Curbside Consultation in IBS: 49 Clinical Questions

Brian E. Lacy, PhD, MD

Question 46: What is Behavioral Therapy and Will it Help my Patients with IBS? (continued)

Chris Radziwon, PhD; Jeff Lackner, PsyD

The past 20 years has witnessed the development and application of multiple psychosocial therapies for irritable bowel syndrome (IBS). Their theoretical roots are grounded in the biopsychosocial model that holds that individual biology (eg, genetic predisposition, GI physiology), behavior, and higher- order cognitive processes (coping, illness beliefs, abnormal central processing of gut stimuli) influence the expression of IBS symptoms through their interaction with each other, with early life factors (eg, trauma, modeling, parenting practices), and with the individual’s sociocultural…