Key takeaway: Unlike traditional talk therapy, which aims to change your thoughts or manage life’s stressors, gut-brain therapy targets the nervous system. It’s based on the science of the gut-brain connection.

If you’ve ever felt butterflies in your stomach before a big event or noticed your digestion becomes out of whack when life gets stressful, you’ve experienced the gut-brain connection in action. Your mind and digestive system are in constant conversation, sending signals back and forth. When it comes to getting support for gastrointestinal (GI) symptoms, most traditional approaches focus on just one aspect of gut health.

Talk therapy is often where people turn to address emotional challenges like stress or anxiety, while traditional GI care zeroes in on physical symptoms. But what happens when your stomach trouble and your mental health seem to feed off each other, creating a cycle that’s hard to break?

Maybe you’ve tried therapy for anxiety, but your stomach still acts up. Or you’ve worked with a GI doctor, but stress still triggers flare-ups.

Oshi’s licensed, GI-trained gut-brain specialists use research-backed brain-gut behavioral therapy (BGBT) to target the nervous system itself to help calm GI symptoms right at the source.

It’s not all in your head. And relief is in sight. At Oshi, we blend medical, dietary, and gut-brain support as part of your personalized care plan. When you treat the whole you, you can finally get back to feeling in control.

Here’s how gut-brain therapy differs from talk therapy—and why it might be right for you.

Gut-brain therapy vs. traditional therapy

Traditional talk therapy and gut-brain therapy each have unique strengths. Let’s explore each type of therapy to help you figure out which one might best fit your needs.

Traditional talk therapy

Talk therapy is a safe space to explore your emotions, process life experiences, and get support for challenges like anxiety and depression.

Emotional health and gut health are deeply connected, and talk therapy can help you sort through what’s weighing on your mind (and gut).

Talk therapy is especially helpful for:

  • Navigating life changes or difficult events (e.g., divorce, death of a loved one, etc.)
  • Building emotional resiliency
  • Managing mental health conditions like depression (which is often linked with digestive symptoms)

But traditional therapy doesn’t usually address the physical side of gut health concerns. So, if you’re dealing with bloating, stomach pain, or bathroom urgency, it might not get to the root of your body’s discomfort.

Brain-gut behavioral therapy (AKA gut-brain therapy)

There’s a real physical pathway between your brain and GI tract. And when that gets disrupted, it can garble the signals being sent back and forth, leading to digestive symptoms.

BGBT is particularly useful for people who live with stress-sensitive GI conditions like irritable bowel syndrome (IBS) or overlapping mental health concerns.

Rather than focusing only on emotions or past experiences, gut-brain therapy works directly to heal your nervous system. Your nervous system is your body’s command center, which controls digestion and emotional responses in addition to other processes. When you learn tools to calm and regulate your nervous system, you can find relief from GI symptoms—and often emotional distress, too.

What makes Oshi BGBT different?

  • It’s short-term and skills-based
  • It reduces symptoms for the long haul
  • It puts tools in your hands, so you can better cope during flares or stressful moments

Oshi’s gut-brain specialists have GI-specialized knowledge and are trained, licensed mental health professionals who understand both the psychological and physical side of gut health.

Traditional talk therapyBrain-gut behavioral therapy

Focus

Mental and emotional health

Digestive health

Providers

Licensed mental health therapists

Licensed gut-brain specialists with GI expertise

Symptoms addressed

Mental health symptoms only

GI symptoms (with a positive side effect being a reduction in stress and negative emotions)

Treatment type

One-on-one, ongoing, emotional health-focused

Practical, solution-focused, education-based

Goals

Improved emotional well-being

Symptom relief + improved quality of life

"At Oshi, brain-gut behavioral therapy focuses on addressing nervous system change. A positive side effect of that change is often lower anxiety and stress levels.” — Dr. Steve Feinstein, Clinical Health Psychologist and Oshi Gut-Brain Specialist

Oshi gut-brain therapies: Backed by science, tailored to you

There’s no one-size-fits-all gut-brain therapy approach that works for everyone. GI issues are often complex, and everyone’s symptoms and life experiences are different. That’s why we tailor gut-brain therapy to your specific needs. In addition to providing education on the gut-brain axis, here are some of the research-backed therapies Oshi gut-brain specialists use:

Practical strategies

To calm the nervous system and improve gut-brain communication, like diaphragmatic breathing and mindfulness meditation

Cognitive behavioral therapy (CBT)

To shift unhelpful thought patterns that can worsen symptoms

Acceptance and commitment therapy (ACT)

So you can learn how avoidance might be fueling your discomfort and make room for healing

Gut-directed hypnotherapy

To rewire the gut-brain communication loop through visualizations and guided imagery to reduce pain, bloating, and urgency without medication

Progressive muscle relaxation (PMR)

To help calm the body’s stress response and promotes digestive ease

Which one is right for you?

If you’re mainly looking for emotional support or want to untangle the deeper roots of your feelings, traditional talk therapy could be a great fit. But if your main goal is to address the physical side of GI symptoms, gut-brain therapy might be worth trying.

You might benefit from Oshi care with gut-brain therapy if:

  • You’ve tried traditional GI care or therapy, but still have ongoing symptoms
  • You notice flares during moments of stress or emotional distress
  • You feel anxious, discouraged, or ashamed about your GI issues
  • You want practical tools to heal your gut-brain connection

Bottom line: Gut-brain therapy for GI relief

Both talk therapy and gut-brain therapy offer meaningful approaches to support your well-being. Here’s what to remember as you consider which might best fit your needs:

  • Talk therapy targets emotional well-being only. It can be a powerful tool for dealing with trauma, life stressors, and complicated feelings, but it doesn’t address physical GI symptoms.
  • Oshi gut-brain therapy addresses the nervous system. It helps alleviate physical symptoms like bloating, stomach pain, and indigestion, with the added benefit of also improving mental well-being.
  • It’s all about giving you practical skills you can use outside of therapy sessions. Your Oshi gut-brain specialist will educate you about the gut-brain axis and teach you actionable strategies you can use between visits and beyond.
  • Gut-brain therapy helps you find lasting relief. The goal isn’t just to manage symptoms in the short term, but to give you the confidence and tools to regain control in your daily life.

You deserve GI care that sees you as a whole person—not just a set of symptoms. If you’re curious about how gut-brain therapy could fit into your digestive health care plan, book a visit with an Oshi GI provider to discuss and ask about getting a referral for a gut-brain specialist consult.

Oshi is your partner in digestive health

Feel like your digestive concerns are running your life? You’re not alone—and we’re here to help you find lasting relief.

Oshi Health GI providers, gut-brain specialists, and registered dietitians work together to address the root cause of your symptoms and find solutions that actually work for you.

Whether you’re dealing with chronic digestive issues or unpredictable symptom flare-ups, our GI specialists deliver:

✔ Personalized care plans tailored to your lifestyle

✔ Science-backed strategies to calm your gut

✔ Compassionate, whole-person care

✔ And so much more!

Ready to take control of your gut health?

Book Your First Virtual Visit Today!