I have lived with IBS-C for 13 years now and know exactly how you feel. It is both physically and emotionally taxing. I was able to manage my symptoms very well for a number of years, with modifications along the way as new issues arose. In the last 12 months, my symptoms have changed fairly dramatically and affected my quality of life very negatively. I was already in a low place with these new symptoms and how limiting they have been, but the icing on the cake came this last week. To begin with, someone who I thought was a close friend, become angry and very judgmental of me because I'm not just able to handle it all, 'suck it up' and never have a need to cancel plans because I've had a sudden onset of an episode. The end result has been that she decided she no longer wishes to be friends with me. The real icing though, came the same day as the friend incident, when I went in to see my gastro specialist. The nurse practitioner who I was seeing (she is a 'Physician extender' for my gastro specialist) came into the room, already angry with me because she thought I was late to my appointment, which I most definitely was not. I then endured an hour of her verbally abusing me which included her telling me how I "obviously have emotional problems" and that my IBS is a result of my emotional problems. She also repeatedly told me how I was 'hysterical' and she finally said she would be sending a letter to my therapist, psychiatrist and PCP, about this visit. I had started crying and was unable to stop and this constituted me being 'hysterical'. I know my crying came only because I was already upset about the friend and then here is this person who is supposed to be helping me and instead she is being just plain nasty to me. I truly wasn't hysterical and later I had to laugh because she just has no idea of what constitutes hysterical for me. I have clinical depression and yes I do have a history of being abused (mother and ex-husband from many years ago). However with the help of my therapist who I've been seeing for 8 years and my psychiatrist who manages my medications, I have been able to work through so much baggage and get the depression under control. I absolutely feel that my depression is linked to my IBS-C but only because of how the IBS has affected my life so negatively. In other words my depression is because of the IBS, instead of the IBS being because of the depression. I also am well aware of what symptoms are triggered by external events and what symptoms are completely physiological. But apparently not only am I 'hysterical' and 'emotionally distrubed', I am also stupid and don't understand IBS even though I've lived with it for all these years. Please don't give up though...........I know it is SO frustrating and especially when so many in the medical community do not take IBS as being a true disorder/syndrome/disease. Persistence pays off and if you can assemble a group of professionals who you like and trust, they can truly help your quality of life. But you will likely have to push and push and keep going back even when you feel like they think it's all in your head and you may even have to 'doctor shop' until you find medical professionals who you click with and are comfortable with. You will also have to do what they suggest even when you feel like it won't help and in order for them to truly help, you have to put yourself in that humiliating place of telling at least a pcp and specialist, all of your symptoms and the gory details. It is such a horrible subject to have to talk about! Also you have to understand that there is no cure for IBS and it will never go away completely. At best, you will be able to manage it and you will have to be pedantic about the things you must do in order to manage it. My little group of professionals that I trust completely consists of my pcp, therapist and psychiatrist. After last weeks episode, my pcp is researching a gastro specialist to send me to who will take things seriously, not verbally abuse me and really try to help me instead of telling me it's all in my head. With the help of my therapist and psychiatrist, I am formulating a plan in how to deal with the NP and her abusive and extremely unprofessional behaviour. I really hope that you can get things turned around, start to feel better and be able to enjoy life again. Don't forget there are people out there who can truly empathise with what you're going through.sameeg