations and motivation for surgery. As part of the preoperative session/sessions a psychological assessment can be done using the Derriford Appearance Scale (DAS) and the Hospital Anxiety and Depression Score (HADS). I use the relevant guidelines from the BPS Guide for Practitioner Psychologists working with patients having surgery click here

Some key aspects explored during the preoperative sessions: are there any major life events that have contributed to the reason why somebody may be seeking surgery at this particular time? Are these life events perhaps a contraindication for surgery at this particular stage in someone's life? Are there any underlying mental health issues for example borderline personality disorder, body dysmorphia and severe anxiety and or depression that mean surgery will result in a poor outcome ?

As a patient, postoperative therapy gives you an opportunity to discuss whether your expectations have been met by surgery and if not, how we can help you process this and what the next steps may be.

If you are a patient seeking psychological assessment or support preoperatively and or postoperatively please do feel free to contact me and we can discuss this further.

I am working in conjunction with a Special Interest Group of Psychologists established by Professor Nichola Ramsey and Professor Alex Clarke, both leading psychologists in the field of Psychological Wellbeing for cosmetic surgery patients. Having previously spoken to a number of plastic surgeons, common themes that emerge are surgeons find that psychologists will ask questions they had never even considered but are very important and, surgeons have acknowledged a difficulty in knowing and how what to say to patients about mental health.

If you are surgeon looking for further information on the services I am able to provide please do feel free to contact me. I can come to the practice/hospital where you work and deliver a seminar or we can meet informally. I will further explain how psychological support can be of benefit to your practice and your patients, provide leaflets for your patients on how and why psychological support can be of benefit. I can also deliver workshops on how to discuss concerns with your patients when you deem that another treatment option other than surgery would be more appropriate.

Listed in the BAPRAS Standard of Practice BAPRAS are two crucial psychological points that as a surgeon are vital for you to consider in terms of the care pathway you provide to your patients. For reference these are below. If you feel you can confidently discuss how you look after your patient's psychological wellbeing you have covered these requirements. If you are unsure about this, please do get in contact and we can discuss this.

"19. When you discuss interventions and options with a patient, you must consider their vulnerabilities and psychological needs. "

"23. You must talk to the patient about any adverse outcomes that may result from the proposed intervention, paying particular attention to those the patient is most concerned about. You must talk about the potential adverse physical and psychological impact of the intervention going wrong or failing to meet the patient’s expectations."

If you would like further information on any of the topics discussed, please do not hesitate to contact me.

Psychological support and assessments for cosmetic surgery patients in Berkshire, Hampshire, Surrey and Oxford.


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