How to Manage the Emotional Effects of Crohn’s Disease

8 Ways to Manage the Emotional Effects of Crohn’s Disease

4. Plan Ahead

Alleviate anxiety about unpredictable symptoms by being prepared. Take an emergency kit with you when you go out: A change of clothes, a slim pack of wet wipes, and other supplies can fit into a small bag. And planning ahead by scouting bathrooms when you travel somewhere new can also help you ease worry.

5. Expect Emotional Turbulence

“It’s not uncommon for people with Crohn’s to feel stress,” Spencer says. “There can be some depression and mood swings. In some cases, some of the meds can be the cause.”

The important thing is not to let your stress —and any related feelings of worry, distress, or sadness — get to the point where it seems like they’re negatively affecting your health. Practicing stress-management techniques like mindfulness meditation or deep breathing may help you find acceptance, and learn to sit with difficult emotions until they pass, lessening their impact on you.

Research backs up this idea as well. One review of studies that tested mindfulness-based techniques on people with IBD found that they improved stress and health-related quality of life in the short term, compared with people who didn’t use the techniques; stress was also improved in the long term.

6. Treat Depression and Anxiety

  • Low mood
  • Weight loss or gain
  • Insomnia or sleeping too much
  • Moving or talking faster or slower than you typically do
  • Increased fatigue
  • Loss of interest or pleasure in things you usually enjoy
  • Feeling guilty or worthless
  • Finding it hard to concentrate or make decisions
  • Suicidal thoughts
Lifestyle changes such as exercise may help, but don’t hesitate to talk to your doctor about professional counseling, such as psychotherapy, or antidepressant medication.

Similarly, it’s important to get a handle on anxiety for the sake of your health. Symptoms can include:

  • Feeling a lack of ease, panic, or danger
  • Difficulty sleeping
  • Cold, clammy, or tingling hands or feet
  • An inability to remain calm
  • Breathing issues
  • Increased heart rate
  • Dizziness
  • Dry mouth
  • Repetitive thoughts about the same concern
  • Inability to concentrate
  • Being fearful
As with depression, self-care methods like yoga, meditation, tai chi, and exercise can help with feelings of anxiety, as can therapy and, in some cases, medication.

7. Find a Crohn’s Support Group

“Many people tend to isolate themselves when they have Crohn’s disease,” Spencer says. “It’s better to share and to realize that it’s not uncommon to feel stress.”

While it’s important to be able to rely on your friends and family for emotional support, there are times when talking to other people living with the condition can be helpful. That’s why joining a Crohn’s support group, whether online or in-person, can be useful. In group settings, you can share information and get validation, and it can serve as a safe space to share your feelings.

Organizations such as the Crohn’s & Colitis Foundation and Color of Gastrointestinal Illnesses both list options on their websites; online communities also exist on social media platforms like Facebook and Reddit.

“Online communities can be very important,” Spencer says. “It’s a place where people can post personal stories.”

8. Start a Journal

Take time — once a day, once a week, or whenever you have a spare moment — to write down your thoughts. “Letting out your feelings in a notebook or journal can be very helpful,” Spencer says. You can also use this journal to take note of how your emotions affect your Crohn’s symptoms.

While processing your emotions won’t control Crohn’s on its own, it can help you better cope with the effects of Crohn’s on your life.

The Takeaway

  • Difficult emotions and mental health conditions such as depression and anxiety are believed to be more common among people with Crohn’s disease than in those without inflammatory bowel disease.
  • While you may experience difficult emotions related to the disease process itself, medications you take, or the experience of living with Crohn’s, there are coping tools that can help ease their impact.
  • Experts recommend following your Crohn’s treatment plan, planning ahead to reduce anxiety, seeking peer support, and treating mental health conditions to ensure the best outcome for both mental and physical health.