This question is very familiar to me and many clients ask it. My guess is that behind the question is a desire to bring about immediate and effective change. A very real desire to release and resolve the problem, pattern or symptom that is creating suffering in your life.
I also sense that many people enquiring about hypnotherapy hope that hypnosis can make this to happen simply by participating in a hypnosis session and/or listening to an audio recording.
However, hypnotherapy cannot offer 100% fail-safe guarantees about outcomes any more than other therapeutic modalities whether they be CBT, naturopathy, acupuncture, or standard medical treatments. All treatments involve the active participation of the client.
Hypnotherapy is not just about me, the therapist, doing something to you whereby you relinquish control and responsibility. It is not like the stage hypnosis you see in television shows. In order to have success, we work together, clear about our own roles and responsibilities in the therapy process. We work together to create a process that supports you in releasing the thoughts, feelings and beliefs that underpin your issue or concern. That might include making lifestyle adjustments, trying out new ways of responding to the world, taking up exercise or meditation or a hobby. Hypnotherapy is part of a process in which we explore your life as a whole and together we work out what feels possible for you. Hypnotherapy supports you at each stage of this process; contemplating change, ready to change, maintaining change and dealing with any setbacks or challenges along the way.
That said, as an evidence based practitioner, I offer interventions, in consultation with you, that are supported by research and give the highest chance of that change occurring and my clients who have have gained relief with hypnotherapy. You might like to read this article published by the Australian Broadcasting Commision last year.
Medical hypnosis is used to treat a range of health conditions, but what’s the evidence it works?
from: ABC Health & Wellbeing By Bianca Nogrady
Updated 17 Dec 2015, 1:14pm
Hypnosis may well conjure images of black-clad, eyeliner-embossed performers convincing seemingly innocent people to perform cringe-worthy acts.
But there’s more to hypnosis — or more specifically, medical hypnotherapy — than mere showmanship.
Clinical hypnotherapy is a combination of hypnosis and a psychological treatment. It involves getting you into a relaxed state where the therapist can communicate with the subconscious part of your mind and make suggestions relevant to your symptoms, says clinical hypnotherapist Simone Peters.
“For example, if somebody has diarrhoea-predominant irritable bowel syndrome, you might get them to imagine that their gastrointestinal tract is being represented by the flow of a river, and that they need to slow the flow of the river down in order to control the bowel movements,” said Ms Peters, PhD candidate at Monash University and therapist at Melbourne’s Shepherd Works clinic, which focuses on the treatment of people with gastro-intestinal conditions.
“Or with bloating, it’s this idea of blowing up a balloon and letting the pressure from the balloon go, or getting them to put their hands on their abdomen and imagine that soothing the gut.”
Online, there is no shortage of people who say it has helped them quit smoking or lose weight, or helped them manage medical conditions such as depression.
So is there any evidence to support these anecdotes and which conditions, if any, is hypnotherapy most effective in treating?
Irritable bowel syndrome
Perhaps the clearest evidence for a benefit from hypnotherapy is for irritable bowel syndrome (IBS), a condition that affects as many as one in five Australians.
People with IBS experience some pretty unpleasant digestive symptoms — abdominal pain, bloating, diarrhoea and constipation — that can have a significant impact on their quality of life.
Sometimes these symptoms go away by themselves, without treatment, but for some people, the symptoms are severe and no treatment — including the gold standard approach of the FODMAP diet — brings relief.
Most of us can live with the occasional abdominal indiscretion. But for those with IBS it’s much more than just a bad bowel day.
Several studies, including one from Australia, now point to hypnotherapy as a way to bring significant and lasting relief from symptoms, especially for those people who haven’t responded to other treatments.
Another Dutch study in children with abdominal pain and irritable bowel syndrome showed that 68 per cent of those treated with six sessions of medical hypnotherapy over three months were still in remission after at least four years, compared to 20 per cent of the group treated with standard medical treatment.
Ms Peters said a study at The Alfred hospital in Melbourne had shown similar results.
“They don’t just walk out of the first session and find that they’re completely symptom free; it usually takes a number of sessions, but after about four to six sessions they start to show improvement.”
Adolescent health specialist Professor Susan Sawyer says we do not quite understand how hypnotherapy works in irritable bowel syndrome, but the evidence shows it works better than any other form of conventional therapy for severe, intractable symptoms.
“If we think firstly about what is hypnotherapy, how does it work, it is defined as the ability to focus narrowly, intensify ones’ concentration and perception, while, if you like, you’re reciprocally diminishing awareness of all other stimuli,” Professor Sawyer said.
“During that focused state, therapeutic suggestions can be more readily accepted and incorporated into the subconscious mind with the individual being able to then modulate some of their physiological processes.”
Professor Sawyer said the process could be changing how people’s minds respond to and process pain, or could even be influencing gut function. It could also help by reducing stress.
If people are considering this hypnotherapy for IBS, they should ask their doctor for a referral to a clinical hypnotherapist with experience in treating IBS, and who is registered with organisations such as the Australian Society of Hypnotherapists.
Other studies have found that medical hypnotherapy can help relieve the nausea and vomiting associated with chemotherapy treatment, particularly in children.
There is also growing evidence that hypnotherapy can help you manage pain both chronic and acute.
Studies suggest that it may be more effective than other psychological treatments, such as supportive counselling, cognitive behavioural therapy alone, physical therapy or educational programs for cancer pain, low-back pain, arthritis pain and other chronic pain conditions.
There is some suggestion that hypnosis can reduce pain and distress when used in conjunction with sedation (hypnosedation), or before a general anaesthetic is given.
At this stage there are relatively few studies on this.
Many people quitting smoking turn to hypnotherapy to help them beat their addiction. But unfortunately, here the evidence isn’t quite as strong.
A 2010 Cochrane review of studies of hypnotherapy for smoking cessation failed to show that hypnotherapy was any better than any other quit smoking interventions, or even no treatments at all.
So it’s difficult to make a blanket statement for or against hypnotherapy as a quit smoking aid because the programs are all so different, says QUIT Victoria director Dr Sarah White.
“All programs are not created equal, and it could be some of those programs contain elements of motivational interviewing or coaching, so it could be that which has an effect,” says White.
Some people also struggle to break the routines associated with smoking, White says.
“For some people, hypnotherapy might help them change that routine because it’s making them more aware that they get up and have a cigarette, but there’s no solid evidence of this.”
The few studies that have looked at the use of hypnosis for weight loss show that it only achieves a slight weight loss.
The advice from US-based Mayo Clinic is that hypnosis alone is unlikely to achieve significant weight loss.
Another area where hypnotherapy may show benefit is in helping women during childbirth.
A 2012 Cochrane review of seven studies of hypnotherapy in childbirth concluded that while the results across these studies were mixed, there was suggestion of benefits.
For example, some studies showed women who underwent hypnosis had a lower intensity of pain, shorter labour and shorter hospital stays compared to women who did not undergo hypnosis.
But on the question of whether hypnosis led to less pain medication being used, or a greater likelihood of a vaginal birth, the studies were too mixed to deliver a clear answer.
What about psychological problems? After all, if hypnotherapy is a psychological process, shouldn’t it be effective for the treatment of conditions such as depression?
According to Beyond Blue, there is not a whole lot of good clinical trial evidence examining the effectiveness of hypnotherapy for depression.
One study that combined hypnotherapy with another well-known therapeutic approach called cognitive behavioural therapy (CBT) suggested that the combination might be more effective than CBT by itself, but the size of the effect was not huge.