I've had IBS for about 20 years and it was bad at first, at least, the anxiety associated with it made it really bad. I was young and most doctors didn't know much about it. Then, a lot of that seemed to go away and I was able to manage everything pretty well. I always had IBS-C tendencies and would have D now and then, but b/c it was so sporatic - months apart - it didn't bother me too much, although, the problem was always in the back of my head. The past 6 months or so have been hard. My anxiety is back and IBS-D is more prevalent. I'm working with my GI on this and am going to be evaluated at an anxiety clinic at a local university so that I can start CBT and I'm looking forward to it, actually. I'd really like to get to the core root of the problem, but it looks like that will take some time. It's all such a vicious cycle. My GI wants me to take Metamucil, which I tried, but it's so very hard to find the right dosage. I'm going back on it tomorrow and all I can be is hopeful. What really ticks me off is what IBS and anxiety can do to a person. I mean, my routine (lately) goes something like this: IBS-C for 2-3 days, followed by one or two episodes of D in the same day. C doesn't bother me except for the bloating that sometimes goes along with it. It's the D that gets to me, like most others. But what is so irritating is that the whole D episode may last a total of 20 minutes (including cramping beforehand), but I will obsess about it after it happens (wondering what I could have done differently to prevent it and such) and it can ruin my day. Just like I can obsess over the fact that it MAY happen, like I did last night at a friend's birthday party. It's torture and I can't wait to start therapy! Whew. I just had to get that out. Thanks.