Nerva vs Gut-Directed Hypnotherapy for IBS: Which Is Better?

If you’ve been researching mind–body approaches for IBS, you’ve probably come across the Nerva app. Many people first discover gut-directed hypnotherapy this way, and for some, it’s a really helpful starting point.

A question I hear often is:

“Is an app enough - or do I need 1:1 support?”

There isn’t a universal answer. Both options are based on the same science. They simply offer different levels of support, and hopefully this article will help you understand what each approach provides so you can choose what feels right for you.

Does gut-directed hypnotherapy actually work for IBS?

Yes - gut-directed hypnotherapy is one of the best-researched psychological treatments for IBS. Clinical trials over the past 30+ years show consistent improvements in pain, bloating, bowel symptoms, and quality of life. Response rates in people with IBS are often reported around 60–70%.¹ ²

The goal isn’t “mind over matter.” - gut-directed hypnotherapy targets the gut–brain axis, reducing hypersensitivity and helping the nervous system to calm down and move out of chronic threat mode.

Both apps and therapists are working with this same mechanism. The difference is how the process is delivered.

What Nerva’s research tells us

‘Nerva’ has published its own clinical trial data, which is encouraging. Among people who completed the full programme, a large proportion reported meaningful symptom improvement.³

But the research also highlights something important: adherence is a challenge.

Like many digital health programmes, a significant number of users don’t finish the course. This isn’t unique to Nerva - it’s a common pattern seen across app-based behavioural treatments. Even when the method is effective, staying engaged without human support can be difficult.

There are many possible reasons for this:

• Motivation fluctuates

• Symptoms trigger avoidance

• Emotional reactions surface

• Life gets busy

• The work can feel repetitive without feedback

None of this means the app doesn’t work. It simply shows that behaviour change is hard to sustain in isolation. Some nervous systems need more relational support than an app can provide.

What the Nerva app is good for

For the right person, an app can still be a very good starting point.

It offers:

• Affordable access to gut-directed hypnotherapy

• Structured daily sessions

• A gentle introduction to mind-body work

For mild or early-stage symptoms, this may be enough. Many of my clients feel real relief using app-based programmes like Nerva alone.

Where some people need more support than an app can offer

Apps deliver a standard programme. That’s part of their strength, but it’s also their boundary.

IBS often overlaps with food fear, health anxiety, medical trauma, or years of restrictive eating. When these layers are present, the nervous system may need more than guided audio sessions.

An app isn’t designed to:

• respond when emotions surface

• adapt pacing if sessions feel overwhelming

• integrate CBT strategies in real time

• tailor the work to personal triggers

• provide accountability or reflection

This isn’t a criticism of Nerva. It’s simply recognising that behaviour change is harder to sustain in isolation. Digital programmes work best for people who thrive with self-guided structure, however many people need relational support to stay engaged.

How 1:1 gut-directed hypnotherapy is different

Working with a practitioner adds something apps can’t replicate: relationship.

1:1 therapy isn’t just listening to scripts. It’s a collaborative process where sessions are shaped around your symptom patterns, anxiety profile, and history. We can adjust pacing, respond to resistance, and integrate CBT and dietary strategies alongside hypnotherapy.

For many people with long-standing IBS, accountability and human connection increase adherence. The therapeutic relationship itself becomes part of the healing environment. Feeling supported sends safety signals to the nervous system — and digestion responds to safety.

1:1 work is often helpful when:

• IBS has been present for years

• Anxiety around food is high

• Self-help hasn’t worked in the past

• Symptoms feel complex or unpredictable

• You want guided, personalised support

This isn’t about failure with an app. It’s about recognising when your body needs a higher level of containment and support.

So which should you choose?

Both options sit on the same spectrum: calming the gut–brain connection.

- An app offers accessibility
- 1:1 therapy offers personalisation and accountability.

Some people start with Nerva and feel better.
Some start there and later want deeper support.
Some go straight to working with a therapist.

The most useful question isn’t Which is better?
It’s: What level of support does my nervous system need right now?

If you’re considering 1:1 support

I offer CBT-informed gut-directed hypnotherapy tailored to people with IBS and functional digestive symptoms. Sessions combine hypnotherapy, nervous system regulation, and dietary expertise where appropriate, delivered online across the UK.

If you’re unsure whether this approach is right for you, you’re welcome to book a short discovery call. It’s simply a conversation about your symptoms and what kind of support might help.