Amy Weiman Objectives Understand irritable bowel syndrome Realize that cognitive behavioral therapy CBT can be an effective counseling method Observe techniques in brief counseling session Review outcome of session using CBT ID: 323148
Download Presentation The PPT/PDF document "Cognitive Behavioral Therapy and Irritab..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Cognitive Behavioral Therapy and Irritable Bowel Syndrome
Amy WeimanSlide2
Objectives
Understand irritable bowel syndrome
Realize that cognitive behavioral therapy (CBT) can be an effective counseling methodObserve techniques in brief counseling sessionReview outcome of session using CBTSlide3
Introduction to IBS
Irritable Bowel Syndrome (IBS) is a GI disorder characterized by recurrent abdominal pain, discomfort and bloating, accompanied by alterations in bowel movements such as constipation and diarrhea.
10-15% of Americans have IBSThere is a link between IBS and stress and anxiety
There is no cure – follow
Low
Fodmaps diet Studies show that managing stress and anxiety can be effective in controlling IBSSlide4
Cognitive Behavioral Therapy
Our
thoughts cause behavior
We can change the way we think/
feel
Learning how to think differently leads to changeSlide5
CBT continued…
Counselor’s
role: listen, teach and encourageClient’s role: express
concerns, learn and implement that
learning
Focus on specific concepts/techniquesHelp clients “unlearn”Change irrational
thinking
patternsSlide6
Techniques to implement
motivational
interviewinggoal settingproblem solvingbehavior
modification
self-
monitorSet behavior change goalsUse stimulus controlSlide7
CBT and IBS
aims
to help patients change their habitual thoughts, feelings, and behaviors that magnify stress
and negative moods by applying a series of self-exploration exercises and stress reducing strategies.
Slide8
CBT and IBS
Effective techniques:
Diaphragmatic/abdominal breathing,
Progressive
muscle
relaxationVisualization/positive imageryHypnosis
Desensitization (gradual exposure to something feared)Slide9
CBT in ActionSession # 2
Meet Julie:
23 year old female Current weight: 108lbsUsual weight: 123lbs
Recent diagnosis of IBS
History of gastrointestinal problems
Suffers from anxiety Full-time office job involving long phone calls and in-person client meetings usually over mealtime (at a restaurant) Currently afraid to eat anything because of undesirable symptoms at unpredictable times Slide10
Conclusion
Julie was under the impression that IBS is strictly food related
Counselor helped her realize on her own that other factors might play a role Julie began to think about her diagnosis differently Julie is still skeptical but is willing to give some relaxation techniques a try
Counselor left it open-ended, allowing Julie to decide if relaxation will help her or not
Bringing this new idea to Julie’s attention will take time for her to decide if it is true for her or not
Julie is open to thinking about her diagnosis and its treatment differently nowSlide11
Sources
Craske, Michelle G., and Kate B.
Wolitzky-Taylor. "A Cognitive-Behavioral Treatment for Irritable Bowel Syndrome Using Interoceptive Exposure to Visceral Sensations."
NCBI
. U.S. National Library of Medicine, June 2011. Web. 17 Nov. 2013. <http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3100429/>
."IBS Symptoms | IBSgroup.org
."
IBS Symptoms |
IBSgroup.org
.
N.p
.,
n.d
. Web. 17 Nov. 2013. <http://
www.ibsgroup.org
/symptoms>
.
Kennedy, Tom, and Roger Jones. "Cognitive
Behaviour
Therapy in Addition to Antispasmodic Treatment for Irritable Bowel Syndrome in Primary Care:
Randomised
Controlled Trial."
BMJ
. BMJ Publishing Group,
n.d
. Web. 17 Nov. 2013. <http://www.bmj.com/content/331/7514/435>.
Shepherd, Sue, and P. R. Gibson.
The Complete Low-FODMAP Diet: A Revolutionary Plan for Managing IBS and Other Digestive Disorders
. New York: Experiment LLC, 2013. Print.
"Stress, Psychological Factors, and IBS."
-
AboutIBS.org
.
N.p
.,
n.d
. Web. 17 Nov. 2013. <
http://www.aboutibs.org/site/what-is-ibs/intro-to-ibs/stress-psychological-factors
>.
"What Is Cognitive-Behavioral Therapy?"
What Is Cognitive-Behavioral Therapy?
N.p
.,
n.d
. Web. 17 Nov. 2013. <http://
www.nacbt.org/whatiscbt.htm
>
.