Hypnotherapy: Listen to your inner voices.

 
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Man: I’m here to look after you

Boy: I don’t trust you

Man: Why not? After all I am you.

Boy: I still don’t trust you.

Man: You can trust me, after all I am you and you are me. You can trust me. You can trust me because I love you.

Boy: Do you? Really? Prove that you love me.

Man: How would I do that?

Boy: Accept me as I am, not as you would like me to be.

Man: I do. I accept you exactly as you are.

Boy: I still don’t believe you.

Man: Why not?

Boy: Why should I? You abandoned me.

Man: That wasn’t me. That was just our life. The way it was back then.

Boy: So why don’t you learn form that and do something different? You have abandoned me.

Man: Did I? Maybe I did. I’m sorry. Really sorry.

Boy: It’s too late for that. Our time is nearly over.

Man: It is never too late to resolve ourselves. In fact that is all we can do with the time we’ve got.

Boy: What about all that poison you pour down my throat every night. I bet you’ll drown me again tonight.

Man: I’m so sorry. It’s not easy. I know that’s no excuse. But you have to remember it’s you that drowns me as much as I drown you.

Boy: Who’s the responsible adult here?

Man: I don’t know to be honest. Maybe you. Maybe me. Can we make a pact?

Boy: Maybe.

Man: I won’t drown you. I will look after you. I will try and protect you from me. In return will you forgive me and take away this guilt?

Boy: How will you look after me?

Man: I’ll set a timer on my phone to beep once an hour. Every time it goes off I will review what I’m doing and ask you if I’m looking after you ok. Check in with you. You can tell me how I’m doing.

Boy: OK. Every hour I will try and forgive you.

They shake hands.

Insomnia: How I conquered my sleepless nights.

 I used to suffer from waking in the middle of the night, typically at 3.00 in the morning. I would lie there in the dark with my head going round like a washing machine on it's final spin, or I would try and get comfortable but would be plagued by minute and uncomfortable wrinkles in the bedding that made it impossible to sleep.

But I have now developed a little routine that seems to work for me, and I’d like to share with you. I’d be really interested to hear if it works for you (or not).

So here’s what I do.

1)    When I awake I check to see if there something in my body, or environment that needs to be sorted out. So I might go to the bathroom, or turn off the radio, or close the window; whatever is required. I do NOT lie there wishing I was warmer or that the curtain was more closed. I sort it out. This is important because you are taking control of the situation rather than wallowing in disgruntled lethargy.

2)    Next, I make myself comfortable in a good sleeping position. After all I am planning to fall asleep. I am NOT planning to lie there awake. Therefore I must be sure to be in the most comfortable and suitable position. I do NOT lie on my back staring at ceiling like a gaping cod on the deck of a trawler. I do NOT check my phone, or start reading. These are things that will keep me awake.

3)    I start to breathe a bit more deeply and slowly than normal. That’s all I do first of all; about 10 or 20 times. Eyes shut. Breathe. Then I start a ritual in my head:

4)    On every exhalation I say to my self in my mind “Sleep” Just like a hypnotist would. It’s an order. Not an invitation. It is in the imperative case. With each exhalation I relax a little bit more. I don't think you can relax instantly, so I aim only for small incremental steps of relaxation. I do NOT move about I stay still. With each exhalation I relax a little bit more, and I command myself using the mind’s voice to “Sleep”.

5)    On every inhalation I count down one number starting from 300. I rarely get below 275. I loose count sometimes but I just take it up at the last number I remember. It doesn’t matter too much. With each number I KNOW that I am closer to sleep. Sometimes I half drop off to sleep and awake again. If that happens I  start the process again.

 

I normally find that I am not aware of falling asleep; but I awake a lot later. I am often surprised that it is 7:30 or something and that therefore I must have been asleep.

The combination of sorting things out, getting comfortable, progressive relaxation, and the counting seems to be very powerful for me.

The counting does two things. First: It stops me thinking about other things because it is just complex enough to shut out worries about tomorrow or indeed morbid fears, anxieties about death, the whereabouts of my keys etc. Second: It is a repetitive and easy enough and predictable.

 

Slow OUT “Sleep”

Slow IN 299

Slow OUT “Sleep”

Slow IN 298

Slow OUT “Sleep”

Slow IN 297. . . . .etc

It’s simple, and I’m amazed at how well it is working for me. Have a go. Tell me how it goes. Leave a message if you have any experiences doing this.

(Quick disclaimer: I accept no responsibility for your lack of sleep, I’m just saying this works for me)

Sleep Well.

Hypnotherapy, Floatation Tanks, & deep Relaxation.

You can now combine two therapies into one relaxing and powerful experience; the combination of Hypnotherapy and Floatation.

Hypnotherapy can help you access the powerful sub conscious aspects of your mind, and reduce anxiety and stress through creative imagery and symbolism. Roger Knott-Fayle specializes in using guided imagery to help you reframe the anxieties of your world, whilst relaxing and slowing your brainwaves to a state between waking and sleep.

