Coping with Inflammatory Bowel Disease’s (IBD) Physical, Mental, and Behavioral Health Implications

Thrive • Dec 20, 2022

A diagnosis that affects 1.3% of adults in the U.S., inflammatory bowel disease (IBD) can affect physical, mental, and behavioral health. The gastrointestinal condition may also lead to disordered eating and eating disorders. Those with IBD may benefit from a comprehensive treatment approach that holistically addresses their symptoms.

IBD, CROHN’S DISEASE, AND ULCERATIVE COLITIS

Characterized by persistent swelling within the intestines, IBD is a broad term that refers to two different chronic digestive conditions, which are:

  • Crohn’s disease: Can involve any part of the digestive tract; associated with swelling throughout multiple layers of the walls of the gastrointestinal system. 
  • Ulcerative colitis: Affects only the large intestine and rectum with inflammation presenting in the innermost layer of the lining of the colon. 

Unlike inflammatory bowel syndrome (IBS) , IBD involves structural abnormalities within the gastrointestinal system, while IBS is associated with functional complications within the digestive tract. Because the structural abnormalities caused by IBD are visible, clinical tests are typically able to detect the condition. IBS is not discernible on tests.  

SYMPTOMS OF IBD

IBD is a severe illness that can disrupt a person’s life. Symptoms of IBD include:

  • Abdominal pain constipation 
  • Bloating
  • Diarrhea
  • Fatigue
  • Malnutrition
  • Rectal bleeding
  • Weight loss

CAUSES OF IBD

Researchers don’t fully understand the causes of IBD. Still, the condition is possibly linked to a deficiency in the way the immune system reacts to harmful substances in the digestive system. IBD may also be associated with:

  • Family history of digestive issues
  • Disturbance in the balance of bacteria in the large intestine
  • Psychological factors including, stress, anxiety , and depression

HOW IBD AFFECTS MENTAL AND BEHAVIORAL HEALTH

IBD’s implications aren’t limited to physical struggles. Those with IBD may face an increased risk for:

  • Depression : The potentially debilitating symptoms of pain and fatigue in addition to social stigmas and a sense of isolation can contribute to feelings of depression. 
  • Stress and anxiety : IBD can make it difficult to carry out daily activities due to distressing digestive symptoms. 
  • Self-image struggles: IBD can lead to feelings of shame and body dissatisfaction, harming a person’s relationship with themself and their body.
  • Substance abuse : Those with IBD may turn to alcohol and drugs to cope with the mental and emotional struggles stemming from the condition. 
  • Disordered eating : IBD can contribute to restrictive eating behaviors that can become ingrained. 

IBD AND EATING DISORDERS

The relationship between IBD and eating disorders warrants further research. However, the many commonalities between IBD and eating disorders are well-established. The conditions share symptoms of weight loss, gastrointestinal issues , malnutrition , and immune system dysregulation . Because of their similarities, it can be difficult to distinguish whether an eating disorder or IBS is the cause of a person’s symptoms. In cases where IBD and eating disorders coexist , each condition can exacerbate the other. 

Those with IBD may also engage in disordered eating behaviors to control their symptoms. For individuals psychologically predisposed to eating disorders, IBD can contribute to the development of an eating disorder. 

MANAGING IBD

Although IBD has no known cure, the condition can be managed with medical care and therapeutic support. Medical treatment may involve medications, surgery, and other interventions. In regards to mental and behavioral health, modalities including cognitive behavioral therapy (CBT) and mindfulness-based therapies have been shown to help those with IBD .

MIND-BODY CARE FOR INDIVIDUALS WITH IBD

At Thrive Wellness, our interdisciplinary team of primary care providers, mental health professionals, registered dietitians, and other health care specialists are dedicated to providing integrated treatment to those struggling with their well-being, including those with IBD. Through care that encompasses the whole person, individuals with IBD can develop healthy strategies for coping with any physical and psychological struggles related to their condition. Reach out to learn more about our comprehensive health services.

