In This Chapter
^ Understanding how the mind can control pain
^ Controlling skin problems with hypnosis
»> Helping your heart
^ Giving birth the hypnotherapy way
^ Addressing intestinal issues
^ Rooting for the dental/hypnosis combo
^ Coping with physical problems with a psychological component
Ypnotherapists have to restrain themselves when describing the range
W I of physical ailments hypnotherapy can help with. The challenge is to not oversell the incredible variety of treatments possible, nor in any way to
Imply that hypnotherapy is a substitute for medical care.
Hypnotherapy is a wonderful complementary adjunct to medical care and it can alleviate an amazing range of physical problems. Patients often seek help from a hypnotherapist After A doctor has ruled out any physical cause for a complaint and relegated it to the area of ‘it must be emotional’.
Common areas of treatment that people come to hypnotherapists with include:
V Pain management
Skin problems
Pregnancy related issues
Irritable bowel syndrome W Bulimia
This is in no way a complete list, but rather the areas of physical treatments we discuss in this chapter.
Letting Go of Pain
Nobody likes to talk about pain – except maybe sadists and masochists. When you’re healthy, pain probably never crosses your mind. However, when you
Experience pain, it takes up some part of your awareness and can affect your
Mood. If the pain is serious enough or becomes chronic (long-term in duration),
It can make you feel irritable and depressed. Chronic pain can even weaken your immune system, making you susceptible to other health problems.
Although the American Medical Association listed hypnosis as an approved treatment for pain as early as 1958, it is a sad fact that medical science has
Been very slow to acknowledge the powerful pain relief that hypnosis can provide. The evidence of how effective hypnosis can be is available to anyone who wishes to review it.
People who deal with people in pain recognise two types of pain:
V Acute pain: Pain that is severe but lasts for a relatively short period of
Time.
V Chronic pain: Pain that ranges from mild to severe and is present for
More than three months.
Both acute and chronic pain can involve periods where the sufferer is pain free.
If you have chronic pain that inhibits you from pursuing normal, everyday activities, consult your doctor. Obtain a physical examination from your doctor before seeking any help for pain. It is important to eliminate any medical issues before seeking a psychological cure, such as hypnosis. A qualified hypnotherapist will always gain confirmation and permission from your doctor, prior to using hypnosis, to work with pain related issues.
Experiencing pain
Simply put, pain is your body’s warning system that protects you from hurt or provides a warning that something is wrong somewhere in your body. We all react differently to pain. No two individuals are likely to have the same response to a similar pain-inducing event. But how do you describe something as subjective as pain? The experience of pain can be put into two
Broad components:
V Sensory pain: This tells you the location of the pain and its sensory
Quality – whether the pain is an aching, burning, cold, stabbing, or tingling sensation.
V Affective pain: This refers to your personal, subjective experience of
Pain – how much it bothers you.
An athlete may experience injury during her performance but isn’t bothered by the pain while she focuses on winning. After finishing the competition, she may gradually, or suddenly, become more aware of the pain.
Perceiving pain
There’s a distinct relationship between your perception of pain and how you experience it. If, for example, you’re having fun playing football and experience a minor cut on your finger, you are likely not to feel the pain until the
Fun ends. However, if you are sitting in a quiet office, slightly bored and irritated and a little unhappy when you get a paper cut, the chances are that cut
Will really hurt because you have nothing to distract you.
The mind perceives pain subjectively. If you are distracted from your pain,
You are less likely to focus on it and less likely to register it. For example, you have probably had the experience of suffering some minor injury, like a
Bruise or a paper cut, without realising it and then, suddenly, when you see it, only then do you begin to feel it. So pain does not necessarily cause suffering. How you perceive pain plays a large part in how you experience it.
Doctors cannot help you to have greater control over your perception of pain. Interestingly, hypnosis can. Your unconscious mind, however, has the
Power to alter your experience of pain.
Hypnosis can help you manage a variety of pain including headaches, muscular pains, dental operations, and childbirth. Hypnosis can even be used as a supplement to, or complete replacement for, anaesthesia used in surgery!
Relieving pain
During hypnosis, you relax and your mind focuses on something other than
Pain, possibly even something pleasurable. The combination of these two events – lowering your anxiety through relaxation and moving your focus
Away from the pain – lets your nervous system register less pain, or no pain at all. It is mainly through relaxation and removing fear that hypnosis pain reduction has its greatest advantages.
Two options in dealing with pain management are:
V Analgesia Refers to the partial loss of pain sensation.
V Anaesthesia Refers to the total loss of any pain sensation.
Theorising about how hypnosis manages pain
There are many theories about how hypnosis is effective with controlling pain. Until recently, it was believed that being in a hypnotic state produced Endorphins - the body’s natural painkillers. This theory now seems to have been
Disproved, or at least placed in dispute, by a
Number of researchers. Currently a more popular idea about the theory of hypnosis and pain control involves the ‘gate control theory’. This theory was proposed in 1965 by researchers Melzack and Wall, and modified in 1978 by Professor Wall. It states that the brain and the spinal cord pass information about pain in the
Form of continuously flowing impulses. These
Pain information messages are sent via the central nervous system to the peripheral nerves.
According to the theory, certain cells and nerves within the body register any signals of injury or
Pain. These signals are then directed (or not) through a system within the body, not unlike a gate, that lets some message pass onto the brain. The messages allowed through the gate
Are then received by the brain and interpreted as pain. Because hypnosis can directly influence the nervous system through relaxation, it can decrease the amount of pain signals that are
Registered.
Research shows that the hypnotic management of pain is not a placebo effect, but has a physiological action that explains its effectiveness.
