Food and symptom journalling can be effective when used properly. However, it can also pull you into symptom hypervigilance and the Conditioned Food Avoidance and Sensitivity Trap (C-FAST). Join Wendy and Dr. Melissa Hunt for tips on avoiding these pitfalls. We will also discuss how the brain amplifies sensations in the body and how you can turn the volume down on this communication. Melissa G. Hunt is a licensed clinical psychologist and serves as the Associate Director of Clinical Training in the Department of Psychology at the University of Pennsylvania.  She is a Fellow and Diplomate of the Academy of Cognitive Therapy and a member of the Rome Foundation Psychogastroenterology working group. Dr. Hunt conducts research on the best approaches for stress management, and into the causes and treatment of depression, anxiety disorders and chronic GI disorders. As a clinical scientist, her emphasis is on translating basic psychological science into treatments that are effective, acceptable, and accessible to patient populations. Her work focuses on identifying the underlying patient factors (e.g. unhelpful beliefs and maladaptive avoidance) that lead to reduced quality of life, impairment and distress, particularly factors that exacerbate chronic health problems and make them harder to cope with, and on developing and disseminating evidence based, empirically supported treatments for folks with GI disorders.  In addition to her research, she maintains an active private practice in clinical psychology in which she specializes in cognitive-behavioral treatment with patients with chronic GI disorders, as well as co-morbid mood, anxiety, obsessive-compulsive, and trauma disorders.  She is the author of two evidence-based, empirically supported self-help books that make CBT accessible to patients with IBS and IBDs, as well as an empirically supported treatment manual on CBT for IBD patients.  You can reach Dr. Hunt at mhunt@psych.upenn.edu.

Annie shares her story of how the bulimia she developed as a teenager morphed into food sensitivity restrictions while she was enrolled in a “wellness” program. She developed chronic health problems and believed that food was the cause and that a restricted diet was the cure. Annie shares how these restrictions impacted her life and how she broke out of the trap and is now enjoying freedom from food. Annie is a recovered trauma-informed eating disorder mentor and intuitive eating facilitator with a dedicated focus on addressing misinformation in wellness spaces. She connects individuals with vital resources and offers specialized eating disorder recovery coaching, collaborating closely with other treatment providers. Her mission is to guide individuals towards a healthier relationship to food and self, while also equipping them with the skills to navigate and discern accurate information amidst the challenges of misinformation in wellness environments. You can read more about her story here.

Amy Slabaugh is a returning podcast guest. We released an episode in September 2023 talking about her journey with chronic, debilitating headaches and the importance of taking one road at a time (i.e. systematically trialling new treatments). Through this approach, she discovered brain training tools that dramatically improved her quality of life. Amy Slabaugh is a registered dietitian nutritionist specializing in intuitive eating and the dietary management of irritable bowel syndrome (IBS). In her practice, she loves working with people to foster a positive relationship with food and learn to nourish their bodies in a way that promotes health. For those who are experiencing adverse reactions in response to food, her goal is to help clients work toward minimizing their symptoms and improving their quality of life. Providing counseling for clients as they work through the C-FAST Treatment course is a great way to do this. You can reach Amy at AmySlabaugh.com.

Dr. Biesiekierski discusses her groundbreaking research, highlighting the interaction between mind and body in food sensitivity reactions in irritable bowel syndrome (IBS). Her research was a key finding to support IBS (and other conditions) being classified as Disorders of Gut-Brain Interaction (DGBI).   Dr. Biesiekierski's research focuses on improving diet management for gastrointestinal disorders (particularly irritable bowel syndrome and functional dyspepsia) through mechanistic insights along the gut-brain axis. She is a researcher and senior lecturer with the Department of Nutrition, Dietetics and Food at Monash University in Australia. You can reach Dr. Biesiekierski through the Monash University website here.

Dr. Laurie Keefer, GI Health Psychologist, discusses the importance of a flexible mindset in food reintroduction for chronic digestive disorders. She emphasizes resilience, curiosity, and self-compassion in navigating food sensitivities. The podcast explores the gut-brain connection, managing symptoms, and building resilience in health journeys.

Health psychology focuses on how biological, social and psychological factors influence all aspects of health. However, many people are reluctant to see a health psychologist because the recommendation can sound like, “Your symptoms are in your head” or “Your symptoms are caused by stress; just relax, and you will feel better.” This is such a prevalent problem that I wanted to learn more about this field and explore the difference between health psychology and general mental health counselling. We are fortunate to have Dr. Megan Riehl on the podcast today to explain the difference. Dr. Megan Riehl is a GI psychologist who is a key opinion leader in the area of psychogastroenterology. She is an Associate Professor of Medicine and the Clinical Director of GI behavioral health at the University of Michigan. She is also the Director of Behavioral Health Services and Support for GI OnDemand. Dr. Riehl's clinical research focuses on the delivery of GI behavioral health treatment for patients with disorders of the gut-brain and IBD. Dr. Riehl participates on several national committees dedicated to research and education to enhance the psychosocial functioning of patients with gastrointestinal problems. Together with expert GI dietitian Kate Scarlata, she has co-authored a new book for those living with IBS – Mind Your Gut. Mind Your Gut is available in March 2024. Learn more here.

Dr. Simons, a GI psychologist, discusses the role of symptom expectancy in exacerbating food sensitivity symptoms. Topics include how past experiences influence reactions to food, psychological flexibility in navigating symptomatic challenges, and gradually expanding diets for food tolerance and joy.

We will discuss how signals between the gut and the brain (gut-brain access) become amplified in irritable bowel syndrome and strategies for calming this communication. The brain similarly communicates with other body parts, so the concepts and strategies apply to symptoms throughout the body. Joanna Baker is a Dietitian & a Nurse who loves food. Her passion for digestive health stems from a long history of living with gut problems. Joanna knows first-hand how debilitating gut problems can be, but also how much better life is when its well managed. At Everyday Nutrition she works with a team of amazing dietitians who love to support people to resolve digestive issues and make peace with food.

Amy Slabaugh, a registered dietitian nutritionist specializing in intuitive eating and managing IBS, shares her journey to wellness, emphasizing the importance of exploring one road at a time. Topics include navigating food intolerances, holistic healing modalities, empowerment in managing chronic health symptoms, and embracing health challenges with empathy. Amy's experience with migraines showcases perseverance and the importance of taking small steps towards better health.

You are probably familiar with the vicious cycle of food avoidance leading to additional sensitivities. Dr. Burton Murray will share her clinical experience, and research showing this cycle can be reversed! She describes avoidant/restrictive food intake disorder (ARFID) and how cognitive behaviour therapy can help patients regain a full quality of life. Dr. Helen Burton Murray is the Director of GI Behavioral Health in the Massachusetts General Hospital Center for Neurointestinal Health. Dr. Burton Murray specializes in psychogastroenterology, specifically in the intersection of gastrointestinal conditions and eating disorders. She has a particular expertise in the treatment of rumination syndrome and avoidant/restrictive food intake disorder.  To learn more about the GI behavioural Health clinic at the Massachusetts General Hospital Center for Neurointestinal Health, please call 617-726-5565.