Step 1. Provide information about IBS and normal GI functioning. Also discuss the role of stress.

Step 2. Analyze the patient's illness in terms of symptoms, circumstances of first onset, symptom triggers, contributing factors, and consequences.

Step 3. Teach relaxation techniques.

Step 4. Teach patients to identify irrational thoughts regarding their GI problems.

Step 5. Discuss ways people cope with the problems that chronic illness brings to daily life.

Step 6. Discuss ways to manage difficulties the individual may have in social situations caused by GI problems.