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Revision Weight Loss Surgery

Revision Weight Loss Surgery

Revision Weight Loss Surgery is a surgical procedure for patients who have already undergone a form of bariatric surgery, and have had complications from such surgery or have not successfully achieved significant weight loss results from the initial surgery. Procedures are usually performed laparoscopically, though open surgery may be required if prior bariatric surgery has resulted in extensive scarring. With the increase in the number of weight loss surgeries performed every year there are growing numbers of individuals who have experienced an unsatisfactory result from their bariatric procedures. There are several surgery options, some of which may limit later options for revision weight loss surgery. An adjustable gastric band is an inflatable silicone prosthetic device that is placed around the top portion of the stomach. This procedure is a revision procedure for many patients who have had a previous stomach stapling, gastroplasty procedure, or roux-en-Y gastric bypass surgery but have regained weight. The procedure is normally laparoscopically, though in a small minority of instances prior surgery may have resulted in extensive scarring, requiring open surgery. Roux-en-Y gastric bypass is a commonly chosen revision technique particularly in patients who have not been successful in meeting their weight loss goals after stomach stapling, gastroplasty, vertical gastric banding, or laparoscopic-adjustable gastric banding. Often the prior procedure still lends itself to a revision to become a roux-en-Y gastric bypass. It may be laparoscopically, and the average recovery time is approximately two weeks. The weight loss success rate after roux-en-Y gastric bypass revision surgery is generally excellent. There are some associated risks of vitamin deficiency and stomach ulcer formation requiring prevention with multivitamins. Sleeve gastrectomy removes a large portion of the stomach, with the remaining portion reshaped to become tube-like or sleeve-shaped. This creates an increased sense of satiety and decreased hunger in patients, often leading to weight loss and improved health. The procedure is generally less invasive than many other weight loss surgeries and has a lower potential for complications than may be associated with gastric bypass surgery. StomaphyX revision is a completely endoscopic revision technique used to tighten a stretched gastric pouch using internal sutures or fasteners. It may be in patients who have had prior roux-en-Y gastric bypass surgery and have a stretched stomach pouch.

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Mental Health Professional

A mental health professional is a health care practitioner who offers services for improving an individual's mental health or to treat mental illness. This broad category includes psychiatrists, clinical psychologists, clinical social workers, psychiatric nurses, mental health counselors as well as many other professionals. These professionals often deal with the same illnesses, disorders, conditions, and issues; however, their scope of practice differs. The most significant difference between mental health professionals are the laws regarding required education and training across the various professions. Mental health professionals exist to improve the mental health of individuals, couples, and families. Because mental health covers a wide range of elements, the scope of practice greatly varies between professionals. Some professionals may enhance relationships while others treat specific mental disorders and illness. Often, as with the case of psychiatrists and psychologists, the scope of practice may overlap. Most qualified mental health professionals will refer a patient or client to another professional if the specific type of treatment needed is outside of their scope of practice. Additionally, many mental health professionals may sometimes work together using a variety of treatment options such as concurrent psychiatric medication and psychotherapy. Additionally, specific mental health professionals may be utilized based upon their cultural and religious background or experience. Psychiatrists are physicians and one of the few professionals in the mental health industry who specialize and are certified in treating mental illness using the biomedical approach to mental disorders including the use of medications. Psychiatrists may also go through significant training to conduct psychotherapy and cognitive behavioral therapy; however, psychologists and clinical psychologists specialize in the research and clinical application of these techniques. The amount of training a psychiatrist holds in providing these types of therapies varies from program to program and differs greatly based upon region. A clinical psychologist studies and applies psychology for understanding, preventing, and relieving psychologically based distress or dysfunction and to promote subjective well-being and personal development. In many countries, a regulated profession addresses moderate to more severe or chronic psychological problems, including diagnosable mental disorders. Clinical psychology includes a wide range of practices, such as research, psychological assessment, teaching, consultation, forensic testimony, and program development and administration. Central to clinical psychology is the practice of psychotherapy, which uses a wide range of techniques to change thoughts, feelings, or behaviors in service to enhancing subjective well-being, mental health, and life functioning. Unlike other mental health professionals, psychologists are trained to conduct psychological assessment. Clinical psychologists can work with individuals, couples, children, older adults, families, small groups, and communities. Counseling generally involves helping people with what might be considered "normal" or "moderate" psychological problems, such as the feelings of anxiety or sadness resulting from major life changes or events.[16][17] As such, counseling psychologists often help people adjust to or cope with their environment or major events, although many also work with more serious problems as well. One may practice as a counseling psychologist with a PhD or EdD, and as a counseling psychotherapist with a Masters degree. Compared with clinical psychology, there are fewer counseling psychology graduate programs (which are commonly housed in departments of education), counselors tend to conduct more vocational assessment and less projective or objective assessment, and they are more likely to work in public service or university clinics (rather than hospitals or private practice). Despite these differences, there is considerable overlap between the two fields and distinctions between them continue to fade. 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