The Healthy Practice podcast from WriteUpp recently delved into a compelling conversation with Tina Wright, a renowned cognitive behavioural psychotherapist and IBS expert. Tina, who brings a wealth of experience in mindfulness and chronic pain management, shared her profound insights on the intricate link between the mind and physical health, particularly focusing on Irritable Bowel Syndrome (IBS) and its relation to stress. You can watch the episode here:

Tina’s path to becoming an IBS therapist was personal and professional. Having battled postnatal depression and generalised anxiety disorder, her fascination with the human mind led her to pursue a career in psychology. Her experience working in the NHS and her own struggles with fibromyalgia and gut issues fueled her interest in the interconnectedness of mental and physical health.

The Gut-Brain Axis: A Paradigm Shift in Understanding IBS

The gut-brain axis is a complex and bidirectional communication system between the gut and the brain. This axis includes not only the nervous system but also involves hormonal and immune pathways. It allows the brain to influence intestinal activities, such as motility, secretion, and immune function, and conversely, it allows the gut to affect brain functions, influencing mood and cognitive processes. 

This connection is made possible by the vagus nerve, one of the longest nerves in the body, which transmits signals in both directions. Moreover, the gut microbiota, a diverse community of microorganisms in the digestive tract, plays a crucial role in this axis. These microbes can produce various substances, including neurotransmitters and metabolites, impacting brain function, mood, and overall health. 

Understanding the gut-brain axis can significantly enhance our comprehension of IBS, a complex condition characterised by symptoms like abdominal pain, bloating, and altered bowel habits. Here’s how the gut-brain axis relates to IBS:

  1. Psychological stress and gut response: The gut-brain axis explains how psychological stress can exacerbate IBS symptoms. Stress can stimulate the brain to send signals to the gut, leading to gut motility, sensitivity, and secretion changes, which can manifest as IBS symptoms.
  2. Gut microbiota and IBS: The gut microbiome plays a crucial role in the gut-brain axis and has been found to be altered in IBS patients. These changes in gut bacteria can influence gut function and immune response, contributing to developing or worsening IBS symptoms.
  3. Neurotransmitter production: The gut microbiota can produce neurotransmitters, like serotonin, which regulate gut motility and sensation. An imbalance in these neurotransmitters is thought to be associated with IBS symptoms.
  4. Visceral hypersensitivity: The gut-brain axis is involved in the development of visceral hypersensitivity, where the brain becomes more responsive to signals from the gut. This heightened sensitivity can increase the perception of pain or discomfort in IBS patients.
  5. New therapeutic approaches: Understanding the gut-brain axis has led to new treatment approaches for IBS, including psychological therapies like cognitive-behavioural therapy and gut-directed hypnotherapy, as well as probiotics and dietary modifications to influence gut microbiota.

The gut-brain axis offers a comprehensive framework for understanding the complex interactions between the brain, gut, and microbiota in IBS. This understanding is crucial for developing effective treatments and managing IBS more effectively.

The Role of Stress and Perfectionism in Healthcare

Expanding on Tina’s insights reveals a deeper understanding of how chronic stress and personality traits like perfectionism can profoundly impact the lives of healthcare professionals.

Therapists and healthcare workers often operate in high-pressure environments with extremely high stakes. This constant pressure can lead to chronic stress, which is a significant trigger for IBS symptoms. The stress experienced by healthcare workers isn’t just limited to their professional responsibilities; it often extends into their personal lives as they struggle to maintain a work-life balance, leading to a perpetual state of stress and burnout. This unrelenting stress can disrupt the gut-brain axis, exacerbating gastrointestinal symptoms such as abdominal pain, bloating, and irregular bowel movements, which are characteristic of IBS.

Many healthcare professionals also exhibit perfectionism, a personality trait characterised by setting high standards and being overly critical of yourself. While this can drive excellence in patient care, it can also lead to increased stress, anxiety, and a relentless sense of not meeting your own expectations. This heightened state of mental strain can further aggravate IBS symptoms, creating a vicious cycle where stress exacerbates IBS, and the discomfort of IBS adds more stress.

Recognising these challenges, Tina suggests mindfulness and self-compassion as powerful tools for healthcare professionals to manage their stress and perfectionist tendencies. Mindfulness involves being present in the moment and acknowledging your thoughts and feelings without judgement. This practice can help you step back, assess your stressors more objectively, and reduce the intensity of your perfectionist impulses. Self-compassion encourages individuals to be kind and understanding to themselves, especially in moments of perceived failure or inadequacy. By adopting a more compassionate approach towards themselves, therapists can mitigate the negative impact of perfectionism and reduce stress levels, potentially alleviating IBS symptoms.

Practical Strategies for Managing IBS and Stress

Tina offered several strategies for people dealing with IBS, particularly those in high-stress professions:

  1. Mindfulness practices: Engaging in daily mindfulness activities, like spending time in nature or enjoying a mindful cup of coffee, can significantly reduce stress levels.
  2. Rethinking perfectionism: Adopting a more compassionate approach towards oneself and adjusting expectations can alleviate the stress associated with perfectionism.
  3. Managing work-life balance: Incorporating breaks and leisure activities, like spending time with pets, can provide necessary respite from the demands of professional life.

Embracing a Holistic Approach to Health

Tina Wright’s discussion on The Healthy Practice is a powerful reminder of the profound connection between our mental and physical well-being. Her journey from personal struggle to professional expertise offers valuable insights and strategies for anyone looking to manage IBS or stress-related issues. As Tina eloquently puts it, understanding and treating conditions like IBS requires a holistic approach that acknowledges the mind’s and body’s intricate interplay.

To find out more about Tina and her work, head to her website:

You can listen to more episodes of The Healthy Practice or watch them on WriteUpp’s YouTube channel.


Ellie is WriteUpp’s in-house Content Creator. Her research and writing for private practitioners focuses on marketing, business growth, data security, and more. She also hosts WriteUpp’s podcast The Healthy Practice; the show that guides practitioners in the early stages of their careers through every aspect of practice management. Outside of work Ellie writes a mental health blog, studies mindfulness and is a keen nature photographer.