Amanda Itzkoff

Amanda Itzkoff, MD in the New York Times Magazine, 12/2/2007 “In their excellent article about bariatric surgery, Stephen J. Dubner and Steven D. Levitt (Freakonomics, Nov. 18) mention that the procedure “often produces complications — physiological ones, to be sure, but also perhaps psychological ones.” As a psychiatrist, I have no doubt that a morbidly obese patient without other medical cause for obesity (i.e., thyroid disease) already has a severe psychiatric problem. Without treating the compulsion that underlies such behavior, it is no wonder that patients who have surgery but no psychiatric treatment may develop “new” psychiatric symptoms, like gambling, compulsive shopping and alcoholism.”

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