Wednesday 30 September 2015

Hypnotherapy: entering the zone


   October 2015

Hypnotherapy: entering the zone   by Dr Elizabeth McCardell, M. Couns., PhD

     I’m currently participating in an online international conference on using hypnosis in the treatment of depression. We listen or watch or read several presentations, ask questions, attend coaching calls where we talk about cases, theories and approaches, and ask more  questions. I’m gathering, expanding, deepening my understanding of things, which only helps those I work with, and also layers on more dimensions to the work I do, which is very satisfying. I am thus moved to write more about hypnotherapy and how it works, because I think such knowledge is invaluable.

     Hypnotherapy, or hypnosis as the Americans call it, is nothing like the hypnosis dished up to audiences attending the latest stage show. It, or I, cannot make a person do anything they have no desire to do, and what’s more, what happens in a session doesn’t involve giving up your conscious awareness nor handing over the control of you to me. This is anathema to the healing principles of any good therapy. Change comes from within  you, from your conscious and non conscious processes. Hypnotherapy is a therapy of change.

     Hypnotherapy provides a wonderful context for moving beyond problems a person might have. The dynamic of a problem is a seemingly endless looping, around and around, with the same thing going over and over in your head, something that doesn’t seem to be solvable just by thinking about it. Indeed, the repeated thoughts, or habits, or whatever it is that dominates a person’s life creates a sort of inflexible space from which escape seems practically impossible. Hypnotherapy can help move a person out of this inflexible space and into fluidity and a certain joyfulness.

     Hypnotherapy facilitates, in a relaxed and yet aware state our mood, freeing and amplifying positive mood states, as well as giving us access to ways of  more flexible thinking and feeling in the future. Hypnotherapy is thus both a present and future oriented treatment. What might be honed in on during a session can become tools for what happens tomorrow, next week, and the rest of your life.

     There are several components of a hypnotherapeutic session. One is dissociation, while another is association, while a third is suggestion, and others. In the dissociative state the person doesn’t know how to produce hypnotic phenomena (eg creating an analgesia) by deliberate means, but can produce the desired effect with no awareness of how she did so. These processes are typically described as latent, or unconscious, and they point to the enormous resources we have at our disposal, though we generally don’t know we have them.  Think here of amazing stories of people finding in themselves enormous strength when faced with catastrophic events and getting out of these situations alive. In association, connections are made between apparently unrelated skills and experiences, connecting the dots, as it were, so that moving forward makes sense.  Suggestion is the added idea offered to the client to ameliorate change in their take on their life. It might be, say, for giving up smoking, that the cigarette tastes disgusting, like a rubbish bin, and that you have no desire to keep it in your mouth a moment longer but rip it out, crush it underfoot, and throw it away. Dissociation, association and suggestion already shift the way you think about things, and introduce into the mix, knowledges you didn’t realize you had.

     When you enter the relaxed and yet focused state that is the hypnotic trance, many things become possible. Changes are already happening to move a person out of the fixed state of a problem so that things can be better managed or removed altogether. The kind of problems beautifully worked on cover: pain management, anaesthesia, anxiety and panic attacks, depression, low self esteem, social anxiety and poor coping skills, problem solving skills, artistic and athletic skills, eating problems, sleeping problems, smoking, increasing mindfulness and relaxation, etc.

     A series of hypnotherapy sessions provides a zone, for experiential and behavioural change and entering into the zone is a pleasant experience: it’s safe, secure, comfortable, and usually easy.  I have a special chair that extends to a soft, supportive, wonderful couch. I call it the magic chair, for it is a tool in the furniture of change. Each session is tailored to each person and I do not use scripts, so I am present with you every inch of the way. You are unique and I work from where you are and what engages you, for engagement is the cornerstone of hypnotherapy. This is the context of learning, this is the zone.