What is hypnotherapy?
The term “hypnosis” comes from the Greek word hypnos, meaning “sleep.” Hypnotherapists use exercises that bring about deep relaxation and an altered state of consciousness, also known as a trance. A person in a deeply focused state is unusually responsive to an idea or image, but this does not mean that a hypnotist can control the person’s mind and free will. On the contrary, hypnosis can actually teach people how to master their own states of awareness. By doing so they can affect their own bodily functions and psychological responses.
What is the history of hypnosis?
Throughout history, trance states have been used by shamans and ancient peoples in rituals and religious ceremonies. But hypnosis as we know it today was first associated with the work of an Austrian physician named Franz Anton Mesmer. In the 1700s, Mesmer believed that illnesses were caused by magnetic fluids in the body getting out of balance. He used magnets and other hypnotic techniques (the word “mesmerized” comes from his name) to treat people. But the medical community was not convinced. Mesmer was accused of fraud, and his techniques were called unscientific.
Hypnotherapy regained popularity in the mid 1900s due to Milton H. Erickson (1901 – 1980), a successful psychiatrist who used hypnosis in his practice. In 1958, both the American Medical Association and the American Psychological Association recognized hypnotherapy as a valid medical procedure. Since 1995, the National Institutes of Health (NIH) has recommended hypnotherapy as a treatment for chronic pain.
Other conditions for which hypnotherapy is frequently used include anxiety and addiction. (See “What illnesses or conditions respond well to hypnotherapy?”)
How does hypnosis work?
When something happens to us, we remember it and learn a particular behavior in response to what happened. Each time something similar happens, our physical and emotional reactions attached to the memory are repeated. In some cases these reactions are unhealthy. In some forms of hypnotherapy, a trained therapist guides you to remember the event that led to the first reaction, separate the memory from the learned behavior, and replace unhealthy behaviors with new, healthier ones.
During hypnosis, your body relaxes and your thoughts become more focused. Like other relaxation techniques, hypnosis lowers blood pressure and heart rate, and changes certain types of brain wave activity. In this relaxed state, you will feel at ease physically yet fully awake mentally and may be highly responsive to suggestion. Your conscious mind becomes less alert and your subconscious mind becomes more focused.Some people respond better to hypnotic suggestion than others.
There are several stages of hypnosis:
- Reframing the problem
- Becoming relaxed, then absorbed (deeply engaged in the words or images presented by a hypnotherapist)
- Dissociating (letting go of critical thoughts)
- Responding (complying with a hypnotherapist’s suggestions)
- Returning to usual awareness
- Reflecting on the experience
What happens during a visit to the hypnotherapist?
During your first visit, you will be asked about your medical history and what brought you in — what condition you would like to address. The hypnotherapist may explain to you what hypnosis is and how it works. You will then be directed through relaxation techniques, using a series of mental images and suggestions intended to change behaviors and relieve symptoms. For example, people who have panic attacks may be given the suggestion that, in the future, they will be able to relax whenever they want. The hypnotherapist will also teach you the basics of self hypnosis and give you an audiotape to use at home so you can reinforce what you learn during the session.
How many treatments will I need?
Each session lasts about an hour, and most people start to see results within 4 – 10 sessions. You and your hypnotherapist will monitor and evaluate your progress over time. Children (aged 9 – 12) are easily hypnotized and may respond after only 1 – 2 visits.
What illnesses or conditions respond well to hypnosis?
Hypnosis is used in a variety of settings — from emergency rooms to dental offices to outpatient clinics. Clinical studies suggest that hypnosis may improve immune function, increase relaxation, decrease stress, and ease pain and feelings of anxiety.
Hypnotherapy can reduce the fear and anxiety that some people feel before medical or dental procedures. For example, studies show that dental patients who underwent hypnosis had a significantly higher threshold for pain than those who were not hypnotized. Hypnosis may also improve recovery time and reduce anxiety and pain following surgery. Clinical trials on burn patients suggest that hypnosis decreases pain (enough to replace pain medication) and speeds healing. Generally, clinical studies show that using hypnosis may reduce your need for medication, improve your mental and physical condition before an operation, and reduce the time it takes to recover. Dentists also use hypnotherapy to control gagging and bleeding.
A hypnotherapist can teach you self regulation skills. For instance, someone with arthritis may learn to turn down pain like the volume on a radio. Hypnotherapy can also be used to help manage chronic illness. Self hypnosis can enhance a sense of control, which is often lacking when someone has a chronic illness.
Clinical studies on children in emergency treatment centers show that hypnotherapy reduces fear, anxiety, and discomfort.
Other problems or conditions that may respond to hypnotherapy include:
- Irritable bowel syndrome
- Tension headaches
- Alopecia areata
- Labor and delivery
- Skin disorders
such as acne, psoriasis, and eczema (atopic dermatitis)
Tinnitus (ringing in the ears)
Cancer related pain
Are there any risks associated with hypnotherapy?
Before considering hypnotherapy, you need a diagnosis from your doctor to know what needs to be treated. This is especially true if your condition is psychological (for example, a phobia or anxiety), and you should be evaluated by a psychiatrist. Without an accurate diagnosis, hypnotherapy could make your symptoms worse. Very rarely, hypnotherapy leads to the development of “false memories” made up by the unconscious mind; these are called confabulations.
How can I find a hypnotherapist?
Most hypnotherapists are licensed medical doctors, registered nurses, social workers, or family counselors who have received additional training in hypnotherapy. For example, members of the American Society of Clinical Hypnosis (ASCH) must hold a doctorate in medicine, dentistry, podiatry or psychology, or a master’s level degree in nursing, social work, psychology or marital/family therapy with at least 20 hours of ASCH approved training in hypnotherapy. The American Psychotherapy and Medical Hypnosis Association provide certificates for licensed medical and mental health professionals who complete a 6 – 8 week course.
To receive a directory of hypnotherapies near you, contact:
The American Society of Clinical Hynosis: www.asch.net
The Society for Clinical and Experimental Hypnosis: www.sceh.us
The American Association of Professional Hypnotherapiests: www.aaph.org
- Reviewed last on: 9/6/2011
- Steven D. Ehrlich, NMD, Solutions Acupuncture, a private practice specializing in complementary and alternative medicine, Phoenix, AZ. Review provided by VeriMed Healthcare Network.
*Accardi MC, Milling LS. The effectiveness of hypnosis for reducing procedure-related pain in children and adolescents: a comprehensive methodological review. J Behav Med. 2009 Aug;32(4):328-39.
*Alladin A, Alibhai A. Cognitive hypnotherapy for depression: an empirical investigation. IntJ Clin Exp Hypn. 2007;55(2):147-66.
*Araoz D. Hypnosis in human sexuality problems. Am J Clin Hypn. 2005;47(4):229-42.
*Bisson J, Andrew M. Psychological treatment of post-traumatic stress disorder (PTSD). Cochrane Database Syst Rev. 2007;(3):CD003388.
*Brown D. Evidence-based hypnotherapy for asthma: a critical review. Int J Clin Exp Hypn. 2007;55(2):220-49.
*Brown DC, Hammond DC. Evidence-based clinical hypnosis for obstetrics, labor and delivery, and preterm labor. Int J Clin Exp Hypn. 2007;55(3):355-71.
*Casiglia E, Schiavon L, Tikhonoff V, et al. Hypnosis prevents the cardiovascular response to cold pressor test. Am J Clin Hypn. 2007;49(4):255-66.
*Derbyshire SW, Whalley MG, Oakley DA. Fibromyalgia pain and its modulation by hypnotic and non-hypnotic suggestion: an fMRI analysis. Eur J Pain. 2009 May;13(5):542-50.
*Emami MH, Gholamrezaei A, Daneshgar H. Hypnotherapy as an adjuvant for the management of inflammatory bowel disease: a case report. Am J Clin Hypn. 2009 Jan;51(3):255-62.
*Facco E, Casiglia E, Masiero S, Tikhonoff V, Giacomello M, Zanette G. Effects of hypnotic focused analgesia on dental pain threshold. Int J Clin Exp Hypn. 2011;59(4):454-68.
*Flammer E, Alladin A. The efficacy of hypnotherapy in the treatment of psychosomatic disorders: meta-analytical evidence. Int J Clin Exp Hypn. 2007;55(3):251-74.
*Graci GM, Hardie JC. Evidenced-based hypnotherapy for the management of sleep disorders. Int J Clin Exp Hypn. 2007;55(3):288-302.
*Jensen M, Patterson DR. Hypnotic treatment of chronic pain. J Behav Med. 2006;29(1):95-124.
*Kohen DP, Zajac R. Self-hypnosis training for headaches in children and adolescents. J Pediatr. 2007;150(6):635-9.
*Lew MW, Kravits K, Garberoglio C, Williams AC. Use of preoperative hypnosis to reduce postoperative pain and aneshesia-related side effects. Int J Clin Exp Hypn. 2011;59(4):406-23.
*Lynn SJ, Cardena E. Hypnosis and the treatment of posttraumatic conditions: an evidence-based approach. Int J Clin Exp Hypn. 2007;55(2):167-88.
*Miller V, Whorwell PJ. Hypnotherapy for functional gastrointestinal disorders: a review. Int J Clin Exp Hypn. 2009 Jul;57(3):279-92.
*Nash MR. Salient findings: A potentially groundbreaking study on the neuroscience of hypnotizability, a critical review of hypnosis’ efficacy, and the neurophysiology of conversion disorder. Int J Clin Exp Hypn. 2005;53(1):87-93.
*Neron S, Stephenson R. Effectiveness of hypnotherapy with cancer patients’ trajectory: emesis, acute pain, and analgesia and anxiolysis in procedures. Int J Clin Exp Hypn. 2007;55(3):336-54.
*Page RA, Green JP. An update on age, hypnotic suggestibility, and gender: a brief report. Am J Clin Hypn. 2007;49(4):283-7.
*Patterson DR, Wiechman SA, Jensen M, Sharar SR. Hypnosis delivered through immersive virtual reality for burn pain: A clinical case series. Int J Clin Exp Hypn. 2006;54(2):130-42.
*Porter LS, Keefe FJ. Pyschosocial issues in cancer pain. Curr Pain Headache Rep. 2011;15(4):263-70.
*Saadat H, Kain ZN. Hypnosis as a therapeutic tool in pediatrics. Pediatrics. 2007;120(1):179-81.
*Shen YH, Nahas R. Complementary and alternative medicine for treatment of irritable bowel syndrome. Can Fam Physician. 2009 Feb;55(2):143-8. Review.
*Stern. Stern: Massachusetts General Hospital Comprehensive Clinical Psychiatry, 1st ed. Philadelphi, PA: Mosby, An Imprint of Elsevier. 2008.
*Stewart JH. Hypnosis in contemporary medicine. Mayo Clin Proc. 2005;80(4):511-24.
*Thornberry T, Schaeffer J, Wright PD, Haley MC, Kirsh KL. An exploration of the utility of hypnosis in pain management among rural pain patients. Palliat Support Care. 2007;5(2):147-52.
*Valente SM. Hypnosis for pain management. J PsychosocNurs Ment Health Serv. 2006;44(2):22-30.
*Whitehead WE. Hypnosis for irritable bowel syndrome: the empirical evidence of therapeutic effects. Int J Clin Exp Hypn. 2006;54(1):7-20.
*Wobst AH. Hypnosis and surgery: past, present, and future. Anesth Analg. 2007;104(5):1199-208.