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Hypnotherapy works by using guided hypnosis to help you reach a state of focus and concentration through mental imagery and soothing verbal repetition. The state is somewhat like being absorbed in a book, a movie, or your own thoughts. You are not under a therapist’s “control,” but they can help you relax and turn your attention inward to discover the resources to achieve behavior change or better manage psychological concerns. Therapy sessions may involve guiding you through recognizing a problem, releasing problematic thoughts about it, and considering and accepting more productive alternatives before returning to normal awareness. Hypnotherapy is typically used by a therapist along with traditional forms of talk therapy. Eventually, your therapist can help you learn hypnotherapy techniques yourself so you can establish a stronger sense of control on your own in stressful or challenging moments.

Hypnotherapy, which is sometimes called hypnotic suggestion, is a therapeutic technique in which a therapist uses hypnosis to help patients. It is not the kind of hypnosis portrayed in stage shows, or in movies or on television. You will not be unconscious or asleep during hypnotherapy, you will not lose control of yourself, your thoughts, or your free will, and you will be able to fully recall your experience. And while you will hear your therapist’s suggestions, it is always up to you to decide whether to act on them. Hypnosis by a trained mental-health professional is not a form of mind control, which is impossible to achieve anyway.

The most common challenge of hypnotherapy is that as many as one in four people cannot be hypnotized. Brain imaging has confirmed differences in patterns of brain connectivity between those who respond to hypnotism and those who do not. Other people who could potentially be hypnotized may not respond to the technique because of their skepticism or resistance to entering a hypnotic state. If a therapist’s “post-hypnotic suggestion” is effective, it’s because they are suggesting something you want to achieve.

Through hypnotherapy, you can achieve changes that are real and sustainable. Like other talk therapy techniques, when hypnotherapy succeeds, it’s a case of mind over matter. Effective hypnotherapy involves self-healing because you access resources you need to change inside of yourself and learn how to tap into them whenever you need. Hypnotherapy has been shown to be an effective therapy for anxiety, phobias, stress, panic attacks, post-traumatic stress disorder, sexual dysfunction, and undesirable behaviors like smoking. It can be used to help improve sleep or to address relationship challenges, and to aid with pain management, digestive disorders, skin conditions, and the gastrointestinal side effects of pregnancy or chemotherapy.