Psychiatry, psychotherapy and Gastroenterology

The effects of psychological, social, and behavioral factors in gastrointestinal (GI) disease have received considerable clinical attention. Reviews of peptic ulcer, inflammatory bowel disease (IBD), and functional GI disorders, after discussing general issues of differential diagnosis. While the relationship with stress is clearer for the functional disorders, in the structural (organic) GI disorders, comorbid psychiatric disorders can adversely influence their management and outcome, particularly health-related quality of life

Some aspects of functional gastrointestinal disorders are described, with particular reference to psychiatric and psychological features. Seven syndromes or conditions, which may present not uncommonly in a gastroenterology clinic, are identified and clarified. Thereafter, the roles of a psychiatrist and other mental health professionals (psychotherapists, psychologists) within gastroenterology are described, with particular reference to what an integrated service may offer.

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