I was lucky and already had a pyschologist in place. I had him contact my bariatric team to make sure they were on the same page. I do think ongoing support, no matter what form is best for you is really important.
That is one of the reasons I sought out this group. My weekly sessions with my therapist weren't enough for me preop. I was going through a lot of different things during my preop though, but I needed additional support.
I don't have family support. I live with my husband, and he loves me very much. The problem is, our relationship lacks communication.
"Feelings" are one of those subjects that are impossible to talk to him about. He is like Joe Friday from Dragnet "Just the facts ma'am". I guess I really dated myself with that quote.
At any rate, from what I've read and been through just in the preop process, the whole thing is very emotional. You will have ups and downs. If you don't have a support system in place, be sure to put one together. You'll be thankful for it when you do.