Thursday, October 18, 2018

A Different Way to Look at Performance Anxiety


(This blog was originally posted on September 15, 2016)


Photo by Rick Hustead




Performance anxiety, or the fear of performing some task or behavior in front of other people, is a common phenomenon. Indeed, a majority of my hypnotherapy practice centers on helping clients overcome performance anxiety to some extent. Whether the person wants to increase confidence to speak or play an instrument in public, or overcome a “nervous stomach” before taking the field at a big game or horse show, performance anxiety is the culprit. Many people who come in to quit a tobacco habit or lose weight are initially surprised to learn that smoking/chewing tobacco or over-eating are replacement behaviors their subconscious mind uses to repress or stuff down this anxiety. 

What if the source of your performance anxiety has less to do with the specific activity you are about to do and is more about being evaluated for that performance? In her book titled The Power of the Herd, A Nonpredatory Approach to Social Intelligence, Leadership, and Innovation1, Linda Kohanov theorizes that the source of this stress has more to do with the evaluation than the task. The Eponaquest LLC founder calls this phenomenon “evaluation apprehension,” and describes various physiological symptoms of anxiety that we associate with performance anxiety including  increased blood pressure and pulse/heart-rate and rapid speech pattern. Above all else is that overwhelming fear that everyone in the room is hyper-critical of and negatively rating everything we do. She even explains that the most deleterious effect of evaluation apprehension is the way it inhibits our desire to learn or try something new for fear of receiving this negative response from others. 

When I read Kohanov’s take on performance anxiety, her concept of evaluation apprehension being the cause of this phenomenon really resonated with me. For example, it seems incongruous to hear that our favorite actor or dancer experiences severe “stage fright” before each performance despite having received the highest accolades for his or her work. What do they have to be afraid of when they have won every award there is for what they do? And yet, time and again they insist how much easier and preferable it is to do the work than to see the movie or a video of the performance, hear or read reviews about it later. 

Her recognition of the “fear of the unknown” as a source of a person’s anxiety to try something new also dovetails with the Theory of Mind2 that John Kappas, Ph.D., referenced in so much of his hypnotherapy work. According to the Hypnosis Motivation Institute founder, the subconscious part of the mind is uncomfortable about and resistant to doing new or different things even when the conscious mind (logic, reason, will-power/free-will and reasoning) says that it’s okay to do so. This resistance comes from the “knowns” (familiar stimuli) and that subconscious mental script we all carry around to protect us from real and perceived threats. If you have a subconscious mental script that keeps reinforcing the message that everyone really is judging and evaluating you—and you believe that this judgment is negative—of course you will avoid that situation at all costs. Since the subconscious mind works on expectation and imagination, over time, we learn to expect others to respond to and interact with us in a particular way based on that previous experience. 

With that in mind, I would suggest looking at the phenomenon of performance anxiety in the context of “evaluation apprehension.” In fact, I really already do that in my hypnotherapy practice as I teach clients various breathing techniques to increase their relaxation and imagery exercises so they can focus on all the things that can and will go right during the task. I also encourage clients to use memories of positive experiences/outcomes in similar situations to increase their self-confidence and self-esteem. Ultimately, when we are confident and relaxed doing the behavior, it is easier and even enjoyable to do the task and not even think about, let alone worry, what other people may think about our performance.


1.        Kohanov, Linda. The Power of the Herd: A Nonpredatory Approach to Social Intelligence, Leadership, and Innovation. New World Library: Novato, California. 2013. pp. 188-189
2.        Kappas, Ph.D., John G. Professional Hypnotism Manual: A Practical Approach for Modern Times (4th Edition). Panorama Publishing Company: Tarzana, CA. 2001. pp. 10-13



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/.
© 2018

Wednesday, October 17, 2018

Different Therapeutic Approaches to Treat Fears vs. Phobias

(This blog was originally posted on September 19, 2016)


Photo by Rick Hustead




Fears and phobias/anxiety may reflect similar feelings, but they are actually separate conditions that require different treatments. According to Hypnosis Motivation Institute founder John Kappas, Ph.D., when you have a fear of something, you can attribute the reaction to the memory of a specific incident—usually one that occurred during childhood. Conversely, the phobia is typically associated with a sudden drop in blood-sugar that triggers physiological symptoms including shaking, weakness, confusion, anxiety and even paranoia that have nothing to do with what a specific environmental trigger. However, the resulting subconscious fear of loss of control or even death becomes attributed to that trigger (e.g., fear of flying, insects) because that is the only explicable source of anxiety, according to the conscious mind. 

Both therapies entail educating the individual about the role of nutrition in exacerbating or even triggering the initial fear/phobic response during the cognitive/alert portion of the session. Most important, the hypnotherapist must help the client realize and believe that the person is able to control this reaction. Having said that, each response (fear versus phobia) requires a different hypnotherapeutic approach to achieve this outcome.

Circle therapy enables the person to progressively experience more intense fear reactions during hypnosis and then “pass” through it (relax) to a deeper state of hypnosis. Post-hypnotic suggestions reinforce that the individual is able to control this fear in this way and that the fear response is no longer a necessary part of his or her life. The best way to face a fear is to face it down, Dr. Kappas advised. “Face it by realizing you yourself can create it. You’re not facing the fear, you’re facing the feeling,” he explained. 

Conversely, phobias start from physiological feelings that the person fears will result in loss of control or even death. While this reaction can be triggered by dreams or stress, it’s generally an illogical fear response and not based on personal experience. The best way to treat a phobia is by using systematic desensitization and double-bind techniques that work together to gradually reduce the negative association/response while making the response increasingly difficult to experience. Circle therapy is not used to work through a phobia because the technique can reinforce or even exacerbate the negative response.

However, a long-held fear can also morph into agoraphobia, or a fear of open spaces, Dr. Kappas warned. It is possible to manage agoraphobia through diet/nutrition, a therapeutic approach that is recommended and effective to control other phobias. It is important to deal with any relapse of the original fear right away and then start dealing with anticipatory anxiety about experiencing that fear, which has likely developed through the agoraphobic response.




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

Tuesday, October 16, 2018

Building Self-Esteem from a Limited Mental Script


(This blog was originally posted on May 2, 2016)




Photo by Rick Hustead




If a client has a limited subconscious mental script, it is important to use hypnotic suggestions to help create a new mental self-image. This individual would also benefit from learning about the Mental Bank Concept and using the Mental Bank ledger to reinforce those suggestions, advised John Kappas, Ph.D., founder of the Hypnosis Motivation Institute.

To start this process, explain the Theory of Mind and emphasize that any previous negative scripts or self-image (behaviors) can be re-learned, Dr. Kappas suggested. Remind the client that somewhere in the person’s background, the individual picked up or learned the unwanted behavior. Since all behavior (except reaction to fear of falling and reaction to fear of loud noises) is learned, the person can unlearn this unwanted behavior as well. It is also important to reassure the individual that he or she will match the potential positive changes or outcomes with the person’s capability to effect the desired change. “From this day forward, you are more valuable. You are successful, happy doing what you want to do,” the hypnotherapist said.

It is important for the client to be able to incorporate the self-image of success, happiness and prosperity as the basic foundation for his or her mental-bank goals. Therefore, while the individual is in hypnosis, the hypnotherapist should emphasize that the person’s confidence, self-confidence and self-esteem continue to steadily increase. “A new script will take you to new places. You’ll feel better about yourself, and your confidence will begin to grow,” Dr. Kappas said.




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/.
© 2018