By Sage Tippie 08 May, 2024
Thrive therapists recommend these texts to learn more about yourself and others, better your life and relationships, and shift your perspective as a whole.
By Sage Tippie 23 Apr, 2024
Spring Cleaning Benefits for Mental Health Spring is a time of new beginnings, change, and transitions, including in our homes. With the warmer weather kicking motivation into high gear, Spring can be a prime time to do a deep clean. Not only is a clean space aesthetically pleasing to the eyes, but it can also help to improve your mental health. Learn about how tidying up your space can also tidy up your thoughts below along with tips for cleaning when you’re struggling with your mental health. 4 Reasons Why Cleaning is Beneficial to Mental health 1.Decreased Stress Not only does an uncluttered space provide a sense of calm, but the physical act of cleaning can release feel-good endorphins, reducing feelings of stress and anxiety. As you cross tasks off your checklist, your body also releases Dopamine. Also known as the “happy hormone”, Dopamine provides a sense of accomplishment and pride that can promote motivation in other areas of our lives. 2. Improved Focus Studies have shown that an uncluttered space can also lead to an uncluttered mind. Your focus can be drawn away from important tasks by a chaotic, messy space. Research has also shown a connection between procrastination and clutter, as an unwillingness to tackle larger chores like cleaning can translate over into various areas of our lives. By keeping your space tidy, it can inspire you to stay on top of other major tasks like work and school assignments. 3. Regulated Emotions According to this 2015 study , cleaning can function as a practice in mindfulness, providing an increased sense of calm and inspiration. Slowing down while cleaning gives you room to relax and free your mind of burdens, stressors, and irritants that can affect your mental health. Cleaning can even be considered a practice of self-care as the action helps you to connect with yourself and the outcome allows you to better enjoy your own space. 4. Sense of Order and Control When experiencing mental health struggles, people may feel a lack of control over their lives and emotions. Cleaning even small areas of the home can provide an increased sense of order and control as you cross tasks off your to-do list. Through realizing your own power by simply completing minor tasks like cleaning, it can reaffirm your ability to do more. 10 Tips for Cleaning When Struggling with Mental Health Mental health struggles and disorders commonly create barriers to one’s ability to clean and properly practice personal hygiene. Although these behaviors are normal side effects of mental health disorders, we want to work to aid our clients in cleaning to the best of their ability even in difficult times. Below, Thrive Wellness occupational therapist Meadow Deason shares some helpful tips she gives to clients when they struggle with cleaning due to mental health conditions: 1.Ask For Help Having support to clean can make a huge difference. Do the cleaning with the person helping you and have them hold you accountable. 2. Don't Wait for Motivation Motivation might not come before action, but it can build as you begin to see the results of your efforts. 3. Start Small Start with one area or one task and go from there. For example, concentrate on your bedroom first and then move on to the living room and bathroom. 4. Do Something Daily Even if you do only one small cleaning task a day, doing that one task creates momentum and prevents small tasks from building up and becoming overwhelming. 5. Use Sensory Modulation Change your environment by playing music, adjusting the lighting, or using aromatherapy. This can help to put you in a new headspace for cleaning. 6. Start with "High Impact" Tasks Start with more intensive or all-over cleaning tasks such as picking up clutter or doing the dishes. The visual "noise" of some tasks makes a large impact on the entire space, building motivation to continue cleaning. 7. Make a To-Do List Write a detailed to-do list of tasks and cross them off as you go. Physically marking down what you’ve accomplished can promote increased motivation. 8. Reward Yourself Set up a reward system where you reward yourself with a favorite activity or item when you complete a task as an incentive to clean. 9. Use the Rocket Method Don't think about it, just choose a task, countdown from five or ten and then start. This can help you to avoid potential anxiety and dread that can prevent you from cleaning. 10. Gamify Tasks Make up a game for your tasks or time yourself to promote increased engagement in cleaning. Your ability to complete tasks can be affected by a multitude of different factors and conditions including OCD , anxiety, depression , ADHD , and more. If you are struggling with motivation due to your mental health, help is here at Thrive Wellness.
child getting bandaid from doctor while mother smiles
26 Mar, 2024
By serving the whole family, physicians are able to have a better understanding of family dynamics, family health care goals, and history of disease in the family.
More Posts

Start your healing journey today

NEXT STEPS

Are you ready to find hope? We can't wait to connect you with the care you need. To get started with us, please reach out using the link below.   

Obsessive Compulsive Disorder

Learn more →

Perinatal

Mental Health

Learn more →

Obsessive Compulsive Disorder

Learn more →

Perinatal

Mental Health

Learn more →
Share by: