Cheatsheet
IBS, the Gut–Brain Axis, and Fear of Symptoms
A session map for psychological work with IBS inside an established medical plan: attention, shame, avoidance, control, and quality of life.
Criteria, checks, and next step
01
Medical context
Clarify the current plan.
- What explanation and treatment plan were provided?
- Which symptoms are familiar and which have changed?
02
Attention and prediction
Map the fear cycle.
- What does the client predict at the first sensation?
- Which actions briefly reduce fear?
03
Shame and control
Explore social meaning and rigid rules.
- What reaction from others is feared?
- How do strict rules affect flexibility and nutrition?
04
Quality of life
Restore valued participation.
- Which activity matters even without perfect control?
- What experiment fits the medical plan?
Summary
Reduce the decision to a few points
- Define a minimally sufficient log.
- Choose one activity for gradual return.
- Agree on conditions for renewed medical assessment.
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