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laptop in hypnotherapy

Using your laptop in hypnotherapy

Today I learned how to use my laptop in hypnotherapy. I had a client come to see me today who wanted a quite specific treatment. She wanted me to make cigarettes taste horrible. This is called aversion therapy. I don't usually do aversion therapy, but this smoker insisted on that approach, so I agreed.

Because I seldom use that approach I decided to use one of my own scripts, the Smoking Aversion script. I haven't used it for some time, so I thought it would be best if I read it over first. It is a long script, and employs lots of precise repetition, so I decided to actually use the script in therapy.

Now in the past when I used a script to guide me I referred to a printed copy. There are several problems with this, but the main one is the noise that the paper makes when you move from one page to another. Not to mention the irritating habit it has of sliding off your knee onto the floor.

Using your laptop in hypnotherapy

So I decided to try displaying it on my laptop instead. This worked remarkably well. I was able to flip from page to page soundlessly, to skip over bits, and to pick and mix from other scripts. Another problem I didn't have was losing my place. With a printed sheet you have a lot of lines in front of you on the page. After I deviate from the script or I have been watching the client's reaction it is sometimes difficult to find exactly where you were on the page. Because the laptop has a smallish screen, I was only looking at four or five sections at a time, so it was easy to get back on track. I was surprised at how easy it was, and how nice it was to not have to think about what to say next, and just follow the stages of the script.

What do you think? Leave a comment below.

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ideomotor

Ideomotor Signal Finger Lift

I was asked what I meant by 'finger lift', and whether this was the same thing as 'ideomotor signalling'. To me they are different. I think the finger lift gives an honest and reliable test for trance that is very difficult to fake. 'Ideomotor' has acquired a unique meaning in hypnotherapy.

A 'finger lift' is a form of ideomotor response, but a very simple one, without setting it up in advance.

For example... from one of my scripts... this script shows how I typically use the finger lift...

and as you drift deeper and deeper... become aware that one of your fingers or perhaps a thumb will feel a need, a desire, a compulsion... to move... without thought... just allow that to happen ... don't assist in any way... a finger or a thumb will want to move... or maybe the whole hand... It may begin as just a tiny tremor... and you may be surprised at what you experience... that's right...

Testing for trance with finger lift

This is meant to be a test of trance. The client doesn't know how they are supposed to react, so the reaction you get is genuine. If the finger lifts straight up immediately then they are faking it. If it takes a long time to get any movement, if the finger trembles a little, and moves a tiny bit, or if several fingers move like closing a fist, or the whole hand jerks, then the client is in trance, and genuinely experiencing involuntary movement.

Talking to the unconscious mind with ideomotor signals

Ideomotor signalling is actually something else. 'Ideo' means unique to the person, and Ideomotor should mean the movements uniquely made by each individual. But the way that ideomotor signalling is used actually means that it is not unique. The person is told specifically how to signal a 'yes' or 'no' answer and what counts as a valid movement. This means everyone signals the same way for that hypnotist. This is the exact opposite of the original meaning of 'ideomotor'. Some hypnotists use one finger, most two, and few try to get the person to use all ten.

What do you think? Leave a comment below.

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brain habits

How to change Habits

It is hard to change habits. Why do people start smoking again? Why is it so easy to start, and then hard to stop?

Changing habits has to do with how the human brain works. Research suggests that behavior is controlled by two different parts of the brain. There are goal directed actions, and there are automatic actions.

Goal directed actions are behaviours we consciously try to control. Automatic actions are things we do unconsciously without thinking about them.

Goal directed actions are controlled by the pre-frontal cortex. Goal directed actions focus your attention on getting something done. You will put a lot of effort in thinking about how to get what you want.  Automatic actions are controlled deep inside the brain, in the basal ganglia, part of the reptilian brain. Automatic actions react automatically, without thinking about it at all.

Put simply, the prefrontal cortex is responsible for new behaviours, the basal ganglia controls old behaviours.

Triggering automatic habits

When someone decides to give up smoking, their pre-frontal cortex is what they use to try to change their behavior. The basal ganglia ignores the pre-frontal cortex. The basal ganglia doesn't think. It doesn't know what is going on in the pre-frontal cortex. And doesn't care. It just waits patiently for a stimulus and acts on it, starting the automatic pre-programmed behavior, over and over.

