I was nervous about bringing it up with my doctor, too, but she was wonderful about it. My situation was a little different, in that I had already been seeing a therapist for a month or so, and she WAS trying to teach me coping techniques, but it just wasn't enough. So that's what I told my doctor (who already knew my diagnosis from the therapist from a previous visit). She went on to explain the differences between the various anti-anxiety/anti-depressants, and then recommended one (Lexapro), and explained why. And that was that. 
If you know that stress and anxiety affects your IBS, and you know you worry all the time, you definitely have valid reasons for asking a doctor about meds. You can tell it to him just like that. You can also tell him that you tried a stress-management class - because you did, it's up to you if you want to say it was an online one - and that you feel like you need more help. I didn't go into details with my doctor, really, I just said, "I need faster relief for this than therapy can give me right now."
Good luck, if you decide to give it a try. The whole antidepressant experience is very fresh in my mind, because I just started mine on Sept. 1, so if you have any other questions, give a holler!
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Re: Anti-Depressant Question
