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/.

© 2016

Proprioception

Photo by Rick Hustead

When I count a client up and out of hypnosis at the end of the hypnotherapy session, I always drop in a suggestion that the individual begins to become more aware of his or her physical body. I add that the person is also becoming more aware of where the body is in relation to relaxing in the recliner in my office. I do this to re-stimulate the person’s proprioception: i.e., awareness of the different areas of the physical body and strength in relation to movement and position in the environment in the alert and aware state.

Proprioception is something most of us take for granted on a day-to-day basis. Remember, the conscious mind can only process a small amount of information at any one time. The ability to discern important (urgent) information is necessary for our survival, which is why so much of what the subconscious mind perceives and processes “rarely” makes it to conscious awareness. Can you imagine what your day would be like if you constantly felt the scratching sensation caused by the label stitched inside the collar of your shirt or blouse? How long would it take for you to become overwhelmed by the persistent sensation of each muscle in your legs constrict and relax while you walked across the room?

Consequently, we don’t think about how our muscles, tendons, joints and bones work let alone what they are supposed to do when we first roll out of bed or run to catch a bus or train. We just do the activity and expect that everything in the body is working/doing what it is supposed to. When we feel threatened by something in the environment or even the environment, itself, we become very aware of every muscle in the body. As the subconscious mind goes into the fight/flight data processing, the conscious mind wonders: How fast can I get out of here if I need to escape?

 

Another time we become much more aware and attuned to what is going on is when things don’t work like they should, such as after an injury or during an illness. For example, people who experience chronic pain are often hyper-alert to every sensation in the body as they try to find some position that provides some relief, if only for a little while.

Athletes, including dancers, naturally tend have very good proprioception. Or, I should clarify that this “natural” ability is a learned, oft-rehearsed behavior that has become a subconscious mental script. These individuals must have this to successfully execute their special skill in the sport to achieve the winning goal or point or, ensure that their movements seem effortless as their and their dance partner’s bodies flow with choreography. No matter what is going on, these individuals remain consciously and subconsciously aware of/attuned to the placement of the body and what it is and should be doing at all times. 

When my yoga teacher started to explained proprioception to the class today, instructing us to pay greater attention to specific areas of our bodies, she reminded me how similar this physical work is to what I help clients do in hypnotherapy. She wanted us (the students) to increase our awareness of how these separate parts worked together (or not) by noticing if there was any resistance in certain areas and then ease that tension by breathing into it. She also suggested that it was okay to allow ourselves to release or let go of anything we felt was holding us back or what we no longer wanted or needed to hold onto in our lives. This exercise reminded me so much of what I do with my hypnotherapy clients: i.e., inviting the breath into the body to release tightness and tension while increasing their relaxation, calm and comfort. Like yoga, hypnotherapy is an opportunity to increase self-awareness and make desired behavior changes starting with something as simple breathing in and breathing out. Directing awareness to what we are able to do to increase comfort within and control of the entire body or just specific areas is a great way to build self-confidence and belief in our ability to handle other areas of our lives.

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/.

© 2016

Inner Guide

Photo by Rick Hustead

Therapeutic guided imagery often utilizes the concept of an “Inner Guide.” The Inner Guide can be an animal, another person—living or deceased—or even take the form of a plant, flower or tree. It doesn’t matter what or who it is so long as the Inner Guide is all-wise, all-knowing and all-loving and provides the client with unconditional support.

A hypnotherapy client’s first introduction to the Inner Guide typically occurs during Special Place imagery journey during hypnosis. This is an imaginary environment that the client creates in the subconscious mind using associations and imagery to provide a relaxing, emotionally “safe space” in which he or she can explore options and make decisions, etc. Similarly, the Inner Guide is a product of the client’s imagination and associations. Meeting the Inner Guide here while the client is experiencing the greatest relaxation and confidence reinforces the person’s sense of comfort and confidence, thus facilitating integration of the advice and reassurance this image has to offer. (If a guide does not show up in the imagery exercise, that is fine, too.)

Like other imagery work I do with my clients, I help the client create a rich experience by asking the person to describe details about the Inner Guide, including what it looks like, what it is wearing/if it is clothed, its name, qualities, etc. I also ask the person to describe how it feels to be with this guide. (If a “negative” or critical Inner Guide has shown up, my training as a certified guided-imagery facilitator enables me to gently redirect the client to find or identify an all-wise, all-loving guide.) I encourage the client to talk to the Inner Guide and ask any questions he or she may have. As the imagery journey comes to a close, I ask the client what advice or important information the Inner Guide has to share with the person. Then I then incorporate this information into the hypnotic script to facilitate the person’s desired behavior change.

Of course, the Inner Guide is always available to accompany the client on other imagery journeys, by invitation only. It is also possible to have more than one Inner Guide and consult with specific ones depending on the issue being explored and what skills/advice the person feels would be more relevant in that situation. Regardless of the Inner Guide’s physical form, the client always has control over whether and when to incorporate it into the imagery journey.

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/.

© 2016

Thoughts of the Day

Photo by Sara Fogan

      Every now and then I like (and need) to take a few moments and remind myself about what is really important to me, in my life. If you follow me on my Calminsense Hypnotherapy Facebook page you may have seen some of these quotes before on this page, or will in the future. Many of these Quotes of the Day are beautiful examples and illustrations of the work I do as a hypnotherapist, so I will probably draw on them in future essays.

• “The only person you are destined to become is the person you decide to be.” – Ralph Waldo Emerson

• “When something goes wrong in your life, just yell ‘Plot Twist!’ and move on.” – Unknown

• “Just because you can, doesn't always mean you should.” – Lolly Daskal

• “Perfection isn't attainable, but if we chase perfection we can catch excellence.” – Vince Lombardi

• “Believe in your infinite potential. Your only limitations are those you set upon yourself.” – Roy Bennett

• “A river cuts through rock, not because of its power, but because of its persistence.” – Jim Watkins

• “The more responsibility you claim for everything that has happened in your life, the more control you will have over changing it.” – Bruce van Horn

• “You had the power all along, my dear.” – Glinda the Good Witch, The Wizard of Oz

• “Hoping for the best, prepared for the worst, and unsurprised by anything in between.” – Maya Angelou

• “Don't stress. Do your best. Forget the rest.” – Tony Horton

Sara R. Fogan, C.Ht. is a certifiedl 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/.

© 2016