Sophie  Guellati-Salcedo, Ph.D.
  • Home
  • About
    • Biography
    • Research Interests
    • Publications
  • Services
    • Psychotherapy & Coaching
    • Hypnotherapy
    • Quantum Healing Hypnosis
    • Quantum Biofeedback
  • Client Portal
    • Payment Info
    • Forms
    • Shop Online
    • Recordings
  • Testimonials
  • Resources
  • Newsletters
  • BLOG
  • Contact Us
  • More
    • Home
    • About
      • Biography
      • Research Interests
      • Publications
    • Services
      • Psychotherapy & Coaching
      • Hypnotherapy
      • Quantum Healing Hypnosis
      • Quantum Biofeedback
    • Client Portal
      • Payment Info
      • Forms
      • Shop Online
      • Recordings
    • Testimonials
    • Resources
    • Newsletters
    • BLOG
    • Contact Us
Sophie  Guellati-Salcedo, Ph.D.
  • Home
  • About
    • Biography
    • Research Interests
    • Publications
  • Services
    • Psychotherapy & Coaching
    • Hypnotherapy
    • Quantum Healing Hypnosis
    • Quantum Biofeedback
  • Client Portal
    • Payment Info
    • Forms
    • Shop Online
    • Recordings
  • Testimonials
  • Resources
  • Newsletters
  • BLOG
  • Contact Us

Gut-Brain Axis, HPA Axis and Stress

The Gut-Brain Axis, HPA Axis and Stress: A Biopsychosocial Perspective

In recent years, research on the gut-brain axis (GBA)[1] and the hypothalamic-pituitary-adrenal (HPA) axis[2] has deepened our understanding of how psychological stress, biological processes, and social factors interplay to influence health. As a health psychologist, my focus is on integrating these findings within the biopsychosocial model—a framework that acknowledges the complex interactions between mind, body, and environment in shaping well-being. This article examines the role of the GBA and HPA axis in stress regulation, anxiety, and resilience, providing a nuanced perspective on how these systems contribute to mental and physical health.

1. The Gut-Brain Axis: A Central Player in Emotional and Physiological Health

1.1 What is the Gut-Brain Axis?

The gut-brain axis is a bidirectional communication network that links the gastrointestinal system with the central nervous system (CNS)[3]. This communication occurs via:

  • Neural pathways (e.g., the vagus nerve)[4]
  • Endocrine signaling (e.g., cortisol, serotonin production in the gut)[5]
  • Immune  system interactions (e.g., cytokine responses)[6]
  • The gut microbiota, which plays a crucial role in producing neuroactive compounds[7]


1.2 The Role of the Microbiome in Stress and Anxiety

  • The gut microbiome influences emotional regulation by modulating      neurotransmitters such as serotonin, dopamine, and GABA[8].
  • Dysbiosis (an imbalance in gut bacteria) has been linked to heightened stress      responses, anxiety, and depression[9].
  • Pro-inflammatory cytokines produced by the gut can exacerbate HPA axis dysregulation, contributing to chronic stress and mental health disorders[10].


Example: K.S., a 38-year-old mother of three, suffered from chronic back pain, autoimmune thyroiditis, and depression linked to her chronic conditions. She was also diagnosed with leaky gut and systemic inflammation. After undergoing targeted gut healing with high-dose, high-quality probiotics, her inflammation decreased, and her depression symptoms significantly improved. This case underscores the powerful link between gut health, inflammation, and mental well-being.


1.3 The Vagus Nerve: A Critical Link

  • The vagus nerve plays a major role in gut-brain communication by relaying signals from the gut to the brainstem[11].
  • Research suggests that vagus nerve stimulation (VNS) may help regulate mood      and inflammation, providing therapeutic benefits for stress-related disorders[12].


Example: John, a corporate executive, struggled with high stress and irritable bowel syndrome (IBS). Through guided breathwork and mindfulness meditation—both of which stimulate the vagus nerve—he found relief from both his gut discomfort and his stress-induced insomnia.

2. The HPA Axis: The Stress Response System

2.1 Understanding the HPA Axis

The HPA axis is the body’s central stress response system, consisting of[13]:

  • The hypothalamus, which releases corticotropin-releasing hormone (CRH)
  • The pituitary gland, which releases adrenocorticotropic hormone (ACTH)
  • The adrenal glands, which release cortisol, the primary stress hormone


2.2 Chronic Stress and HPA Axis Dysregulation

  • Under chronic stress, the HPA axis becomes overactive, leading to prolonged cortisol elevation[14].
  • This can contribute to inflammation, anxiety, depression, and immune suppression[15].
  • Studies show that sleep fragmentation, hormonal changes (e.g., menopause), and      early-life trauma can dysregulate the HPA axis, increasing vulnerability to stress-related illnesses[16].


2.3 The Interplay Between the HPA Axis and Gut Health

  • Stress-induced cortisol secretion alters gut microbiota composition, increasing intestinal permeability (“leaky gut”)[17].
  • This triggers inflammation, which further stimulates the HPA axis, creating a feedback loop that exacerbates anxiety and mood disorders[18].
  • Strategies targeting the gut (e.g., probiotics, diet, stress reduction) can modulate HPA axis reactivity, improving resilience to stress[19].

3. Practical Strategies for Strengthening Your Gut-Brain-HPA Axis

3.1. Nutrition: Support Gut Health

  • Eat probiotic-rich foods (yogurt, kefir, sauerkraut) to restore gut microbiota.
  • Avoid ultra-processed foods that increase gut inflammation.
  • Consider polyphenol-rich foods (berries, green tea) to support brain function and gut health.