The basal ganglia knows that there is a stored behavior routine to deal with whatever the stimulus is. All it has to do is to find it and start it. Once the routine is started, the basal ganglia can go back into its crocodile dream state. Until the next stimulus wakes it up. Then it searches for the right bundle of behaviors, starts it going, and goes back to sleep again. It never considers whether the behavior routine is good or bad for you, it just starts it running and forgets all about it.

Origin of habits

The automatic behavior got programmed into the basal ganglia in the first place by the prefrontal cortex. A stimulus happened, the prefrontal cortex thought about it and told you to react in some way.  If the result successfully deals with the stimulus (the problem) then the basal ganglia notes this. If the next time you meet that problem, you do the same behavior and it solves the problem, then you reinforce the basal ganglia memory. After the same thing happens again and again, the response becomes automatic. You never think of a different response because you have an automatic one that works just fine. 

The job of the basal ganglia is to identify the stimulus and find the matching response. It learns that when that particular stimulus appears, some particular response is the thing to do. Once the basal ganglia learns the routine, the prefrontal cortex leaves the basal ganglia to get on with it. In simple terms, your conscious mind passes it to your unconscious mind. Your unconscious mind then triggers an automatic behavior routine.

Life is difficult enough without having to consider afresh what to do every time you come to a door, or if someone smiles at you. Why waste energy thinking when you can just delegate it to another part of the brain, and let it react for you? And that is how a habit is born.

How to change habits

However, we are not condemned to repeat the same behaviour for life. People can and do change their habits. The prefrontal cortex can over ride the basal ganglia. And if it does it often enough, and in exactly the same way, the basal ganglia will learn a new habit for the old stimulus. You can retrain it. But the prefrontal cortex can only over ride the basal ganglia when it is paying attention and acting deliberately in the new way. The instant the prefrontal cortex gets distracted, it forgets. So the basal ganglia automatically takes over and produces the old behavior again.

Origin of Cravings

When one part of your mind is distracted, and the other part is trying to perform its automatic behaviour but can't, that is when the cravings start. The automatic part of the brain, the basal ganglia, knows what it is supposed to do when it gets that particular stimulus. It knows that to end that problem it has to go through a predefined routine. The problem will not end until it does that routine. It believes that until the routine is done your body is in danger. And that cannot be allowed. So the basal ganglia runs a program that it knows will make the body uncomfortable until the behavior routine is performed. That way it is keeping you safe. The more distracted you are the more automatic the process is, and the harder the basal ganglia will try to make the behavior happen.

And what stops the prefrontal cortex from paying attention? Other things happening. Or stress. Stress is just another name for a situation where you need to focus on something to the exclusion of all else, and just let the body run on automatic pilot. And that is why people start smoking again. Stress makes them forget their good intentions. Before they are even aware of it, they are lighting up, just going through the old routine that always worked in the past, that doesn't even need thinking about.

Retraining habits

The basal ganglia can relearn, but it only responds to rewards and repetition. So the prefrontal cortex has be vigilant long enough, and repeat the new behaviour often enough, for the basal ganglia to give up its old behaviour and learn the new behaviour.

The problem of course, is that basal ganglia will learn anything. And if the repeated behaviour is to keep starting again at every bit of stress, then that is what it will learn. You can train yourself into being unable to give up!

What do you think?

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impossible to hypnotize

Everyone can be hypnotized

Everyone can be hypnotized. But it might take a while. Last week I had one of those nightmare clients. No matter what you do, they will not go into trance. I had no reason to think that there would be any problem with this client. She seemed ready to go into trance and really wanted to give up smoking. I had treated her husband the day before and she wanted to help him give up as well as herself.

However, when I started with my usual induction it was clear that she was not responding they way I expected. She kept opening her eyes. When I asked her what she was experiencing she said "I can't visualize going down a corridor as you are asking me to". She also was not able to relax either.

So I used a different progressive muscle relaxation induction, and she seemed to be relaxing a bit. I then tried an Elman induction but she couldn't make the numbers disappear. I tried induction after induction and every time I tried for eye catalepsy her eyes opened.

She was not responding to the inductions at all. In fact she could not do anything that would lead to trance. I tested her for visualization ability. I found that she could not visualize at all. She did have a little kinesthetic orientation, but nothing else that I could find.

Stair Case induction

The Stairs induction is supposed to be ideal for kinesthetic people, but it didn't work either. In this case I had to admit defeat. But I was determined not to give up. So I asked her to let me think about it, and for her come back the following day. I spend the night thinking about what to do, and really worrying about "what if I just can't get her into trance?". I like to think that I know what I am doing, but this was a real challenge.

