Irritable Bowel Syndrome

5 Oct

Guest Post by Moya Layton

Irritable Bowel Syndrome commonly referred to as IBS, is a widespread and distressing functional bowel disorder, which carries a considerable burden both for sufferers and the medical profession alike. About two in 10 people in the UK have IBS and it’s twice as common in women as men. Although not life-threatening, IBS can be extremely debilitating for those people who suffer from it. The pathophysiology of IBS is uncertain and currently no single cause explains the condition, which is characterized more by symptoms, suffering and disability than by any demonstrable organic abnormality.

IBS can develop at any age, but most people have their first symptoms between the ages of 20 and 35. Symptoms may come and go and you may not have any symptoms for months and then experience a sudden flare-up. Common symptoms include, abdominal pain, feeling sick, indigestion, headache, backache, combined with an altered bowel habit that can be either constipation or diarrhoea predominant or a mixture of the two.

Although specific IBS symptoms may respond to certain medications unfortunately to date no single medication or class of medications has been demonstrated to be consistently successful in relieving the full spectrum of IBS symptoms. Traditional treatments for IBS include dietary therapy, antispasmodic medication and antidepressants; however it is important to note that only 25% of people who suffer with IBS symptoms respond to these traditional treatments methods.

A new understanding of IBS

Currently IBS being redefined as a disorder of brain gut dysfunction that does not fit into a specific psychiatric or medical condition. Doctors therefore are now moving from the disease-based model to a biopsychosocial understanding of this disorder. This model proposes that biological, psychological (thoughts, emotions, and behaviours), and social factors interact to play a significant role in the initiation and perpetuation of the disease or illness.

Cognitive Behavioural hypnotherapy combines hypnotherapy, clinically proven to relieve symptoms, and cognitive behavioural techniques, to directly address the maladaptive thought processes and behaviours that emerge from and perpetuate IBS. This therapy approach exemplifies this biopsychosocial
understanding.

Hypnotherapy for IBS is widely recognised as one of the success stories. Response rates to treatment have been identified as 80% or more in most published trials with evidence suggesting that individuals who respond to hypnosis treatment for IBS can generally look forward to years of reduced bowel symptoms.

It has been also been identified that many people with IBS frequently suffer from anxiety and depression and worry excessively about their illness and symptoms. The combination of cognitive behavioural techniques with hypnosis therefore allows the client to directly focus on changing these maladaptive thinking patterns. Clients learn how to modify their beliefs about illness, chronic pain and discomfort. They also learn how to challenge the catastrophic thought processes they may be experiencing about the social and occupational consequences of their gastrointestinal symptoms. This allows them to change their morbid pessimism about their condition and any perceived helplessness about their ability to cope with this disorder.

If you already work with clients who suffer from IBS or wish to see clients who present with IBS or are simply interested in the subject then the Moya Layton CCBH Master Class on IBS is for you.

IBS is a complex and multifaceted disorder and the effective use of Cognitive Behavioural Hypnotherapy will teach you how you develop a well-established effective therapy programme for your client. This therapy not only addresses the IBS symptoms themselves, but also challenges the distorted dysfunctional thinking patterns that underpin and perpetuate this chronic and distressing disorder allowing clients to understand that they can finally gain control over their symptoms.

 

IBS is a complex disorder

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