Cognitive-behavioral Treatment of Irritable Bowel Syndrome: The Brain-gut Connection
Irritable Bowel Syndrome (IBS) is the most common functional gastrointestinal disorder, causing pain, discomfort, and embarrassment to millions. While medically based treatments have demonstrated only limited effectiveness, recent research strongly supports the role of psychosocial factors in both symptom expression and symptom control. This book presents a brief cognitive-behavioral treatment approach that is suitable for use with individuals or groups. Delineating a clear medical rationale, the authors help clinicians both to reduce the stigma associated with IBS and to overcome client resistance to psychological treatment. Effective techniques are outlined for helping clients manage anxiety, anger, and shame; enhance their self-efficacy and stress management skills; and alleviate gastrointestinal distress. Session-by-session guidelines are illuminated by such useful features as sample therapist-client dialogues, lists of important points to cover, troubleshooting tips, and examples of recommended handouts and forms. Also covered in depth are treatment issues specific to women.
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abuse activities assertiveness assessment associated automatic thoughts bathroom beliefs bowel movements bowel performance anxiety bowel symptoms chronic clients with IBS clinical cognitive cognitive restructuring cognitive therapy cognitive-behavioral model cognitive-behavioral therapy cognitive-behavioral treatment control group coping depression Description use number diarrhea discussion distress Drossman eating emotional ents example experience explore factors feel feminist therapy focus friends functional bowel disorders gastroenterologists gastrointestinal symptoms gate theory gender role goals Group session helpful responses his/her IBS symptoms IBS-related identify illness important individual session individuals with IBS intervention irritable bowel syndrome issues mental health mood negative Number of bowel Padesky pain patients with IBS perfectionism person physical symptoms problem thinking patterns psychiatric psychological psychosocial reactions relationship relaxation self-efficacy self-help assignments Session Theme shame significantly situations somatic disorders specific stigma strategies stress stressors symp techniques therapeutic therapist Thought Record tion tive Toner treatment of IBS unhelpful women
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