Wednesday, June 3, 2009
DDW: Who are your IBS patients?
They are likely problem-solvers, the ones always pitching in for the neighborhood bar-b-que or organizing the carpool to a kids event. They look for control, and when it comes to irritable bowel syndrome (IBS), that's a major stumbling block, said Jeffrey M. Lackner, a clinical psychologist specializing in working with IBS patients and director of the Behavioral Medicine Clinic at the University at Buffalo (NY). He recommended cognitive behavior therapy for patients who:
- Prefer a non-drug option,
- Have persistent IBS without significant relief from first-line treatments,
- Have moderate to severe symptoms,
- Have an impaired quality of life, or
- Display illness behaviors such as seeking reassurance or requesting testing.
During today's session with Dr. Tillisch he said IBS patients need to learn coping strategies to manage controllable as opposed to uncontrollable factors. One way, he said, is to ask, "What can I do about this," then accept that answer or at least resign yourself to whatever that is. Cope by commiserating with friends or using relaxation techniques.
"Try to handle the unpleasantness of the problem versus solving or controlling it," he said.
--By Paula S. Katz, special to ACP Internist
Labels: digestive disease week, IBS
posted by Janet Colwell at
1:00 PM
ACP Internist hosted Grand Rounds on June 16, wrapping up the best of the medical blogosphere. Click here for the complete wrap-up.
Contact ACP Internist
Send comments to ACP Internist staff at acpinternist@acponline.org.
Previous Posts
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- News from Digestive Disease Week: PPIs and CAT
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