Feel the colors induction

The following day I had decided on a strategy. She came in I set up an instant induction and fired it. Nothing. She didn't even flinch. Then I did a color induction. You invited to think of feelings associated with a color. This is supposed to be a full proof induction for kinesthetics. By the third color she told me she didn't feel any associations with colors.

Cloud Induction

I tried her on an induction where the client imagines a cloud around them, and by increasing their depth of relaxation they can make the cloud dissipate. Several rounds of this did produce a noticeable level of relaxation.

Confusion Induction

I then threw in a long confusion induction, about the unconscious being conscious of the subconscious while the conscious was unconscious of the unconscious, and so on. She finally showed clear signs of trance. I then flowed straight into an elevator deeper where she pushed buttons to go down and down... and finally I got eye catalepsy.

So the lesson I take from this is that yes, everyone can be hypnotized, but sometimes it a real battle of wills. She went on to enjoy the feeling of being hypnotized and to give up smoking.

What do you do?

How do you deal with hard to hypnotize clients?

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procrastination perfectionism

Procrastination Perfectionism

Every day brings an interesting client. My client today had procrastination. He is finishing university this year. He has one more course to finish and his degree will be complete. He failed the course last year and now he cannot get down to studying what he has to do for this year. If he fails this time he will fail the whole degree.

Typically a therapist would suspect that this client either is afraid of failing or is afraid of succeeding. And indeed when he gets his degree he will be taking up a job overseas. He will have to give up the comfortable life of a student, so there is the fear of the unknown.

Procrastination Perfectionism

However, when I questioned him further it was obvious that he was actually suffering from undiagnosed depression. He had all the symptoms, and in particular, black and white thinking. In his case this was in the form of perfectionism. Procrastination Perfectionism is very common. 

He felt that if he was not going to do well in the exam and pass with outstanding marks then he was a complete failure. He had failed before so he wasn't sure that he would pass this time. That little voice in his head was saying  'You might as well not bother'. And so he was demotivating himself over and over. As the deadline crept nearer it got more and more likely that he would indeed fail. So it became an ever diminishing circle of anxiety and recrimination, and negative thinking. And the more pressure he put on himself the less work he did.

Once the situation was explained to him he could see what was happening and that the key to preventing his procrastination was dealing with the negative thoughts first. We will have to wait and see how this turns out, but it is interesting to me that in all the books I have read on procrastination none has ever suggested the link with depression, expectations and perfectionism.

I think it might be worth researching further.

What do you think? Leave a comment below.

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hypnotised against their will

Hypnotised against their will

I had this enquiry today:

Is it true that people could be hypnotised against their will? Is it just a myth? And how do mentalists hypnotise people within few minutes?

I replied:

It depends what you mean by hypnotized. Hypnosis takes many forms. Hypnosis has been defined as the art of planting suggestions into someone else's mind. The most common form of this of course, is advertising. When you are watching television, you are relaxed and your mind is open. At that point advertisers push their message into your brain suggesting that you buy their product. You didn't ask for this, you didn't agree to it, and it is inserting an idea into your mind against your will. People say they don't respond to advertising, but advertisers wouldn't do it if it didn't work. So yes, people can be hypnotised against their will.

If you're thinking of formal hypnosis, then no, you cannot hypnotise anyone who knows that you are trying to hypnotise them. If I know someone is trying to hypnotise me, all I have to do is repeat "NaNaNaNa" over and over in my mind and that will blank out whatever they are saying.

Hypnosis is a normal and natural process. We all go into hypnosis many times a day. Any time you daydream, any time you drive home and can't remember how you got there, any time you are lost in a computer game or a good book, you have been hypnotised. It is actually very easy to do.

All you have to do is to get people to focus on something and suggest that they stay focused on that you suggest that they are getting relaxed and tired and sleepy. Most people will go into trance within two or three minutes. It is no big deal. It certainly is not any kind of mystery.

You can learn to hypnotise people after an hour's training and study. The simplest methods will take ten minutes to put someone into trance. Faster methods will take less than a minute. It depends what you want to do after they are hypnotised.

However, nobody can be made to do anything they wouldn't normally do. You cannot go down to the bank and tell the manager to give you all their money and forget about it. It just doesn't happen. You can't tell a girl to fall in love with you. It doesn't happen. You cannot tell a girl to take her clothes off. That doesn't work either. Millions of men have tried it, and have failed every time.

