Depending on the purpose of the hypnotherapy (i.e., smoking cessation, weight loss, improvement in public speaking, or addressing some deep emotional turmoil), follow-up may be advisable. When trying to eradicate unwanted habits, it is good practice to revisit the therapist, based upon a date prearranged between the therapist and the patient, to report progress and, if necessary, to obtain secondary hypnotherapy to reinforce progress made.
When James Braid first described hypnotism, he did not use the term "suggestion" but referred instead to the act of focusing the conscious mind of the subject upon a single dominant idea. Braid's main therapeutic strategy involved stimulating or reducing physiological functioning in different regions of the body. In his later works, however, Braid placed increasing emphasis upon the use of a variety of different verbal and non-verbal forms of suggestion, including the use of "waking suggestion" and self-hypnosis. Subsequently, Hippolyte Bernheim shifted the emphasis from the physical state of hypnosis on to the psychological process of verbal suggestion:
It appears that hypnosis, under other names, has been used since the beginning of time. In fact, it has been insinuated that the earliest description of hypnosis may be portrayed in the Old Testament and in the Talmud. There is also evidence of hypnosis in ancient Egypt, some 3,000 years ago. However, the man credited with the development of what has become modern hypnosis is Friedrich Anton Mesmer, an Austrian physician. One day, Mesmer watched a magician on a street in Paris demonstrate that he could have spectators do his bidding by touching them with magnets. Fascinated by the demonstration, Mesmer believed the magnets had power of their own and from this belief developed his theory of "animal magnetism." He also believed that good health depended on having correct magnetic flow and that the direction of one's magnetic flow could be reversed easily. He further believed that he could direct this magnetic flow into inanimate objects, that could then be used for the good health of others. The term "mesmerism" came to be applied to his mystical workings. He experienced much success in helping the people of Paris as well as visitors who came from other countries, upon hearing of his powers. Later he was completely discredited by a special commission of the French Academy appointed by the King of France, causing him to leave the country. Two of the more famous members of the French Academy at the time were chairman of the commission Benjamin Franklin, American ambassador to France, and Dr. Guillotine, the inventor of the execution device.
In hypnosis, patients typically see practitioners by themselves for a course of hourly or half-hourly treatments. Some general practitioners and other medical specialists use hypnosis as part of their regular clinical work and follow a longer initial consultation with standard 10- to 15-minute appointments. Patients can be given a post-hypnotic suggestion that enables them to induce self-hypnosis after the treatment course is completed. Some practitioners undertake group hypnosis, treating up to a dozen patients at a time—for example, teaching self-hypnosis to prenatal groups as preparation for labor.
Hypnosis may be useful as an adjunct therapy for weight loss. A 1996 meta-analysis studying hypnosis combined with cognitive behavioural therapy found that people using both treatments lost more weight than people using cognitive behavioural therapy alone. The virtual gastric band procedure mixes hypnosis with hypnopedia. The hypnosis instructs the stomach that it is smaller than it really is, and hypnopedia reinforces alimentary habits. A 2016 pilot study found that there was no significant difference in effectiveness between VGB hypnotherapy and relaxation hypnotherapy.
Barber et al. noted that similar factors appeared to mediate the response both to hypnotism and to cognitive behavioural therapy, in particular systematic desensitization. Hence, research and clinical practice inspired by their interpretation has led to growing interest in the relationship between hypnotherapy and cognitive behavioural therapy.:105
Neuro-Linguistic Programming (NLP) is the name given to a series of models and techniques used to enhance the therapist's ability to do hypnotherapy. NLP consists of a number of models, with a series of techniques based on those models. Sensory acuity and physiology is one model whose premise is that a person's thought processes change their physiological state. People recognize such a physiological change when startled. The body receives a great dose of adrenaline, the heart beats faster, the scare may be verbalized by shouting, and the startled person may sweat. Sensory acuity, (i.e., being attuned to changes occurring in another person) will strengthen communication to a person in ways over and above simple verbal cues, therefore making the therapist more effective. A second model of NLP deals with representational systems. The idea behind this model is that different people represent knowledge in different sensory styles. In other words, an individual's language reveals that person's mode of representation. There are three basic modes of representation. These are: Auditory, Visual, and Kinesthetic. The same information will be expressed differently by each. For example, the auditory person might say, "That sounds good to me;" the visual person might convey, "I see it the same way;" and the kinesthetic person would offer, "I'm comfortable with it too."
“Before attending the Hypnotherapy Academy of America, I had already had over 500 hours of hypnotherapy training; however, I felt that I was missing some important concepts and skills, so I went to the Academy hoping to get what I was unable to get from other training. My goals were completely fulfilled. I received a solid foundation in hypnosis and hypnotherapy and learned how to take hypnotherapy to new heights and greater depths. As a result of the Academy training, I now do hypnotic work more efficiently and more effectively than with my prior training. Because the quality of my work as a hypnotherapist has significantly improved through the Academy training, I can offer greater value to my patients, and I can more easily market my practice.
“That study changed the whole landscape,” said Dave Patterson, a psychologist at the University of Washington in Seattle, who has been using hypnosis since the 1980s to help burn victims withstand the intense pain that comes with the necessary but excruciating bandage removal and wound cleaning. Since the ’90s, other well-designed, controlled studies have been published showing similar changes in brain activity. In another slightly trippy example, researchers suggested to people in a hypnotic state that the vibrant primary colors found in paintings by Piet Mondrian were actually shades of gray. “Brain-scan results of these participants showed altered activity in fusiform regions involved in color processing,” notes psychologist Christian Jarrett.
Although there are different techniques, clinical hypnotherapy is generally performed in a calm, therapeutic environment. The therapist will guide you into a relaxed, focused state and ask you to think about experiences and situations in positive ways that can help you change the way you think and behave. Unlike some dramatic portrayals of hypnosis in movies, books, or on stage, you will not be unconscious, asleep, or in any way out of control of yourself. You will hear the therapist’s suggestions, but it is up to you to decide whether or not to act on them.