Through PET (Positron Emission Tomography) scans, it has been demonstrated that hypnosis directly affects areas of the brain involved in the perception of suffering (the anterior cingulate
Cortex). Activity in this brain area decreases during hypnotic pain control.
Analgesic and anaesthesic techniques
Hypnotherapists may suggest using either the analgesic or the anaesthesic approach to your pain control. You may wonder why they don’t use anaesthesia in all pain control work. After all, why not lose all the pain instead of just
Some of it? The reason is that it is usually a good idea to leave just a small amount of the pain behind after a hypnosis session. For example, if you suffered a badly sprained ankle, it probably wouldn’t be a good idea to hypnotise all the pain away so that you could go out and run the Boston marathon!
Hypnosis to induce anaesthesia – the total loss of pain sensation – may be
Useful in a situation such as a surgery, where having an anaesthetic drug is not possible, or unwanted. In such a situation, hypnotherapy can be an alternative where a total absence of pain is required.
Using hypnosis to induce analgesia – the partial loss of pain sensation -
May be useful for treating conditions such as migraines. In this situation, the
Migraines may be occurring for a reason, such as providing an indication of an underlying problem; a food allergy or a yet undiagnosed medical problem. Leaving a trace amount of pain serves as a reminder that more investigation may still be needed. Of course, the approach on whether to use hypnotic
Analgesia or anaesthesia is negotiable with your hypnotherapist.
^.rABEfl Your hypnotherapist may very well avoid the word Pain And substitute the
Word Discomfort. Discomfort sounds much less serious than pain, and by ( IM ) Deliberately reframing your perception of pain and subtly changing it, your Vijj/ Hypnotherapist encourages your unconscious mind to shift your perception
Of the pain that your body is registering.
The level of trance directly correlates with how much pain can be made tolerable. Broadly speaking, the deeper the trance you experience, the deeper the pain you are able to endure. However, it’s possible to undergo minor surgical procedures even in light and medium-deep trances.
With practise, you can use self-hypnosis to undergo routine dental procedures. Dentists with minimal hypnosis training can use it to perform minor procedures on their patients.
Glove anaesthesia has nothing to do with mittens
Glove anaesthesia is a hypnotherapy technique in which the entire hand is made insensitive – from the fingertips to the wrist. This area is numb, wooden-like, and lacks feeling – as if an anaesthetic had been injected. I (Mike) first saw this demonstrated as a student at the London College of Clinical Hypnosis. Michael Joseph, a master hypnotherapist, used a fellow student on our very first day in class – without inducing a trance. He simply
Spoke a few words and asked the student if she could imagine wearing a
Glove on a freezing winter day. The student said ‘Yes’ and he asked permission to test her hand. He then pinched her skin – very hard. She didn’t flinch!
But this was for demonstration purposes only. Your hypnotherapist will always work slowly, inducing a trance and being very careful with you!
Glove anaesthesia can be effective in a variety of uses, including treating arthritis and rheumatism, glaucoma, migraine and tension headaches, obesity, and skin disorders. It can be used to ease the pain of dental procedures, childbirth, cancer, and the phantom limb pain amputees feel. Psychological disorders may benefit from glove anaesthesia, and it can be used before and
After surgery.
The Ice bucket technique Involves your hypnotherapist asking you to imagine
Placing one of your hands in a bucket, full of crushed ice, up to the wrist. The
Hypnotherapist vividly describes how your hand feels as it gets colder and
Colder, eventually becoming numb. She then tells you that she’s going to test
Your hand for sensitivity – gently – by pinching your hand with various
Degrees of strength.
This technique can be demonstrated without trance induction and still be effective. However, for deep and sustained levels of anaesthesia, such as for surgery, trance induction is required. In surgical hypnosis, several hypnosis sessions will typically take place prior to surgery. These will involve helping
The client practise self-hypnosis, and experiencing sustained periods of trance and hypnotically induced anaesthesia.
Additionally, the hypnotherapist may inform you that the absence of sensation in your hand will remain even after awakening. She awakens you and tests for sensitivity by pinching the hand, with various degrees of strength. She then re-induces trance and places your ‘anaesthetised’ hand over your other hand, and informs you that the sense of numbness will be transferred to the non-anaesthetised hand.
You are then told to remove your hand only when the numbness has been
Transferred. This newly numbed hand is tested as before and then both hands are restored to normal. Your hypnotherapist teaches you self-hypnosis – While
In trance - and awakens you. Then you are asked to hypnotise yourself, and while in the trance you are asked to anaesthetise one of your hands and to
Then transfer the numbness, to the part of your body affected by pain. The
Hypnotherapist then suggests that you will be able to do glove anaesthesia at any time in the future, and that you will be able to use it to reduce pain. You are awakened with the new skill of being able to conduct glove anaesthesia on yourself!
Helping Your Skin Look Good
Care to guess what your body’s largest organ is? (Men, be very careful with your answer!) Actually, your skin is the largest organ of your body, and what
A protective organ it is! Skin acts as a defence against bacterial and viral
Attack, as well as protecting you from heat, cold, physical injury, and ultraviolet radiation. Skin regulates your body temperature, detects potential harm before injury can occur, provides input to the brain regarding the physical nature of the environment, and even allows you to become sexually aroused.
Since both the skin and the nervous system share a common organ – the Ectoderm - it is not surprising that stress and anxiety can adversely affect the course of any skin disorder. Conversely, once skin disorders develop, they often
Produce and prolong the mental and emotional disturbances that can perpetuate symptoms. Hypnosis can be a wonderful adjunct to conventional medical treatments in providing relief from a variety of dermatological problems.
