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The body and mind are connected in complex ways. Coping with the physical symptoms of a chronic illness like Crohn’s disease and ulcerative colitis can be very challenging emotionally. Since people cope in different ways, some will experience emotional distress tied to their physical illness while others may not. Does stress, anxiety or depression cause inflammatory bowel disease (IBD) or the worsening of symptoms, called flare-ups? Can IBD and its associated symptoms such as pain and abdominal discomfort, diarrhea and urgency cause stress, anxiety or depression? What strategies are effective in managing mental health challenges associated with IBD? In this section learn about the relationships between mental health and IBD, the gut-brain connection, and get strategies to help you manage and live well.