KP,-I also was pretty young(20 years old) when my "IBS" started. I remember having tons on anxiety even some panic like attack's going on. It does at the time seem pretty over-whelming! My Dr. and family thought it would be a good idea to give me anti-depressants, anxiety drugs a chance. But, my feeling was long as I'm an adult I would prefer to make my own decisions. After doing alot of reading & speaking with others on these drugs, finding out some of the complications, side effects, etc. I decided to go the alternative route. I spent most of these years really working on stress reduction. Getting into meditation, massage, breathing exercises, bio-feedback, yoga, etc. Can make a HUGE difference. My anxiety level was reduced dramatically & I felt that I could at least have a somewhat normal life. I still continued to have digestive problems but at least it seemed alot more managable. Going the Drug route puts you on a type of merry-go-round. Sometimes you have to schuffle between different drugs, differents doses.etc. And even when you find the right "drug" for a while..it may not last!!!And your back on the merry-go-round. "IBS" is difficult enough to deal with!!!, adding these potential other problems seems like alot to carry!!! If your main symtom is D, why not first try taking some of the dozens and dozens of different supplements for this?? One of them may work for you!!!!I know many people who have found relief from D or at least minimized the intensity. Searching this board, talking with others who found relief, reading every book on the topic, may give you the ANSWERS!!!What you need mostly is the right attitude to deal with this. Staying as positive as you can, realizing there are many people also suffering with this who have found relief, & not GIVING UP!!!!Good Luck!!!