What you need to learn about fibro, anxiety and IBS is that they are
associated with the HPA axis in the brain that has become deregulated and this
is caused not only by a major event but by a lifetime of Allostatic load.
I call this “Death By A Thousand Paper Cuts” and what most patients don’t
understand is that endogenous stress (created by our personalities, thoughts,
beliefs and history) is the most damaging.
Asking a patient to see and understand how they cause or perpetuate these
conditions is like asking a fish to describe water. When it is all you know you
just don’t have any way to see it.
So while trying to track down a major stress event may be of interest that
event would not have set off these conditions without significant Allostatic
load....and if there is no event discovered it leaves the patient lost and more
frightened that they have some unknowable condition they will have
An unskilled clinician may hope to uncover the big event or catharsis –
this is futile. A skilled clinician will help the patient assemble hundreds of
tiny puzzle pieces until they stop the driving forces of the condition and the