You’ve done all the elimination diets. You’ve followed up with multiple gastroenterologists, you’ve even tried some of those older antidepressants like Nortriptyline. And you’re still in the bathroom at 6 am, wondering if this is just life now. 

Having a brain-gut issue that isn’t responding to care is demoralizing and exhausting. Let’s think about why that is and how to frame this for your brain next.

Why Gut Psych Patients Are Especially Vulnerable to Demoralization