In the following sections we talk about three of the four main types of derma -
Tological problems – eczema, psoriasis, and warts.
Hypnotherapy can’t do a lot for someone with acne, the fourth type of skin
Problem, other than bolster their sense of self-worth. Acne is best treated by dermatologists as it has fairly serious medical implications.
Scratching aWay at psoriasis and eczema
Both psoriasis and eczema are also known to be stress-related diseases that respond well to reduction in stress levels. Hypnotherapy can help to alleviate
Stress and thereby factors that may exacerbate both conditions.
Relieving the rash of eczema
A common condition, Eczema Is a very itchy, peeling, thickened, sometimes weepy area of inflamed skin, typically found in the creases of joints and the trunk of the body. The rash may fluctuate both seasonally and over the
Course of a day. Scratching may lead to bleeding and infection.
Eczema may have physical causes, such as with varicose eczema, in which
Swollen or twisted veins may influence the condition, but eczema is thought to be a stress-induced condition.
Scaling back psoriasis
Psoriasis is characterised by plaques of red, scaly, easily bleeding skin, often
Over the knees, elbows, trunk, and back. Finger and toenails may develop pitting. Some people with severe arthritis are prone to getting psoriasis as well.
The disease varies widely from one patient to another and in rare, severe cases, may be life-threatening because wide areas of skin are exposed to infection.
The cause of psoriasis is not known, although genetic factors appear to play a role. Environmental factors such as injury, stress, cold climate, and other
Illnesses are known to adversely affect the condition with some patients.
Stop kissing frogs: Treating your Warts
Warts Are overgrowths of skin cells caused by the human papilloma virus.
The major symptoms are cosmetic, and treating warts is primarily a matter of preference, although warts in certain locations (the sole of the foot, for example) can cause pain.
You can spread warts by person-to-person contact and you can increase the
Number of warts you have by scratching or picking at them.
Whether you develop warts depends on your immune response to the virus. Though people with known immune deficiencies are more susceptible, most sufferers have a normal immune system.
About 25 per cent of warts go away on their own within 6 months, 50 per cent within a year, and 65 per cent by two years.
Easing skin problems With hypnotherapy
Skin conditions are often exacerbated by anxiety as well as through scratching. Hypnosis – as you know by now – is excellent for lessening anxiety. A
Hypnotherapist working with someone with a skin disorder would make suggestions to address any emotional problems that may be causing anxiety, and would pay particular attention to the patient’s everyday circumstances.
If a client’s anxiety is linked to issues of low self-esteem, part of the treatment
Would include direct suggestions for ego-boosting. Approaching techniques
For skin problems linked to psychological or emotional problems, your hypnotherapist can choose from a range of techniques, based on your individual needs, such as
V Suggestions to decrease the perception of itching sensations. For example, ‘You might still feel itchy, but you no longer have any desire to
Scratch.’
V Post-hypnotic suggestions providing practical techniques to alleviate the desire to scratch. For example, you may imagine breathing through the itchy parts of your skin with sensations of ‘calmness’ and ‘coolness’,
And feel relaxed as you do so, or ‘You have no desire to scratch’.
V Symptom substitution to eliminate scratching. The hypnotherapist may suggest substitute feelings, such as numbness or pressure, instead of itchiness.
V Analytical techniques similar to doing counselling or psychotherapy in
Trance. These techniques may be used when the previously mentioned
Techniques are deemed ineffective. Analytical techniques are more of an advanced treatment approach and may involve a deeper application, not
Dissimilar to psychoanalysis. Don’t worry – they’re not physically
Painful!
These analytical techniques may involve such approaches as:
• Regression: Using hypnosis to take you back in time to before you
Had the problem. This allows the therapist to demonstrate to you the link between your mind and body, thus giving you control over the symptoms.
• Dissociation: This involves working with any unresolved issues
That contribute to the skin condition. Dissociation techniques allow you to gain insight into your condition, as well as develop strategies to resolve your problem. Chapter 2 has in-depth information on dissociation.

Glove anaesthesia (see the ‘Glove anaesthesia has nothing to do with mittens’ section earlier in this chapter) is an effective treatment for burning
Sensations and can be used to ‘freeze’ a wart. How does this work? In a
Word, Dissociation. The hypnotherapist creates a split between your conscious awareness of pain sensation and the normal response of reacting to pain, thus dissociating your normal reaction to pain. It’s like watching a film of yourself having the wart frozen. You wouldn’t react with the pain sensation if you were simply watching yourself having the wart removed (although you might cringe!).
Sampling scripts for treating skin problems
In this section are some typical scripts a hypnotist may use for skin problems. The scripts are phrases that broadly represent what a hypnotherapist
Might say as part of post-hypnotic therapy; that is, after you’ve been hypnotised and are still in trance.
Keep in mind that these scripts are worded generally, and in a real session
Would be specifically tailored to your particular problem. Your hypnotherapist won’t use the exact words we use; she tailors her words to be meaningful
To you and your situation. Still, you can get a good idea of the various approaches from reading the following scripts.
Stopping scratching
In this script, your hypnotherapist would identify the specific areas most affected by the rash, to personalise the suggestion for you.
‘. . . and you have no desire to scratch. . . if at any time. . . your hand moves toward your skin in order to scratch. . . the moment your fingers touch your skin. . . you will instantly. . . and immediately become aware of what you are about to do.. . and your hand will move away from your skin. . . and because of this. . . your comfort will increase. . . and your skin will continue to heal. . . and any rash will begin to disappear more and more rapidly. . . even while you sleep at night. . . the moment your fingers touch your skin in order to scratch. . . instantly and immediately your hand will
Move away from your skin. . . and your skin will continue to heal. . . as you
Sleep. . . because of this treatment. . . you will be able to exercise enough self-control to. . . allow your skin to heal. .
