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Why Hypnotherapy for IBS?

You might think that the obvious favouring of hypnotherapy for the treatment of Irritable Bowel Syndrome on this site is solely due to the founder's slant being a hypnotherapist himself; however there are strong research findings that also heighten the role of hypnotherapy in terms of long-term recovery/management.

 

As seen from the clinical information on the previous pages (IBS at a Glance & What is IBS?) we have a good idea about the medical definition/diagnostic tests; but why is this relevant to hypnotherapy as a very effective intervention?


IBS usually expresses its symptoms in the area of the colon, although the sufferer can experience effects along the whole of the gastro-intestinal tract, from the oesophagus and stomach with symptoms including reflux, belching and nausea (which is functional dyspepsia and of a similar nature and treatment approach). The colon is the large intestine that rises from the small intestine on the right hand side of the body and descends on the left hand side to the rectum and then anus. The bowel’s habit is in terms of the volume of material it can accommodate before sending signals denoting a need to empty is also affected.


In IBS the control would appear to be dominated by the Sympathetic Nervous System - one related more to anxiety, fear and stress than it's name suggests! Thus the sufferer's stress and anxiety is effectively being expressed through the Colon going into spasm.


Hypnotherapy, with the specific gut targeted therapy/visualisations switches the nervous control of the colon to the Parasympathetic Nervous System one of calmness and much reduced anxiety - preventing the colon from going in to spasm and ensuring the slower transit of digested food through normal peristalsis (waves of contraction and relaxation) that progress the contents of the colon along its length at a slow speed to allow for the absorption of liquid. Hypnotherapy has also been demonstrated in published research to normalise a dysfunctional bowel - that is to say in IBS-D it decreases the hypersensitivity and in IBS-C it increases hyposensitivity; it has no effect on a normal bowel sensitivity.


The effectiveness of hypnotherapy as a treatment of Irritable Bowel Syndrome has been rigorously tested - especially that of the 'Manchester Model' developed by Professor Peter Whorwell of the NHS South Manchester Functional Bowel Service.


As the audit of hypnotherapy as an intervention in the treatment of IBS, Whorwell (et al) 2002*, concludes "...it has been shown that their [drugs] beneficial effect is lost shortly after cessation of treatment...which is in sharp contrast to hypnotherapy where the symptomatic improvement is long-lasting." This study was of the treatment of a statistically important 250 patients.


The success rate for hypnotherapeutic interventions is about 80% of people gaining an improvement in their bowel habit, reduction of pain, occurrence of diarrhoea. The gains are slightly higher for women than men.


It has also been demonstrated through research in 1998 [Galovoski and Blanchard]** that an individual's hypnotic ability (i.e. how deeply you enter trance) is not a factor in determining a successful outcome in treatment for IBS.


So you don't have to have any special skill/ability to gain from a hypnotherapy intervention for treating IBS.


Hypnotherapy was also included from the 2008 NICE [National Institute for Health and Clinical Excellence] clinical guidelines, under psychological interventions, as a third option (the others being diet and medication) for the management of IBS and particularly for individuals who have had the syndrome for over 12 months.


Other types of alternative/complementary health practitioners will also be listed on this site as it develops.



 *(Hypnotherapy in Irritable Bowel Syndrome: a Large-Scale Audit of a Clinical Service With Examination of Factors Influencing Responsiveness – W.M Gonsalkorale PhD, L.A. Houghton PhD., and Peter Whorwell MD FRCP – The American Journal of Gastroenterology Vol 97 No 4 2002).

**(Galovoski T.E., Blanchard E.B. 'The Treatment of Irritable bowel Syndrome with Hypnotherapy' Applied Psycophysiological Biofeedback 1998;23;219-32)