3.2. Stress Reduction Techniques

  • Mindfulness & Meditation: Scientifically proven to lower cortisol and activate the vagus nerve.
  • Deep Breathing Exercises: Engages the parasympathetic nervous system, reducing stress.
  • Hypnosis: Used in therapy to help manage chronic stress, anxiety, and gut-related conditions.
  • Journaling or Therapy: Helps process emotions and reduce psychological stressors.

3.3. Lifestyle Adjustments

  • Improve Sleep Hygiene: Poor sleep increases cortisol and disrupts the gut microbiome.
  • Regular Movement: Even moderate exercise reduces stress hormones and supports digestion.
  • Build Social Connections: A strong support system reduces stress vulnerability and supports      brain health.

Conclusion

The gut-brain axis and HPA axis play fundamental roles in stress regulation and emotional well-being. Integrating these insights within a biopsychosocial framework allows for a comprehensive understanding of how stress, diet, social interactions, and lifestyle choices interact to shape mental and physical health. By adopting holistic and evidence-based interventions, individuals can cultivate greater resilience, emotional balance, and overall well-being.

References

  1. Cryan, J. F., & Dinan, T. G. (2012). Mind-altering microorganisms: The impact      of the gut microbiota on brain and behavior. Nature Reviews Neuroscience, 13(10), 701-712.
  2. Chrousos, G. P. (2009). Stress and disorders of the stress system. Nature Reviews      Endocrinology, 5(7), 374-381.
  3. Mayer, E. A. (2011). Gut feelings: The emerging biology of gut–brain communication. Nature Reviews Neuroscience, 12(8), 453-466.
  4. Bonaz, B., Bazin, T., & Pellissier, S. (2018). The Vagus nerve at the interface of the microbiota-gut-brain axis. Frontiers      in Neuroscience, 12, 49.
  5. O’Mahony,  S. M., Clarke, G., Borre, Y. E., Dinan, T. G., & Cryan, J. F. (2015). Serotonin, tryptophan metabolism and the brain-gut-microbiome axis. Behavioural Brain Research, 277, 32-48.
  6. Elenkov, I. J., & Chrousos, G. P. (2002). Stress hormones, Th1/Th2 patterns, pro/anti-inflammatory cytokines and susceptibility to disease. Trends in Endocrinology & Metabolism, 13(11), 444-450.
  7. Sampson, T. R., & Mazmanian, S. K. (2015). Control of brain development, function, and behavior by the microbiome. Cell Host & Microbe, 17(5), 565-576.
  8. Dantzer, R., O’Connor, J. C., Freund, G. G., Johnson, R. W., & Kelley, K. W. (2008). From inflammation to sickness and depression: when the immune system subjugates the brain. Nature Reviews Neuroscience, 9(1),  46-56.
  9. Bale, T. L. (2015). Epigenetic and transgenerational reprogramming of brain      development. Nature Reviews Neuroscience, 16(6), 332-344.
  10. Lucassen, P. J., Pruessner, J., Sousa, N., Almeida, O. F., Van Dam, A. M., Rajkowska, G.,  & Czeh, B. (2014). Neuropathology of stress. Acta Neuropathologica, 127(1), 109-135.
  11. Lanius, R. A., Frewen, P. A., Tursich, M., Jetly, R., & McKinnon, M. C. (2015). Restoring large-scale brain networks in PTSD and related disorders: A proposal for neuroscientifically-informed treatment interventions. European Journal of Psychotraumatology, 6(1), 27313.
  12. Bercik, P., Collins, S. M., & Verdu, E. F. (2012). Microbes and the gut-brain axis. Neuron, 74(4), 582-596.
  13. Herman, J. P., McKlveen, J. M., Ghosal, S., Kopp, B., Wulsin, A., Makinson, R., & Myers, B. (2016). Regulation of the hypothalamic-pituitary-adrenocortical stress response. Comprehensive Physiology, 6(2), 603-621.
  14. McEwen, B. S. (2007). Physiology and neurobiology of stress and adaptation. Physiological  Reviews, 87(3), 873-904.
  15. Dhabhar, F. S. (2014). Effects of stress on immune function: The good, the bad, and      the beautiful. Immunologic Research, 58(2-3), 193-210.
  16. Sapolsky, R. M. (2004). Why zebras don’t get ulcers. Henry Holt and Company.
  17. Ader, R., Cohen, N., & Felten, D. (1995). Psychoneuroimmunology: Interactions between the nervous system and the immune system. The Lancet, 345(8942), 99-103.
  18. Slavich, G. M., & Irwin, M. R. (2014). From stress to inflammation and major      depressive disorder: A social signal transduction theory of depression. Psychological      Bulletin, 140(3), 774-815.
  19. Cryan, J. F., & O’Riordan, K. J. (2019). The microbiome-gut-brain axis in health and disease. Gastroenterology, 156(6), 1417-1431.

Discover Your True Self, Live Up to Your Full Potential!

Sophie is a Certified BQH Practitioner listed on QuantumHealers.com. Click to access profile.
Sophie is a Certified QHHT Level 2 Practitioner listed on QHHTOfficial.com. Click to access profile.
Access to verified Licensed Psychologist profile on Psychology Today.
Access to Sophie Guellati-Salcedo, Ph.D.'s professional Facebook Page
Access to Quantum Journey with Sophie Facebook Page

Sophie Guellati-Salcedo, Ph.D.

Telehealth Services via Zoom - Practice based in Miami, Florida

(305) 799-9970

Copyright © 2025 Sophie Guellati-Salcedo, Ph.D. - All Rights Reserved.

Powered by

Reset Your Rhythm with a Free Healing Guide

 Start your journey toward clarity and coherence—mentally, emotionally, physically, and spiritually. 


 ✨ Click below to access The Daily Terrain Reset, my multidimensional 5-step self-alignment guide. 


Claim your Free Guide

This website uses cookies.

We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.

DeclineAccept