Improving circulation
A hypnotherapist may treat itching by suggesting that your blood circulation is improving. Research shows that the mind can directly affect circulation.
‘. . . your heart will beat more strongly. . . so that more blood will flow through the little blood vessels in the skin. . . carrying more nourishment to the skin. . . because of this. . . your skin will become well nourished. . . it will become healthier. . . and the rash will gradually diminish. . . until it fades away completely. . . leaving the underlying new skin. . . perfectly
Healthy and normal in every way. . . and. . . as your circulation improves. . . and you become stronger and steadier in every way. . . so. . . the unwanted itching and irritation of your skin will subside. . . and disappear. . . the comfort increasing each day. .
The next brief script is for lowering blood circulation:
. . as a result of this treatment. . . you are going to feel fitter and stronger in everyway. . . your circulation will improve. . . particularly the little blood vessels that supply the skin. .
The above script would actually allow your circulation to improve and allow blood vessels to become healthier.
Solving skin-caused insomnia
If you have a severe skin condition, you may have trouble sleeping, either
Because of the pain, or the itch. Your hypnotherapist can use your discomfort to ease you into a restorative slumber, through a reverse suggestion:
‘. . . the more you notice the discomfort. . . the drowsier you become. . . until you fall into a deep. . . refreshing. . . healing sleep. .
So you can see that the suggestions leads you into a feeling that healing is
Taking place, even as you become progressively sleepier.
Working on Warts
In assisting you in ridding yourself of warts, your hypnotherapist may give you suggestions including:
^ The blood flow to the wart has stopped. You then imagine your wart
Shrivelling and dropping off, leaving an area of healthy skin behind.
^ Your wart becomes smaller and smaller until it disappears.
^ Your wart is an unwanted building. You then imagine that your immune
System is a demolition company, taking apart the unwanted building and carting it away.
Relieving the Pressure of Hypertension
Hypertension (high blood pressure) affects millions of people every year,
And is a major contributing factor to coronary heart disease and stroke. Until recently the main treatment approaches involved pharmacological intervention and lifestyle changes. However, more eclectic approaches have been developed involving clinical hypnosis.
Hypnosis can play an important role in maintaining a healthy heart as well
As aiding recovery from a variety of cardiovascular diseases. When entering
Trance, a shift in the autonomic nervous system from sympathetic (responsible for activity) to parasympathetic (responsible for rest) control occurs. When the parasympathetic nervous system is dominant the heart rate decreases, thus reducing the burden on the cardiovascular system.
For anyone experiencing cardiovascular disease, the following lists ways hypnotherapy techniques may be useful:
^ Mastering self-hypnosis for relaxation
^ Using hypnosis to cope better with lifestyle issues such as stress management, weight control, diet, alcohol consumption, and smoking
^ Using hypnosis to engage in appropriate exercise
^ Working with issues of depression related to health problems
Relaxation techniques are an important part of helping to alleviate feelings of stress, which are often contributing factors to hypertension.
Let’s get things straight, right from the start. Your hypnotherapist will Not Give
You suggestions that your blood pressure becomes lower and lower. It just
Doesn’t work that way. However, the very act of going into trance lowers your
Blood pressure. In fact studies show that people who have regular experience of trance, either with a therapist or through practising self-hypnosis, can achieve a significant lowering of their blood pressure, with some being able to come off their antihypertensive medications. So, when your therapist asks you to practise self-hypnosis, make sure that you practise it. And regularly!
Going into trance isn’t the complete story. An important part of managing
Hypertension is making some important lifestyle changes according to your doctor’s recommendation. Many external factors influence hypertension, and
Working with a hypnotherapist can help you by looking at strategies designed
To control these. Your hypnotherapist can strengthen your resolve to carry out your doctor’s orders.
^St*M»E* These changes are not just for the short term. If you keep them up, you can definitely help to reduce your blood pressure to a much safer level. And if
( IM ) You need a boost in your determination, pick up your phone and call your hypnotherapist!
■jjjttMG/ Never Stop taking your medication without your doctor or consultant giving the go-ahead. You’re taking it for a reason, and that is to keep you healthy! If (gk ) you make the required lifestyle changes and stick to them, you have a very
V^/ Good chance that you’ll be able to either cut down or stop taking your meds – but Only With your doctor’s say so!
Taking a Pregnant Pause for Childbirth
Hypnosis is useful for a range of issues around conception, pregnancy, and
Childbirth. Many people are unaware that hypnotherapy can help in this area, but hypnotherapists are regularly involved with helping couples conceive
And also get through childbirth with minimum difficulties.
Conceiving options
How does hypnosis help someone become pregnant? Mainly through helping
Decrease the anxiety associated with having sex with the goal of conceiving. The Law of Reversed Effect States that the harder you try to do something, the
More likely you are to fail at it. The body works this way too. If you’re desperate to conceive each time you have sex, your body may activate hormones that kill off the very sperm that you want to fertilise your ovum. So hypnosis simply helps you to relax, and may offer suggestions of you becoming
Extremely fertile.
Hypnosis can help only those people who can’t conceive due to Psychogenic infertility - infertility without a physiological cause. Put another way, hypnosis may be able to help if there’s no known biological or physical obstacle to
Pregnancy, and the problem is most likely emotional. Around 17 per cent of
All couples experience psychogenic infertility, with psychological stressors
Possibly playing a central role.
