I think anxiety is almost a given when the main problems are a 'swing' IBS which constantly changes between constipation and diarrhoea. The stress of always being aware of embarrassing yourself and others is ever present. I have done a self-hypnosis CD by Michael Mahoney(he has a website) which I found did reduce my stress somewhat and helped me to visualise coping strategies. It consists of 5 cd's which you listen to once a day for 100 days in the order in which they tell you to do so. It may help others also - it hasn't made it go away but helps me to cope and I can listen to my favourite(the ones which helped the most) any time I like and intend to repeat the whole course this winter.