anxiety trigger 'bypassing' straight to gut?

I am 53 and was diagnosed as autistic 4 months ago.  I have had mental illnesses (depression and anxiety) for a very long time, at least as far back as my teens.  I also suffer very badly with IBS, and all of these issues have become much more severe in the last few years, meaning that I have not gone out to work for about a year, and rarely leave the house anyway.

I was explaining to my current psychotherapist that a psychiatrist told me to try diazepam when I am particularly anxious, but to me it feels like often when I experience a trigger, I do not really feel that my breathing nor heart rate are increasing, though I may start sweating a bit, but what I really notice is that straight away I feel pain in my lower abdomen, leading to an episode of awful IBS (without wanting to explain it too graphically).  I feel that somehow the worry goes straight to my gut, 'bypassing' the 'normal' symptoms of anxiety involving faster breathing and heart rate.  It is as if the IBS starts very very quickly, but the lungs and heart are not really involved.

The psychotherapist has admitted that he is not an expert on autism nor IBS, but he told me that he has heard of other autistic people experiencing this 'bypass' of symptoms of anxiety.  I had never heard of this before, though I have researched the area quite a lot.  So is he correct?  Is this really a common autistic experience of an anxiety-inducing trigger?  Has anyone else felt that this happens to them?

Many thanks in advance.

Parents
  • Hi Saturn,  anxiety is felt in the vagus nerve, travelling from the brain to the gut.  Many digestive/gut issues are caused by long term, underlying anxiety. I hope this basic information makes sense!  I am a psychotherapist and anxiety affects different parts of the body. There is anxiety about particular issues in the moment, which cause heart palpitations, shallow breathing etc but we can experience anxiety over many years and since childhood and will affect the gut.  Therapists who work with the mind and body and particularly trauma therapy, can help ease your anxiety.  I hope you can find a therapist who can help.  

  • Hi.  Thanks for sharing your insight.
    Yes, my anxiety is very very long term, so maybe that is why, as you say, it affects me differently, apart from being due to being autistic.
    I have seen about 5 therapists so far and none of them have helped me with my mental illnesses.  I am up for trying again with a 6th therapist and beyond, but I am not holding my breath.  They seem to either not want to listen and understand, or to be unable to suggest anything that will help.

Reply
  • Hi.  Thanks for sharing your insight.
    Yes, my anxiety is very very long term, so maybe that is why, as you say, it affects me differently, apart from being due to being autistic.
    I have seen about 5 therapists so far and none of them have helped me with my mental illnesses.  I am up for trying again with a 6th therapist and beyond, but I am not holding my breath.  They seem to either not want to listen and understand, or to be unable to suggest anything that will help.

Children
  • Hello again, Saturn,

    Therapists differ greatly, some say that they help with all sorts of problems but they don't necessarily fully understand the problems. Some are counsellors and call themselves psychotherapists because they are allowed to but don't have the full mental health training. It's best to check their qualifications and experiences first.  If they're  not listening, that is a major issue.  Many don't understand neurodivergence either. Having said that, a well qualified, therapist could be helpful even without fully understanding autism.  Energy psychology, experienced therapists can help. I suggest 'Advanced Integrative Therapy' (AIT),' EMDR' and 'Emotional Freedom Technique', which is a tapping technique.. Tapping and AIT have helped me.  I hope this helps you further in your search.  It's can be re-traumatising or at least disheartening to share your troubles with a counsellor who doesn't understand or doesn't listen.  There are different levels of training from a diploma in counselling all the way through to Phd.  A diploma doesn't teach about mental health or how to help.  Good luck!