However, hypnosis can help a significant percentage of people with psy-chogenic infertility conceive. The scientific community is still trying to
Explain exactly Why Hypnosis is effective in this area, but if you have been
Unsuccessful in conceiving, and your doctor has found no medical reason
Why you shouldn’t be able to have a baby, you can have hope that there is a good possibility that hypnosis may help you. Given the choice between hypnosis and expensive and complicated In vitro Fertilisation (IVF) treatments,
There really is no competition.
For many people who are having difficulty in conceiving, it becomes an arduous task for both sides of the parental divide: making sure you do the act at the right time, when the woman’s temperature is right, having to lie back for
20 minutes with your legs in the air to let gravity do its job, and so on. It takes
All the fun out of it and more importantly, on a biological level, it adds stress into the equation.
When you’re trying to conceive, stress puts a major biological spanner in the
Works! When you’re stressed, your body’s biology switches from long-term
Survival priorities to immediate survival priorities. And the last thing the
Body wants at this time is for its all-important biological resources to be

Drained by having a baby growing inside it! Changing the biological balance of the body makes it a much less welcoming place for the sperm and egg to
Meet and unite. Think how you feel when you meet someone in a warm and inviting environment. The lights are low, soft music playing in the background, and love is in the air. Turn a couple of spotlights (playing the role of stress) onto the scene and turn the music up loud, and the last thing you think of is romance!
We’ve all heard the tales of couples who spend years trying to conceive a baby. In the end, they give up and adopt. The next thing you know, the woman is pregnant. The stress of trying to conceive prevented the very thing the parents were after. Take away the stress and the body reverts to long-term survival priorities, the biological lights and music are lowered, and the next thing you know, a baby is on its way!

Both the male and female in a couple experiencing psychogenic infertility should undertake treatment. Women who are stressed out because of this
Problem experience chemical changes in their pH levels that make pregnancy
More difficult, and men who are stressed may experience decreased sperm
Counts.
■^"iK Hypnosis does not work in cases where there is a known medical problem. ( A qualified hypnotherapist will always ensure that you have a thorough
Medical examination prior to seeking hypnotherapy.
Delivering the goods
Many mothers have discovered that hypnotherapy can dramatically improve their ability to enjoy the experiences of both pregnancy and labour. If you are
Pregnant and considering hypnosis, we encourage you to try hypnosis and
Enjoy your child’s introduction to the world.
In the ‘Relieving Pain’ section earlier in this chapter, we describe Hypnotic analgesia - the loss of the sensation of pain. Analgesia can also be successfully applied to childbirth, with no problems for you or your child. Many
Studies consistently show that hypnosis can be effective in pain management, as well as in improving the birth experience.
The main goals for hypnotherapy are to help the mother-to-be achieve control over her pain and develop a greater sense of self-control throughout labour and delivery.
To make this happen you schedule a series of hypnosis sessions when you’re
Pregnant – for you and your birth partner, if possible. Your hypnotherapist takes you through the stages of self-hypnosis – probably during your first session – so that you can practise pain control techniques (Chapter 14 is
Devoted to self-hypnosis). You may also benefit from visualisations that
Increase your confidence and ability to relax.
Your hypnotherapist will help you, while in trance, visualise going through
The stages of labour and delivery safely and easily, and give you suggestions
To enable you to conduct self-hypnosis and induce a loss of sensation of pain as you experience these stages. The hypnotherapist may also suggest that during all this you are in constant, reassuring communication with the child in your womb.
During your sessions with her, your hypnotherapist will take you through all the stages of labour and delivery. Keep in mind that the hypnotherapist
Will help you and your partner reach a level of skill in self-hypnosis (for the mother), and skills for the partner to make simple, post-hypnotic suggestions to ensure that the mother is relaxed and able to cope with any situation that arises. The following list offers a stage-by-stage approach to how this occurs:
^ Pre-birth stage: Your hypnotherapist addresses any specific concerns
You may have, and helps increase your confidence about the birth and post-birth period. This is when you become familiar with pain control techniques.
Your birth partner can find out how to cue you on relaxation and trance
Responses.
^ Birth stage: Your hypnotherapist will probably suggest that, no matter
What level of relaxation or trance you are in, you will always respond to your midwife’s or doctor’s instructions.
You will probably also be given suggestions that, no matter what happens, you will remain calm. This will prepare you to cope well with anything unexpected that may arise.
^ Post-birth stage: For the post-birth stage, you may receive suggestions
For healing and recovery. Also helpful for this stage are suggestions for confidence and helping you, as a new mother, to feel able to cope. Further hypnosis pain control techniques appropriate for this stage
May also be helpful. See the ‘Letting Go of Pain’ section of this book
To understand more about pain control techniques.
Examples of what a hypnotherapist may say at this stage are: ^ ‘As the process of bringing your baby into the world begins. . . you will find
That the contractions will be weak.’
^ ‘You will feel the contractions merely as pressure in your stomach. . . and you will feel calm. . . relaxed. . . and in control throughout.’
^ ‘As the contractions continue. . . you will always follow the advice of your
Midwife or doctor. . . and as soon as you feel the urge to bear down. . .
Tell the midwife. . . but do not give way until she tells you to. . . when she
Does. . . take a deep breath. . . hold it as long as you can. . . and push down as hard as you can. . . as long as each contraction lasts. . . if you have to breathe out before the contraction is over. . . take another deep breath as quickly as possible. . . and continue to hold it and push down. . . since it is usually the last part of the contraction that produces most progress. . . you will find that this will greatly reduce any discomfort.’
Improving Irritable Bowel Syndrome
Irritable bowel syndrome (IBS) Is a disorder of the intestines. When your gut
Is working normally, you hardly notice that it moves food through its long passageway, through a series of muscular contractions known as Peristalsis. Problems with these contractions are classified under the broad heading of IBS.
