Gut–brain health
IBS & Gut–Brain Interaction
IBS is a disorder of gut–brain interaction: symptoms are real, physical and influenced by communication between the digestive system and nervous system.
The clinical perspective
An evidence-informed adjunct to conventional IBS care
Consultations consider the symptom pattern, its medical context, relevant lifestyle factors and the ways stress, attention, expectation and learned physiological responses may interact with symptoms.
This service does not replace gastroenterological assessment, investigation or treatment. A diagnosis should be established and red-flag symptoms appropriately assessed before behavioural treatment begins.
Where appropriate, treatment may include education about gut–brain interaction, behavioural strategies, Lifestyle Medicine and gut-directed clinical hypnosis. The approach is collaborative and adapted to the individual.
How the work is approached
Assessment, formulation and practical change
Appropriate assessment
A confirmed or clinically established diagnosis and review of relevant investigations.
Individual formulation
Understanding symptom patterns, triggers, avoidance, stress responses and current treatment.
Skills and practice
Structured therapeutic work supported by practice between consultations.
Collaborative care
Communication with the referring GP, gastroenterologist or psychologist where appropriate.
Important context
Part of appropriate clinical care
Suitability is assessed individually. No particular outcome can be guaranteed, and another form of medical, psychological or allied-health care may sometimes be more appropriate.
Where other clinicians are involved, coordinated care is encouraged.
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