When the Presenting Problem is a Symptom

(This blog was originally posted on June 10, 2015)

Photo by Rick Hustead

Sometimes, an issue that a client presents to the hypnotherapist during a therapy session is a symptom rather than the cause of another problem. For example, increased anxiety and various signs of physical discomfort such as light-headedness, headache or nausea may suggest that the individual is experiencing symptoms of low blood-sugar levels rather than just responding to a specific stress trigger. Low blood-sugar levels can also trigger a phobic reaction. (For more information about this relationship, see my blog titled Nutrition and the Development of Fears and Phobias.) In this case, it is important for the hypnotherapist to work with the client’s physician to create an appropriate nutrition program to control the blood-sugar level and incorporate suggestions about nutrition and healthy eating during hypnosis to reduce these symptoms.

However, it is also possible that a client’s behaviors or emotional responses/reactions are actually manifestations of his or her repressed emotions: i.e., a body syndrome. Once a licensed medical doctor has ruled out a physical etiology (cause) of the symptom, the hypnotherapist may explore the cause of the symptom in the context of body syndromes. For example, persistent pain in the client’s shoulders and upper back (Responsibility Syndrome) may provide a secondary gain of being “allowed” to avoid participating in certain activities undesirable at work or with the person’s family.

For example, Hypnosis Motivation Institute founder John Kappas, Ph.D., explained how a client’s persistent hoarse throat and fatigue was actually a symptom of her subconscious resistance toward the woman’s husband/manager’s pushing her to accomplish something. The client, a singer, also experienced symptoms of low blood-sugar that were brought on by her husband’s demands for perfection in her performances. The hypnotherapist determined that his client was subconsciously motivated to use her hoarse throat as a way to avoid having to sing when she didn’t feel like it. Consequently, Dr. Kappas approached her therapy by first addressing her behaviors (e.g., feeling tired and hoarseness). He explained how her nutrition contributed to her feeling tired and recommended ways to change her diet that would increase her energy. Next, he explored with her the various reasons why (cause) she was experiencing the hoarseness and addressed the client’s perception of her husband’s perfectionist tendencies as a source of her stress and subconscious resistance.

Once the client understood how the various sources of perceived external and internal pressure on her to perform were affecting her behavior, the hypnotherapist discussed ways of treating her symptoms. First, Dr. Kappas encouraged her and her husband to separately work with a therapist to work out some of their professional conflicts. Then he worked with the client to help her husband agree that they could change their interactions with each other and how this behavior change could be achieved. Ultimately, the woman’s symptoms would dissipate as her relationship with her spouse/manager improved, thus ameliorating her subconscious desire to avoid singing/performing because their pattern of interacting with each other became less stressful.

Sara R. Fogan, C.Ht. is a certified hypnotherapist based in Southern California. She graduated with honors from the Hypnosis Motivation Institute in 2005. For more information about Calminsense Hypnotherapy® and to set up an appointment, please visit http://www.calminsensehypnotherapy.com/.

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