Hypnotherapy is a recommended treatment for IBS and most people respond rapidly. Usually three sessions are all that are required.
Before going to see a hypnotherapist for IBS treatment, get a proper medical Y\]t\ Diagnosis of IBS confirmed by a GP. The symptoms may indicate a potentially
IM ) Serious condition, and a qualified hypnotherapist will never work on a Vjjjj/ Patient’s self-diagnosis.
Problems with IBS can potentially extend throughout your entire digestive
System, which includes the area from your mouth to your anus. Hence, a great number of different conditions come under the heading of IBS.
Some of the symptoms that people with IBS may experience, and that hypnotherapy can help with, include:
^ Abdominal distress or pain.
^ Cramps or pains in the lower abdomen or rectum (often after eating). ^ Variations in bowel movements, including constipation and diarrhoea. Bowel movements may alternate between constipation and diarrhoea.
Even after a bowel movement, you may feel that the rectum is still full.
^ A feeling of urgency. People with IBS often need to rush and open their
Bowels, usually soon after eating. Incontinence may occur if a toilet is not nearby.
^ Bloating. IBS sufferers may experience flatulence or painful trapped wind. You may have rumbling noises in your abdomen.
^ Back pain associated with irregular bowel movements.
^ Nausea, belching, and vomiting.
Dealing with your IBS anxiety
Many IBS sufferers feel ashamed of their condition. They may experience
Extreme incontinence, or extreme constipation, or both. This may lead them to feel that this problem has to be kept secret, even sometimes from their own doctors. If their problem is a long-term one, it may lead to psychological
Problems such as anxiety and depression. Ironically, anxiety and depression
Exacerbate the symptoms of IBS. Relieving anxiety can be an immense help to
IBS sufferers, and confidence and relief from anxiety are areas in which hypnosis excels.
Conventional medical treatment of IBS involves stress management and dietary awareness, along with pharmacological intervention when needed.
^ Diet: Avoidance of foods that irritate the gastro-intestinal tract is recommended, including spicy food, cabbage, turnip, caffeine-containing drinks, and alcohol. Hypnosis can help to maintain good, healthy eating habits.
^ Pharmacological intervention: Bulk-forming agents and anti-diarrhoeal medications may be used. Antispasmodic drugs may also be used in
Severe cases, to regulate peristalsis. Hypnosis can help with overcoming any resistance to following the medication schedule.
^ Stress management: Guess what we recommend for an excellent stress management tool? Hypnosis of course! Through hypnosis-based stress
Management, IBS sufferers may experience significant relief.
Coping with constipation and diarrhoea
IBS sufferers may fluctuate between constipation and diarrhoea. So what exactly does a hypnotherapist do to help?
Depending on the individual, a hypnotherapist can provide a variety of areas
Of help, including:
^ Stress management: IBS is often related to stress and worry. Hypnosis
Offers other ways to see the problem as not so overwhelming. This can help to provide new coping skills and a sense of managing better.
^ Relaxation: A person with IBS invariably associates the toilet with anxiety. A common hypnotherapy approach is to ask the IBS patient to practise hypnosis while using the toilet, in order to be relaxed.
^ Metaphorical imagery: While in trance, a hypnotherapist can help to
Offer metaphorical images that provide relief. For example, to help with constipation, a hypnotherapist may tell you to imagine logs flowing
Freely down a river; for diarrhoea, imagining logs jamming up a river
Flow. These can be very effective if given while in trance.
Offering an ice-cold example
Imagine that you come to a hypnotherapist for treatment for IBS. Your session may go something like this:
‘… I would like you to imagine that there is a large bucket of very cold water, filled with lumps of ice…’
At this point your hypnotherapist will vividly describe the bucket to you, using all modalities of sensory representation such as touch, imagined vision, and so on.
‘… and now… you are dipping your fingertips into the surface of the water and you can feel the ice against your skin… you will notice that the sensation is changing in your fingertips, as they become more and more numb, and you start to lose all feeling in them. . . I now want you to immerse your whole hand into the bucket of water and ice, and notice how the numbness starts to spread over your hand… as your hand becomes… and continues to become… colder and colder… you are aware that all sensations are now disappearing from that hand… including any response that may arise from a painful stimulus… it will seem as if a thick leather glove has been placed on your hand. . . and the colder it gets the more like a piece of wood your hand becomes…’
When the hypnotherapist is convinced that your hand is numb, she instructs you to transfer the numbness to your belly, to help calm your overactive colon. She then gently places your hand on your stomach and tells you that you are
Going to transfer the analgesia from your hand to your colon.
‘… I want you to imagine that your numb hand is very cold… and that this cold is stored in the form of a blue dye. . . and when I count to three I want you to start transferring this dye to your abdomen… you may notice how the coldness and numb feeling begins to spread over your abdomen as the dye flows from your hand… ready… now… I… 2… 3…’
When the numbness has transferred, the hypnotherapist continues:
‘… Observe how free from discomfort your abdomen is and how your colon is quiet and free from tension… and unnecessary contractions… it just continues to do very little as far as you are concerned… you notice that your hand is now a normal colour and all sensation has returned… and… the numbness only persists in your abdomen and colon. . . as the days and weeks go by. . . and your unconscious mind is more and more able to control your inner feelings… you will feel less bloated as your inner tensions and anxiety flow from your body… leaving you calm and able to live your life in a way that is more satisfying to you… free from pain… free from your problems…’
Before awakening you from trance, your hypnotherapist may teach you to automatically hypnotise yourself, and to use pain control techniques whenever needed in the future. Then they awaken you from trance in the usual way.
Loving the Dentist!
