For me it was a little bit of both, and a little bit of neither. 
I was starting to think that my anxiety was causing my IBS. I've had anxiety problems a LOT longer than I've had full-blown IBS. (Anxiety started when I was 7; IBS symptoms started appearing when I was 12.) If that were strictly the case, though, logic would dictate that my IBS symptoms would basically disappear when I went on Lexapro, which hasn't been the case, despite careful diet, etc in addition to the medication. So I'm left to believe that my IBS is a physiological problem, not simply a brain-gut connection.
As for the IBS making my anxiety worse, THAT was cured with the Lexapro, thank goodness.
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Re: Why do so many of us take anti-depressants?
