Hypnotherapy: Suitable Psychotherapy for a Wide Range of People

Today hypnosis is an established part of modern psychotherapy and medicine. Nevertheless, many myths from the past persist. For a long time, hypnosis was seen as a mysterious trance state in which people become powerless. Current research paints a very different picture: hypnosis is neither an external alteration of the subconscious mind nor a form of trance, but a natural ability that every human being possesses.

In this article, you will learn how hypnotherapy developed historically, what to expect in a session, and why hypnosis is now understood as a well established scientifically grounded approach.

A Short History of Modern Hypnosis

Modern hypnotherapy has its roots in the nineteenth century. The Scottish physician James Braid coined the term “hypnosis” and detached it from esoteric ideas such as “animal magnetism”. Braid recognised that hypnotic phenomena are based on attention, expectation and inner imagination.

In the twentieth century, the American psychiatrist Milton H. Erickson revolutionised therapeutic work with hypnosis. He developed a flexible, individually tailored approach that differed greatly from the authoritarian commands of earlier hypnotists. Erickson worked with metaphors, stories and subtle linguistic cues. His approach continues to shape many modern hypnotherapeutic methods today.

Through this development, hypnotherapy became a respectful, cooperative process that places you at its centre.

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Hypnosis as a Natural Ability

In the past, hypnosis was thought to involve “trance states” in which a person could be influenced. Today, we know that hypnosis is not an exotic condition but is based on entirely normal mental abilities. Everyone is familiar with similar experiences:

• becoming completely absorbed in a book, film or activity

• daydreaming

• letting the mind wander while walking

• vividly imagining images or scenes

In hypnotherapy, these very abilities are used in a targeted way: focused attention, inner imagery, emotional involvement and a willingness to engage with new perspectives. This is not a loss of control, but a form of active participation.

What Happens During a Hypnotherapy Session?

A hypnotherapy session always begins with a detailed conversation. Concerns, goals and questions are clarified. The psychotherapist explains the process and addresses any uncertainties during the consultation.

During the hypnosis itself:

• you sit or lie comfortably

• your attention is gently guided, for example through language, imagery or focus on breathing

• you remain conscious and responsive

• you can speak at any time or stop the session

Many people experience deep relaxation, clarity or vivid inner images. Others mainly notice calmness and concentration. There is no “right” way to experience hypnosis. It is neither sleep nor unconsciousness, but a state of heightened inner engagement.

Areas of Application of Hypnotherapy

Hypnotherapy and its methods are now used in many areas, both on their own and in combination with other forms of therapy. Common areas of application include:

• fears and phobias

• stress, exhaustion and burnout

• sleep problems

• habit change such as smoking cessation

• pain management

• self-worth issues and inner blocks

• processing and coping with distressing experiences

• depression

The focus is not on “manipulation”, but on new inner experiences, perspectives and room for action.

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Hypnosis in Medicine

Hypnosis has also found a firm place in medicine. It is particularly well known for its use in:

• pain treatment, for example in chronic pain

• preparation for operations

• support during dental procedures

• assistance in antenatal preparation and childbirth

• treatment of irritable bowel syndrome and functional complaints

Studies show that hypnosis can reduce pain, lower anxiety and positively influence the healing process. In some countries, it is even used as an alternative or complement to anaesthesia.

How Does Hypnotherapy Differ from Traditional Psychotherapy?

Hypnotherapy is part of psychotherapy, but it differs in its mechanism from many traditional talking therapies.

While classical psychotherapy often focuses on conscious reflection, analysis and discussion, this approach deliberately uses focused attention, inner imagery and experiential processes. Change arises not only through understanding, but through new experiences in the here and now, supported by suggestions.

Further differences include:

• Experiential orientation: Hypnotherapy works strongly with inner experiences, images and emotions. Issues are not only discussed, but actively experienced and reshaped.

• Focus on resources: Instead of concentrating exclusively on problems, attention is often directed towards existing abilities, strengths and possible solutions.

• Pace: Many people experience noticeable changes relatively quickly, as new inner responses are tried out directly rather than only talked about.

• Compatibility: Hypnotherapy can be combined very effectively with other psychotherapeutic approaches, such as cognitive behavioural therapy or systemic therapy.

Hypnotherapy is therefore not an alternative to traditional psychotherapy, but an extension through an experience-based and particularly vivid approach.

Who Is Hypnotherapy Suitable For?

In principle, hypnotherapy is suitable for adults, adolescents and children who are open to working with inner images, attention and imagination. No special abilities are required, as everyone is familiar with and uses these natural processes.

Hypnotherapy is particularly suitable for patients who:

• find it difficult to change their issues through conversation alone

• wish for greater inner clarity or emotional relief

• pursue specific goals, such as reducing anxiety or stress

• want to develop new perspectives on entrenched patterns

Hypnotherapy is not recommended in cases of acute psychotic disorders or severe crises, where comprehensive medical or psychiatric care is required first.

Can Hypnosis Do Harm?

From today’s scientific perspective, the safety of hypnosis is beyond doubt when it is applied by a qualified therapist. The hypnotherapist does not use it for manipulation, nor does it constitute an interference with free will.

As with any psychotherapeutic method, unexpected reactions can, however, occur. These may include, for example:

• temporary emotional responses such as sadness or inner restlessness

• tiredness after an intensive session

• the emergence of previously suppressed memories or feelings

• altered perceptions of past events that did not occur in that way (i.e. false memories)

These side effects are usually mild and temporary. In a professional therapeutic setting, they are contained and explored together. This is precisely why it is important not to regard hypnosis as a show or a self-experiment, but as a serious therapeutic method that requires expert guidance.

Harm does not arise from the state itself, but from improper application, false promises or a lack of therapeutic context. In qualified hands, hypnotherapy is a safe, respectful and well-tolerated approach designed to promote stability and self-efficacy.

Conclusion

Hypnosis is not a mystical state, but a human ability that can be used deliberately. Thanks to pioneers such as James Braid and Milton Erickson, hypnotherapy has developed into a respectful, scientifically grounded therapeutic approach. It offers a distinctive access to inner experience, encourages new perspectives and can provide valuable support in both psychotherapy and medicine.

For many people, hypnotherapy opens up a gentle yet effective way of initiating change and reshaping personal experience. These possibilities go far beyond what, for example, meditation can offer.