Hands up those who look forward to going to see the dentist. Hmmm. . . very
Few hands seem to be appearing! Well, that can all change with a little hypnosis.
Various applications for dental hypnosis exist, including:
^ Controlling pain ^ Treating phobias
^ Controlling excessive salivation or bleeding ^ Controlling the gag reflex
^ Adjusting to orthodontics, such as dentures, braces, and so on
^ Stopping smoking (it adversely affects gums, and so is a dental concern)
I (Mike) work as a hypnotherapist within a London dental practice, and help a range of people overcome various psychological issues prior to receiving dental treatment. Some people fear even the simplest dental procedures, and would otherwise require an expensive anaesthetist to give them a general
Anaesthetic. Usually a couple of sessions of hypnotherapy can overcome
Life-long phobias.
Dentists and medical doctors are now beginning to learn hypnotherapy themselves. Since the 1950s and 1960s medical staff – admittedly in small numbers -
Have used hypnosis, or employed sessional hypnotherapists. Additionally, some training courses exist, such as at the London College for Clinical Hypnosis,
Aimed specifically for medically trained staff.
Drilling away at your problem
Many people have a fear of dental drills. This is understandable due to the noise, and occasional pain, that may accompany the use of a drill. The fear
Of drills for some patients can be extreme.
Hypnotherapy can help get rid of the fear of the dentist’s drill. Chapter 11
Deals with phobia treatments in detail, so here we only briefly mention some
Of the approaches that a hypnotherapist may use to help you receive a treatment that involves the dentist’s drill. Some of these approaches are:
^ Hypnotising you to float out of your body during the drilling.
^ Hypnotising you to speed up your subjective sense of time, so that the
Procedure seems to be over in seconds.
^ Hypnotising you to forget about being afraid.
^ Dealing directly with the fear itself through more extensive phobia
Treatments.
Grinding down your bruxism: Teeth-grinding and hypnotherapy
Bruxism Is the unconscious grinding and/or clenching of the teeth, when a person isn’t eating. It’s often associated with high stress levels, anger, or
Rage. Bruxism can happen day or night, though most people experience it while asleep. Problems bruxism causes may include:
^ Fracturing and/or erosion of the teeth.
^ Breakdown of the bone supporting the teeth.
^ Fracturing of the jaw if bruxism is severe.
^ The jaw may ‘click’ (frequently audible) when eating.
^ Problems in the joint connecting the jaw to the skull, which may lead to
A condition known as myofacial pain dysfunctional syndrome, a chronically painful condition affecting the face (often only one side).
If you grind your teeth while you sleep, your partner may point out another
Problem – that you keep him or her awake!
Hypnotherapists usually treat bruxism using very direct methods such as
Suggesting that, as soon as your teeth touch in order to grind or clench, you stop instantly, relax the muscles of your jaw, and drift into a deeper and more refreshing sleep.
Dealing with Problems with a Psychological Basis
Although hypnosis has been around for centuries, it was the medical profession, and in particular psychiatry, that brought hypnotherapy into mainstream use, over the past 200 years. In particular, psychiatrists Sigmund
Freud and Milton Erickson deserve credit for popularising hypnosis.
Currently, however, hypnotherapy is not used often to treat mental illness. Therapists in the 1960s and 1970s believed that hypnotherapy produced only
Temporary removal of symptoms, and that hypnosis should not be used in conjunction with counselling or psychotherapy.
Another argument against using hypnosis to treat emotional problems is the view – which is partially true – that hypnosis can make matters worse for some people with serious mental health conditions. For example, if someone is struggling with determining what is real and what is not (as is the case with
Schizophrenia), going into trance will certainly be destabilising. Also, a

Severely paranoid person probably will not allow herself to relax enough, or
Trust a hypnotherapist enough, to allow herself to be hypnotised.
So it’s safe to say that actively mentally ill people should not be hypnotised.
But does this mean that hypnosis should never be used with anyone who is
Mentally ill – even during periods of wellness? Much evidence suggests that hypnosis provides a useful tool in alleviating a variety of mental health problems. The following sections talk about conditions that hypnosis can benefit.
Obsessing about change: Obsessive compulsive-disorder (OCD)
The word Obsessive Is part of everyday parlance, but the psychological condition known as Obsessive-compulsive disorder (OCD) Is an anxiety disorder
Characterised by:
^ Recurrent and persistent thoughts, ideas, images, and feelings that are
Perceived as intrusive and senseless.
^ Repetitive, ritualised behaviours that the individual feels compelled to
Carry out in order to prevent the obsessional thoughts and the associated discomfort.
The obsessive thoughts, or compulsive behaviours, are severe enough to be
Time-consuming – occupy more than one hour per day – or may cause significant distress or impairment to the patient’s normal way of life. Often the person with OCD recognises that the obsessive-compulsive behaviour is excessive and unreasonable, but is powerless to stop it. The condition is usually highly secretive and can remain hidden from even immediate members of the patient’s family.
For people with OCD, attempts to resist the compulsive behaviour may cause
Increasing tension and anxiety, which is relieved by giving in to the compulsion.
Of the many compulsive behaviours that can be expressed with OCD, the
Most common are:
^ Washing: Washing or cleaning is the most prevalent compulsion, and is
Characterised by a fear and avoidance of contamination, as well as elaborate washing, cleaning, or decontamination rituals.
^ Checking: Checking behaviours – the next most common – involve
Elaborate and repeated checking in order to prevent a perceived disaster or dreaded event from occurring. Behaviours that may be expressed
Include ritual behaviours involving superstitions, and any range of other repeated, or extremely over-cautious behaviours, all intended to make
The OCD sufferer feel safer, although often causing great fear and worry instead.
