Prevalent Anxiety and Depression in Irritable Colon Symptoms
Patients with Irritable Bowel Syndrome (IBS), like other patients with chronic pain syndromes, have elevated anxiety and depression scores.
THE SEVERITY OF PSYCHOLOGICAL DISORDERS IS RELATED TO A GREATER SEARCH FOR HEALTH CARE, but it is also observed in non-consulting people with IBS AND functional dyspepsia (FD).
When the symptoms of anxiety, depression and somatization are sufficiently marked and persistent, they may meet the criteria for a psychiatric diagnosis.
Anxiety or depressive disorders often precede or coincide with the onset of the condition, but as we know, all dysfunctions and chronic medical conditions can be depresogenic in the long term.
Among the patients that we have been referring to with functional digestive disorders, the most frequent diagnoses are;
- DISORDERS OF ANXIETY, PANIC, GENERALIZED ANXIETY AND POST-TRAUMATIC STRESS
- MOOD DISORDER (MAJOR DEPRESSION AND DISTIMIA)
- SOMATOMORPHIC DISORDERS (HYPOCHONDRIA AND SOMATIZATION DISORDER)
In my personal clinic, over more than 35 years of practice, I must say that I FIND AN ASSOCIATION OF THE PANIC DISORDER WITH IBS, IN MORE THAN 50% OF THE CONSULTATIONS I RECEIVE.-
In this way, the classic and first-line treatment consists of teaching relaxation techniques, conscious breathing, meditative. Psychoeducation about both entities and cognitive resignification or the thoughts and assumptions that the patient brings with respect to her symptoms and ailments.
Thus, in irritable bowel syndrome accompanied by panic disorder, GI symptoms improve when panic is successfully treated, suggesting that the diarrhea is directly attributable to panic disorder.
If you wish to obtain information about the therapy offered by Lic. Bernstein, contact us at +5491136437426 and we will respond as soon as possible!
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