So yes, you can hypnotise people against their will. But you cannot make them do anything that they wouldn't do when fully awake.

 

How would you deal with this ? Share your ideas below.

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placebo effect of hypnosis

Placebo effect of hypnosis therapy

I got this email from a hypnotherapist in the UK:

Some time back I ordered the whole collection of your scripts. I find myself coming back to them over and over again because they are just so excellent. Clients have commented very favorably, which is so rewarding for me.

I wondered if I can ask you for your suggestions regarding a new client who I will see next week? He talks of having a 'low mood' most of his life. He has seen many counselors over the years and said 'counselling didn't work at all' (said he hated CBT and filling in forms). He is adamant he wants hypnotherapy this time which he hasn't tried before.

In our brief phone conversation, he mentioned the following things: general low mood as the most pressing problem, mentioned 'depression' but not diagnosed, no sleep issues, is able to function well enough in the workplace, is anxious at times as well, part of him is always thinking and analyzing everything, often has a sense of hopelessness. He felt quite depressed about a year ago when a relationship ended. However he is now in a new relationship which is going well. He wants to rid himself of the low mood once and for all. He does not want to consider taking medication. He has always been very physically active because he knows that exercise helps him.

Perhaps this is a dysthymic disorder!

Anyway I really wanted to do the best I could for this chap and am asking for advice about which of the scripts in your opinion would be most likely to benefit him to get us started.

 

SELF HYPNOSIS IS THE WAY FORWARD

I replied:  This guy definitely has depression. All the classic symptoms are there.

What he needs is a lifestyle change, more exercise, better diet and training in how to deal with his negative thought processes. However, he either does these already or has ruled them out so your options are limited.

The leaves the only thing you can do for him is to teach him self-hypnosis. During that teaching you can plant suggestions as to how he should deal with his negative thinking patterns.

Explain the benefits of self-hypnosis - quieting the inner voice, instilling calm into his mind, resetting his feelings etc. Then show him how to put himself into trance. Teach him a fixed routine, e.g. muscle relaxation, breathing, stairs etc.

Placebo effect of hypnosis

The idea is to make his first experience of hypnosis real and immediate. By doing that you will be able to exploit the placebo effect of hypnosis. Hypnosis is a strange experience for most people. It is so strange, so unknown, so powerful that it can fix anything, For example, many smokers stop because hypnosis felt so weird that it must have done something to them. The hypnotist just suggests that they right: now they can stop smoking. So, now that they believe they can stop, they do stop.

Take him through all the standard exercises of eye catalepsy, finger lifts, dissociation and so on. Use the whole range of hypnotic convincers. Then get him to open his eyes while in trance and leave all the rest of his body frozen. This will convince him of the power of the mind and he will follow whatever you say.

Put in some suggestions about challenging his thinking, getting out and about, recognizing his triggers, etc. Then bring him out of trance. Tell him to go back into the state all by himself. Coach him some more if necessary.

Then leave it up to him. Tell him you have provided the tools. He now knows how to hypnotize himself so he can control his anxiety. It is up to him to apply them and he can come back to see you anytime he feels he should.

That should improve the client's outlook, and do a lot of good therapeutically.

 

What would you recommend to help this type of client?

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three positive things

Three positive things every day for wellness

Therapists often get too involved in theory. We make things more complicated than they need to be. We tend to overthink things. It is easy to come to the conclusion that the world is full of difficult problems.

Sometimes the simplest things are the best. Your mind pays twice as much attention to negative things as it does to positive things. This is the mechanism behind gloomy thinking, pessimism and depression. Because of that, we all need to focus twice as much on the positive events in our life. Every day, make sure you see the good as well as the bad.

Three positive things to make you feel better

One of the great things we can do for clients is to give them simple rules that they can use to improve their lives. There is one simple habit that really works. Encourage the client to write down at the end of every day three things that happened to them that were good.

These do not have to be super wonderful things, anything will do. For example, seeing a lovely flower display, getting to the bus stop just as the bus arrives, a kind act by someone at work - anything. When you look out for the three things it makes you more aware of all the good things that actually happen in your life.

The simple act of writing  down three positive things seems to impress them on the brain. People who do write down the three positive things become more resilient. You get a more cheerful attitude after only a few days. And doing it for longer makes it automatic. You will learn to focus on the positive.

