Ep 42: Trauma and the Gut: Rethinking Care in Gastroenterology – Dr Christina Jagielski

In this episode, I'm joined by Christina Jagielski, GI health psychologist and Clinical Assistant Professor in the Division of Gastroenterology and Hepatology at Michigan Medicine. Dr Jagielski specialises in the intersection of psychological trauma and gastrointestinal health, using evidence-based approaches such as cognitive behavioural therapy, acceptance and commitment therapy, relaxation training, and gut-directed hypnotherapy to support patients with a range of GI conditions. In this episode, we explore trauma-informed care in gastroenterology — including how trauma can shape gut symptoms, patient behaviour, and healthcare experiences. We unpack the biological and psychological pathways linking trauma and the gut–brain axis, the risk of re-traumatisation in clinical settings, and why patients with trauma histories often experience more severe symptoms and poorer quality of life. We also discuss practical strategies for clinicians and healthcare teams, including how to create safer, more compassionate environments through trauma-informed principles such as safety, transparency, choice, and collaboration. Whether you're a clinician, researcher, or someone living with a gut condition, this episode offers powerful insights into how care can be delivered in a way that heals, rather than harms. Please enjoy my conversation with Dr Christina Jagielski.