Psychological Management of Irritable Bowel Syndrome (IBS)

Tabindah Waheed
3 min readDec 1, 2022

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A common, prolonged disturbance of the digestive system is called Irritable Bowel Syndrome (IBS). Symptoms can include spasmed stomach, diarrhea, bloating and/or constipation. The condition is often long-term. However, the symptoms may change over time. Yes! Psychological management of IBS is available.

Image source: https://www.hopkinsmedicine.org/health/wellness-and-prevention/the-brain-gut-connection

There is a strong connection between our brain and gut. It wouldn’t be wrong to say that our second brain is our gut. Medical revolution is convinced that there is a firm link between our digestion, the way one thinks, their mood. This second brain is called Enteric Nervous System (ENS) which is composed of two thin layers having hundred million nerve cells running along gastrointestinal tract from esophagus (also called “Gullet”) to rectum.

Image source: https://www.pacificnaturalmedicine.com/post/the-gut-brain-axis

The communication between brain and gut is a two-way street.

Comorbidity of Irritable Bowel Syndrome (IBS)

IBS is frequent in people suffering from Post-Traumatic Stress Disorder (PTSD).

People with IBS also suffer from anxiety disorders, mood disorders, depression in common, certain phobias.

Iamge taken from https://psychscenehub.com/video/role-microbiome-diet-depression-prof-michael-berk/

Psychological Management of Irritable Bowel Syndrome (IBS)

Emotional stress has been seen in patients with IBS which worsens IBS symptoms. Several researches suggest that over the past several years, health psychology and clinical psychology have become aligned with gastroenterology. Many researches have proved the efficacy of psychological interventions for gastrointestinal disorders. However, it is important to remember that psychological factors are not the primary or only cause of IBS.

Image source: https://www.healthline.com/health/ibs-c/stress-and-anxiety

Psychological Interventions for IBS

There are strong evidences that prove psychological interventions to be successful in treating or managing IBS symptoms.

Cognitive Behavioral Therapy (CBT) for IBS

Results of several studies have demonstrated that CBT proves to be very effective in the management of symptoms, psychological distress, and quality of life. A recent review and meta-analysis of existing researches says that the number needed to treat IBS with CBT is three. It means if three people are treated with CBT, one will clinically improve.

Image source: https://aboutibs.org/treatment/psychological-treatments/cognitive-behavioral-therapy/

Hypnotherapy

Hypnotherapy for IBS requires progressive relaxation, and then offers soothing imagery and sensations focused on the individual’s symptoms. Improvements in overall well-being, quality of life, abdominal pain, constipation, diarrhea, and bloating have been observed.

Image source: https://www.belmarrahealth.com/irritable-bowel-syndrome-symptoms-can-reduced-psychological-therapy-study/

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Tabindah Waheed
Tabindah Waheed

Written by Tabindah Waheed

Psychologist| Mental Health Enthusiast. I compose versatile psychology, mental illness & wellness writings. Focus: Childhood trauma, Parenting & Relationships

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