Frequently Asked Questions

What is Clinical Hypnosis?

A science-backed therapeutic technique that uses focused attention and deep relaxation to facilitate meaningful change in the mind and body.

Understanding Clinical Hypnosis

Clinical hypnosis — also called hypnotherapy — is a therapeutic technique used by licensed healthcare providers to help patients access a state of focused attention, heightened suggestibility, and deep relaxation. In this state, the mind becomes more open to therapeutic suggestions that can shift perception, sensation, behavior, and physiological responses.

It is not the stage hypnosis you may have seen in entertainment. You remain fully conscious, aware, and in control throughout the entire session. You cannot be made to do anything against your will, and you can end the session at any time. Most people describe the experience as deeply relaxing — similar to the feeling just before falling asleep, or being absorbed in a good book.

Clinical hypnosis is recognized by the American Psychological Association (APA) and the American Medical Association (AMA) as a legitimate and evidence-based therapeutic tool. It is used by psychologists, physicians, and other licensed clinicians as part of a broader treatment plan.

The Science

How Clinical Hypnosis Works

Focused Attention

Hypnosis narrows attention inward, quieting the analytical mind and reducing the mental "noise" that can interfere with therapeutic change. This focused state allows the brain to process suggestions more directly and effectively.

Neurological Changes

Brain imaging studies show that hypnosis produces measurable changes in neural activity — particularly in areas involved in attention, pain processing, and self-awareness. These changes help explain why hypnosis can alter the perception of pain, anxiety, and physical symptoms.

Mind-Body Regulation

The hypnotic state activates the parasympathetic nervous system — the body's "rest and digest" mode — which can directly reduce physiological stress responses, calm gut motility, lower pain sensitivity, and promote healing.

Applications

What Clinical Hypnosis Can Help With

Irritable Bowel Syndrome (IBS)

Gut-directed hypnotherapy is one of the most evidence-based treatments for IBS, with multiple clinical trials showing significant and sustained symptom reduction.

Chronic Pain

Hypnotic analgesia can reduce pain intensity, decrease reliance on medication, and improve functioning in conditions like fibromyalgia, headaches, and pelvic pain.

Functional GI Disorders

Conditions such as functional dyspepsia, nausea, and disorders of gut-brain interaction respond well to hypnotherapy targeting the gut-brain axis.

Anxiety & Stress

Hypnosis can reduce generalized anxiety, health anxiety, and the stress reactivity that drives many physical symptoms.

Sexual Pain Conditions

Hypnotherapy can address the pain-fear cycle in conditions like vaginismus and vulvodynia, reducing anticipatory anxiety and physical tension.

Procedural Anxiety

Clinical hypnosis is used to reduce anxiety and discomfort associated with medical procedures, including colonoscopies and other GI interventions.

Sleep Difficulties

Hypnotic suggestions can improve sleep onset, quality, and duration — particularly when sleep disruption is linked to pain or anxiety.

Habit Change

Hypnosis can support behavioral change by reinforcing motivation, reducing cravings, and addressing the psychological drivers of unwanted habits.

Gut-Directed Hypnotherapy

Gut-directed hypnotherapy is a specialized application of clinical hypnosis developed specifically for gastrointestinal conditions. Originally developed at the University of Manchester by Professor Peter Whorwell, the Manchester Protocol has become one of the most rigorously studied psychological treatments for IBS.

During sessions, the hypnotic state is used to deliver targeted suggestions aimed at calming the gut-brain axis, reducing visceral hypersensitivity (the heightened pain response in the gut), normalizing gut motility, and shifting the patient's relationship to their symptoms. Imagery exercises — such as visualizing the gut as calm and comfortable — are used to reinforce these changes.

Research consistently shows that gut-directed hypnotherapy produces significant improvements in abdominal pain, bloating, bowel habits, and quality of life — with effects that are maintained for years after treatment ends. It is now recommended in multiple international gastroenterology guidelines as a second-line treatment for IBS.

The Process

What to Expect in a Session

1

Induction

The session begins with a guided induction — a series of relaxation instructions that help you shift into a calm, focused state. This typically involves slow breathing, progressive muscle relaxation, or imagery. Most people find this part deeply pleasant.

2

Deepening

Once relaxed, the clinician guides you into a deeper state of focused attention. You remain aware of your surroundings and in full control — the "depth" simply refers to how absorbed and receptive you become to the therapeutic suggestions that follow.

3

Therapeutic Suggestions

This is the core of the session. Targeted suggestions, imagery, and metaphors are used to address your specific condition — whether that is calming gut hypersensitivity, reducing pain perception, shifting anxiety, or reinforcing behavioral change. The content is tailored to your individual goals.

4

Emergence & Integration

The session ends with a gentle return to full alertness. You will feel refreshed and relaxed. Many patients are given audio recordings of their sessions to practice at home between appointments, which significantly enhances outcomes.

Clearing Up Misconceptions

Common Myths About Hypnosis

You lose control or can be made to do things against your will.

You remain fully conscious and in control throughout. Hypnosis is a collaborative process — you cannot be made to say or do anything you would not choose to do in a normal waking state.

Only certain "susceptible" people can be hypnotized.

Most people can experience a therapeutic hypnotic state to some degree. Hypnotizability exists on a spectrum, and even moderate responsiveness is sufficient for clinical benefit in most conditions.

Hypnosis is the same as sleep or unconsciousness.

You are awake and aware during hypnosis. The state is characterized by focused attention and relaxation — not sleep. Most people can recall the session clearly afterward.

Hypnosis is a last resort or "alternative" treatment.

Clinical hypnosis is an evidence-based intervention supported by decades of peer-reviewed research. It is recommended in mainstream medical guidelines and used by licensed clinicians as part of standard care.

Explore the Research

The Resources library includes curated peer-reviewed studies, patient education materials, and professional organizations related to clinical hypnosis — including landmark trials on gut-directed hypnotherapy for IBS and hypnotic analgesia for chronic pain.

View Clinical Hypnosis Resources

Learn More

Interested in Clinical Hypnosis?

Schedule a consultation to discuss whether clinical hypnosis or gut-directed hypnotherapy is appropriate for your condition and goals.

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Alana Friedlander, PsyD

Clinical Health Psychologist

Where Psychology and Medicine Meet

Telehealth — NY, IL, WI & PSYPACT States

In-person — Chicago, IL

Specializing in gut-brain disorders, chronic illness & pain, and sexual health psychology.

Specialties

  • Gastropsychology
  • Sexual Health & Sex Therapy
  • Chronic Illness & Pain

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