Title : The psychology of disorders of gut-brain interactions
Abstract:
This keynote examines the bidirectional gut-brain axis and its clinical relevance for gastroenterology practice, emphasizing that psychological and emotional states influence gastrointestinal symptoms through real, measurable physiology-and that GI symptoms can, in turn, shape mood, cognition, and quality of life. Many patients with chronic or recurrent gastrointestinal complaints experience persistent distress even after appropriate medical evaluation. Rather than positioning these symptoms as “psychological,” this presentation frames them as an integrated neurobiological process involving the enteric nervous system, autonomic regulation, visceral hypersensitivity, interoception, and threat appraisal. Attendees will learn a stigma-free, clinician-friendly model for explaining symptom persistence (“real symptoms, real biology”), along with practical communication strategies and care pathways that can enhance patient understanding, adherence, and outcomes. The talk will also review evidence-informed interventions that complement standard GI care-including gut-directed behavioral approaches and referral triggers-supporting a multidisciplinary, coordinated approach to patient management.

