Abstract
We reported 3 cases of Irritable Bowel Syndrome (IBS, l adult and 2 adolescents), whom we treated with self-monitoring (SM) which is one of the behavior therapy techniques. We then discussed the merits of SM and the difficulty in its application. Its merits are as follows; 1) Patients with IBS can recognize the anxiety Objectively. 2) They can modify their own behaviors which are cognitively distorted. 3) SM can reduce their anxiety caused by cognitive distortion. The difficulties are as follows; 1) Patients with IBS might have no motivation for recording their own behaviors. 2) They might be lacking in capacity for observing their own conditions. Therefore we as therapists must carefully monitor the patients.