Episode 37: The Mental Load of IBS (with guest Megan Mountcastle, LICSW)
If you live with irritable bowel syndrome (IBS), you already know it's not "just" a stomach issue. It's the mental math of always knowing where the bathroom is, the trips you don't book, and the memories you miss out on. In this episode, pelvic floor physical therapist Dr. Alex DiGrado and relationship/sex therapist Dr. Rebecca Howard Eudy sit down with Megan Mountcastle, a licensed social worker who specializes in the gut-brain connection, to talk about how IBS touches so many parts of everyday life. Megan walks through the "brain gut loop," explains why anxiety can act like a "cult leader," and why the goal of treatment isn't perfect symptom control. This is a conversation about learning to live a full life again, even when your gut doesn't always cooperate.
What you’ll learn:
How to acknowledge a symptom without letting it take over (also see Episode 22: “It’s Not Just a Bad Period” — A PT’s Personal Endometriosis Journey (with special guest Dr. Alyssa Demeule)
Why people go so long without a formal diagnosis
The surprising link between childhood trauma and gut issues later in life
How a simple device helped a patient feel confident enough to travel the world again
Tune in if you've ever thought:
"I canceled the trip because I just couldn't risk it."
"I've researched everything and know my triggers, so why can't I get this under control?"
“Am I the only one dealing with this?”
“How do I get my life back and do all the things I want to do?”
Resources
Megan Mountcastle, LCSW — individual therapy (licensed in MA and CT), the Calm Gut, Calm Mind program, webinars, and provider consultation. Email megan@meganmountcastle.com with questions or to schedule a free consultation call.
Find a pelvic floor PT near you:pelvicrehab.com orPelvic Global Directory
Parents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard Eudy
Connect with us:
Dr. Rebecca Howard Eudy
Website: rebeccaeudy.com
Instagram: @rebeccahowardeudy
Newsletter: Parents in Love Substack
Dr. Alexandra DiGrado
Website: bostonpelvicpt.com
Instagram: @bostonpelvicpt
Newsletter: Under the Hood
Under the Hood Podcast
Instagram: @underthehooddocs
YouTube: @underthehooddocs
Website:underthehoodpod.com