Hypnosis: Another way to manage pain, kick bad habits

Have you ever been totally absorbed while reading a book, cooking or watching a movie? Did you zone out to the point you didn't notice what else was going on around you? If so, you've experienced a trance-like state that's similar to what happens to you during hypnosis.

Although its medical uses aren't entirely understood, hypnosis appears to help with a variety of health conditions, when provided by a certified hypnotherapist or other qualified clinician. These range from helping to manage pain from chronic conditions to easing the symptoms of asthma to kicking bad habits like smoking.

What is hypnosis?

Hypnosis, also referred to as hypnotherapy or hypnotic suggestion, is a trance-like state of mind. It is usually achieved with the help of a hypnotherapist and is different from your everyday awareness. When you're under hypnosis:

• Your attention is more focused
• You're deeply relaxed and calm
• You're more open to suggestions, and less critical or disbelieving

The purpose of hypnosis is to help you gain more control over your behavior, emotions or physical well-being.

It's not clear how hypnosis works. Hypnotherapists say that hypnosis creates a state of deep relaxation and quiets the mind. When you're hypnotized, you can concentrate intensely on a specific thought, memory, feeling or sensation while blocking out distractions. You're more open than usual to suggestions, and this can be used to change your behavior and thereby improve your health and well-being.

Types of hypnosis

There are a variety of hypnotic techniques. The approach you choose depends on what you want to accomplish as well as your personal preferences. Your hypnotherapist may make a recommendation regarding the best technique for your condition.

For example, in one method a hypnotherapist leads you into hypnosis by talking in a gentle, soothing tone and describing images that create a sense of relaxation, security and well-being. While you're under hypnosis, the hypnotherapist suggests ways for you to achieve specific goals, such as reducing pain or stress or helping to eliminate the cravings associated with smoking cessation.

In another technique, once you're under hypnosis, the hypnotherapist helps stimulate your imagination by suggesting specific mental images for you to visualize. This conscious creation of vivid, meaningful pictures in your mind is called mental imagery, and it's a way to help bring about what you want to achieve. For instance, hypnotherapists can help athletes visualize what they want to accomplish before they perform it physically, such as shooting baskets or hitting a golf ball.

Self-hypnosis is a third technique. A certified hypnotherapist teaches you how to induce a state of hypnosis in yourself. You then use this skill on your own to help yourself.

Although hypnotherapists, like other health care practitioners, each have their own style, expect some common elements:

• A typical session lasts from 30 to 60 minutes.
• The number of sessions can range from one to several.
• You generally bring yourself out of hypnosis at the end of a session.
• You can usually resume your daily activities immediately after a session.

How to choose a qualified professional

Hypnosis as a practice is not regulated in most states, so it pays to be very careful when selecting a therapist. Certified lay hypnotherapists are individuals who have completed 200 or more hours of training in hypnosis but don't have additional professional health care training. Licensed health care professionals who practice hypnotherapy, such as psychologists, doctors and social workers, are trained in hypnosis in addition to their university training.

Apply the same care in choosing a hypnotherapist as you would a doctor. Ask someone you trust for recommendations. When you find a potential hypnotherapist, ask questions such as:

• Do you have training in a field such as psychology, medicine, social work or dentistry?
• Are you licensed in your specialty in this state?
• Where did you go to school, and where did you do your internship, residency or both?
• If you're a lay hypnotist, how much training have you had and from what school?
• What professional organizations do you belong to?
• How long have you been in practice?
• What are your fees? Does insurance cover your services?