Neurologic and psychiatric complications occur with Crohn's disease, and some experts believe that an autoimmune response effects the central nervous system. In any case, the emotional consequences of IBD cannot be overestimated. Eating becomes associated with fear of abdominal pain before the end of the meal. Frequent attacks of diarrhea can cause such a strong sense of humiliation that social isolation and low self-esteem may result.
Adolescents with IBD may have added problems that increase emotional distress, including weight gain from steroid treatments and delayed puberty. Sexual function may also be impaired, not only because of the emotional impact, but also by treatment side effects and complications of the diseases, such as fistulas. Strong support from family, friends, and health professionals is very important.
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