Ordering: Having to be sequential about items – for example, having
Specific locations for every item of food and clothing, with no variation or exceptions allowed.
Hypnosis can help with OCD issues. A hypnotherapy approach can view the basis of OCDs as the splitting off of a certain emotional part of the individual.
This damaged, split-off emotional content is just out of reach of conscious
Thought, but is easily recognised in a dream, or in an altered state of consciousness induced by hypnosis. OCD disorders yield successfully to hypnotherapy, or any technique that seeks to reintegrate the split-off component of the personality.
The therapy approach is essentially a two-stage approach involving:
^ Stage one: The split-off part is identified and treated.
^ Stage two: The symptoms are removed as a separate stage of hypnosis.
(Chapter 5 discusses how hypnosis helps change habits.)
Beating bulimia
Bulimia nervosa Is an eating disorder characterised by:
^ Episodes of uncontrolled eating or bingeing. During the binge, the
Bulimic eats enormous amounts of food (often sweet and high in calories) rapidly, until she is uncomfortably or painfully full. For example, a bulimic patient may consume a whole loaf of bread, a pot of jam, an
Entire cake, and a packet of biscuits in one binge episode. This bingeing provides relief from the tension experienced prior to the binge. Guilt and disgust with regard to the binge rapidly follow. These feelings promote the consequent purge or excess exercise.
^ Extreme and inappropriate measures to control body weight, including
Taking diuretics and forced vomiting after meals.
^ Distorted ideas concerning body shape. For example, a thin person who believes that they are overweight.
The two distinct subtypes of bulimia nervosa are:
^ Purging type: A binge episode is followed by Purging - self-induced vomiting, the use of laxatives, diuretics, or enemas – to control weight.
^ Non-purging type: The person uses excessive exercise or fasting to prevent weight gain after a binge episode. Purging is rarely seen.
Bulimic patients are usually of normal weight. Those who are underweight tend to be diagnosed as having anorexia nervosa of the purging type. Bulimics experience a profound loss of control over their eating behaviour, and may
Experience Dissociation. Dissociation experiences involve feeling cut-off from what is happening. Bulimics also cut-off when they are at their most ill and in the process of bingeing on food, or purging what they have eaten.
There may be several bouts of the binge and purge/exercise cycle within one day. The binge and purge cycle is normally secretive. Bulimic patients report complete lack of control during a binge. However, control can return, as the person stops eating if someone enters the room during the binge.
^ CHfty Contrary to popular belief, bulimia is not a ‘women-only’ condition. Although 90 per cent of all people with bulimia nervosa are female, men can experience "( §WL) It as well. Men who experience bulimia nervosa are more likely to have been \^jy|/ Obese prior to the onset of the condition.
Treating bulimia through hypnosis
One view of bulimia nervosa says that it’s similar to obsessive-compulsive disorders. The binge behaviour is the result of a dissociated part of the individual, with the purge/exercise behaviour becoming a conditioned response to the guilt experienced after the binge.
Low self-esteem, depression, and anxiety disorders are often associated with bulimia nervosa. Hypnotherapy can help with all these conditions. One
Of the main approaches to helping with bulimia is to educate and address, in hypnosis, the dissociative behaviour involved when bingeing and/or purging. Bulimics are, in a sense, ideal candidates for hypnotherapy as the process of trance involves dissociating the conscious from the unconscious, and bulimics are already skilled at dissociation. Emphasising the conscious awareness of bulimic behaviour gives the patient greater conscious control and awareness over their behaviour.
The hypnotherapist may give direct suggestions, while the patient is in trance, to alter or stop the splitting off, and to become highly conscious of
The hand-to-mouth behaviour that occurs during either bingeing or purging
Behaviour. Suggestions may be given directly to stop. That is an authoritative approach involving a powerful message to simply stop the behaviour.
Analytical approaches can also be used to deal with any of the underlying
Emotional issues that contributed to the behaviour. These approaches combined – dissociation awareness, direct suggestion and analytical work – can
Be a powerful therapeutic approach in helping people with bulimia.
Making sure hypnosis and medications mesh
When a medical condition could be part of your problem, most professional hypnotherapists will work with you only with the informed consent of your doctor. The general rule is: always go to your doctor first to ensure that all potential physical causes to your problems have been eliminated.
Be open with both your doctor and your hypnotherapist. They both want to help you. Check with your doctor that receiving hypnosis is safe for you. Likewise, always inform your hypnotherapist about medications you take that affect your mood, speech, or ability to concentrate. Other than that, medication is not usually a problem.
Hypnotherapists are often asked how hypnosis interacts with medication, at a first meeting. The question is usually something like, ‘I’m on Prozac. Will it be a problem for me to receive hypnosis?’ The answer is ‘no’. However, it is always a good idea to discuss fully the medications you have been prescribed, and the reasons for taking them.
In general, if you feel clear-headed enough to concentrate and work on your emotional issues, it is fine to undertake hypnotherapy.
Looking at binge eating disorder
Binge eating disorder is found in approximately two per cent of the population, and is predominantly seen in women. Binge eating disorder follows a similar pattern to bulimia, except that patients do not use extreme forms of weight
Management. Consequently, those suffering from binge eating disorder are
Obese. Binge eating disorder is treated in a similar way to bulimia nervosa.
Treatment for bingeing behaviour is very similar to the treatment for bulimia: awareness of dissociative behaviour, direct suggestions to stop bingeing and, if deemed useful, analytical techniques to deal with emotional issues. Additionally, for both bulimics and binge eaters, additional lifestyle issues, such as over-exercising, poor diet, and so on, can be addressed using hypnosis.