What do you think?

Have you tried this? What ways do you use to cheer up your clients?

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PTSD and Depression

Explanation for PTSD and depression

I am reading a book that I think might contribute the theory of how hypnosis works in therapy. The book is In an Unspoken Voice: how the body releases trauma and restores goodness by Peter Levine. It might be an explanation for PTSD and depression.

Everyone will have seen an instant induction, where the hypnotist startles the client by shouting or pulling them off balance. It has long been known that this is the result of the parasympathetic nervous system putting the client into tonic immobility. The person goes limp, their eyes roll up into their head, their breathing changes, they are impervious to pain.

Origin of PTSD and Depression

The Levine book explains this as being one of the five bodily reponds to danger. When danger appears our body first goes tense and alert, then tries to run away, or if it can't run away gets ready to fight, if that isn't possible then the body freezes motionless, and when danger is imminent the final stage is tonic immobility, the body flops and becomes helpless.

So instead the Flight or Fight responses, we should be talking about Flight, Fight or Flop. The book's argument is that when a person is frightened they go through the five stages. What is interesting is that the book claims that when the body is so frightened that we freeze, unless we are able to find a way to unfreeze the fear, the result is PTSD. According to his theory PTSD is result of not coming out of the freeze state. The therapy is therefore to help the client release the old fear.

How therapies work

This makes sense to me, and explains why relaxation, reiki, grounding, and yoga work to relieve mental stress by relaxing the body. It also offers a basis for understanding how metaphor therapy works.

Perhaps the five stage theory also gives a basis for understanding the cause of depression. Depression is triggered by learned helplessness. If the response to relentless pressure and fear is tonic immobility, then this explains where the depression comes from. I am only part way through the book and this link has not been mentioned yet, so I am reading on with anticipation.

What do you think?

How do you deal with PTSD? What do you think causes these things?

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Smoking Reinforcement Cycle

Smoking Reinforcement

I find it helps to understand smoking reinforcement. I had a young man today whose life is going nowhere. He smokes ten a day and does not know how to stop smoking. Part of him likes smoking but part of him wants to give up and can't.

He said he is able to stop but keeps starting again. The last time he gave up was for three months, but started again after a row with his dad. He could not tell me why he started again. I then asked him what had been going on in his life when he first started smoking. He said that he was 16 and got a job as a trainee chef and everyone smoked at work and he wanted to fit in.

I asked about his home life. He described nine people living in three bedrooms, including his disabled father and his pregnant girl friend. It was immediately obvious why he liked smoking: it reminded him of a time when he was happy and calm. Smoking let him get away from an environment that was chaotic.

He agreed that smoking let him get away from things and to calm down. I asked 'calm down from what?'. He said that he usually smoked after an argument, either with his father or his girlfriend, who now had two children.

Smoking Habit Reinforcing

The smoking reinforcement pattern seemed to be:

argument leads to anger leads to smoking leads to calming down which reinforces the smoking.

This is a classic habit maintenance pattern. He smokes because it lets him calm down. So his smoking is reinforced every time he has an argument, and every time he feels bad about something.

The standard stop smoking treatment consists of treating one or more of the parts of the cycle. You can attack the reward, and make the smokes taste horrible. You can attack the behavior and suggest that smoking will no longer work. You can attack the feeling and teach ways of dealing with the feelings.Or you can attack the reaction and suggest ways of managing the reaction.

Ending the Smoking Reinforcement Cycle

In this case I felt that fixing the smoking would only last until the next argument unless I fixed the response to the argument first. So I asked him to imagine that he was having an argument with his father, and to allow the feelings of anger to come out. He did that. When I was sure that he was feeling the anger I started doing Metaphor Replacement Therapy.

We worked on objectifying the feeling. He said that the feeling was red, and round like a disk, about the size of an old record. It was thin and perfectly round. I got him to imagine getting rid of the red disk. He came up with the idea of melting it. He used a kitchen blow torch and it melted and vanished.

I tested his feelings against another imagined argument. He reported that it just felt sad; the anger was gone.

I then used my standard hypnosis routine help him stop smoking from today. As part of that I wove in suggestions about taking control of his life, getting away from the environment and creating a better future for him and his kids. And to not allow himself to be held back by other people's needs and feelings.

I look forward to hearing how it all worked out.

What do you think?

How do you deal with cyclic behavior patterns? What ones have you seen?

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