This can be further enhanced by spending a one hour session in the floatation tank.  Floatation therapy provides an environment where all external stimuli is removed (sight, sound and touch) then, supported weightless in the skin temperature solution of Epsom salt and water, your mind has very little 'left to do'.  The load on the brain drops by around 75% and brainwaves slow to a speed normally only achieved when sleeping.  This triggers your bodies natural re-balancing processes and allows your body and mind to relax like never before and the resultant state whist floating is very similar to that achieved by Hypnotherapy.

At Calm Water Floatation in West Bridgford, you can experience both under one roof. Relaxing and stress-busting  Hypnotherapy combined with a 1 hour floatation session.  Floating before your session with Roger will place you in a state of prepared deep relaxation, which will mean your Hypnotherapy session can be deeper and more powerful.  Floating after your Hypnotherapy session will allow you to reflect on your session with Roger, and will seat what you have achieved very deeply in your psyche.  Both Roger and Nick will be able to advise on this before your sessions.

Roger Knott-Fayle is a qualified and registered Hypnotherapist, working with issues such as anxieties, phobias, habit control and lack of self esteem. http://www.hypnottik.com

Calm Water Floatation is monitored by the Floatation Tank Association and is owned and run by Nick Parsons who has extensive knowledge of floatation and has been using floating himself for around 12 years.  Calm Water is the first of its kind to be located in the Midlands region, and is situated in a beautiful centre in West Bridgeford. http://www.calm-water.co.uk/home

Pain management & Hypnotherapy

I recently attended a fascinating course on pain management, run by Hypnotherapist Clem Turner as part of my CPD (Continued Professional Development). This has lead me to investigate and read further on the subject.

Imagine the chain of events. You are in the street and someone sells you a charity badge, which (with clumsy fingers) they helpfully pin to your Jacket. Unfortunately as they work their clumsy fingers, they push the pin into your flesh. You experience pain.

“Bluggerax!” you shriek pushing them away.

What is pain? This sensation that has caused you to react so instantly?

In your flesh there are lots of little detectors, or nociceptors as they are known, and when stimulated by the pin they these send a signal at high speed along the neural pathway to the spinal chord. The signal is relayed up the spinal chord to a point in the thalamus, which is in the midbrain. Here the signal is processed and sent to an area at the top of the brain in the sensory cortex. This part of the brain defines the sensation as PAIN! And sends a signal to motor cortex which is conveniently close by. This part of the brain generates a signal that is sent back to the body and results in a response that is aimed at stopping that sensation. 

You push them away with sudden hand movements and shriek at them:

“Bluggerax! – Get off me you clummock!”

Further examination of the situation will show us that there are two types of nerve fibre involved. A and C Nerve fibres.

The A fibres are divided into three types Aα, Aβ and Aδ. If the level of stimulation only activates the Aα and Aβ you feel no pain. If, however the level of stimulation rises to a point when it activates the Aδ then Yabbles! That hurts! The stimulation of these nerves causes what we describe as sharp acute pain. If the C cell fibres are also stimulated you will experience a duller longer pain.

There are a bewildering number of ways that pain is measured. It’s difficult because of course there is an element of subjectivity about it all.

However there are a lot of ways of asking someone how much it hurts.

Maybe the most simple is the visual analogue scale:

As in please make a mark on the line that indicates the level of pain you are experiencing:

No pain------------------------------------------------------------------Worst possible pain

Or with numbers

As in please circle the number that corresponds to level of pain you are experiencing:

No pain   1  2  3  4  5   Worst possible pain.

Or circle a word that describes your pain:

None Moderate Severe Unbearable

However these methods of measuring pain don’t tell you an awful lot about the quality of the pain and are clearly subjective.

We all use words to describe pain such as “It’s a shooting pain” or It’s a “sharp” pain.

The marvelously named “Brief Pain Inventory” measures both the intensity of the pain and the way it interacts with a person’s whole life. For example how it interferes with work or mood. Originally it was developed by a group focusing on cancer pain, but now the BPI a commonly used pain assessment tool.

The multidimensional affect and pain survey (or MAPS) uses a staggering number of descriptors that describe the qualities of pain in a more nuanced way. These descriptions of pain are grouped into 30 “sub clusters” which are themselves grouped into three big groups called “super clusters”. (Someone enjoyed this form organization too much!)

The big super clusters are:

Sensory pain (includes descriptions like “burning”),

Emotional pain (Descriptions such as “depressed”),

Well being (descriptors like “calm”).

Interestingly using this tool it can be seen that people who anticipate greater pain and emotional distress before an operation actually consume more morphine postoperatively. This aspect of anticipated pain is clearly of great interest to me, as it can be acted on within hypnotherapy sessions.

As a research tool into pain some people were asked to keep a “pain diary”. How reliable are patients’ reports of past pain? In this research it has been seen that your memory of pain may not be very accurate. The memory of past pain, is in fact influenced by any present pain. However even more interestingly for me, as a Hypnotherapist, is the fact that memory of past pain is also influenced by present worry, anxiety, stress, and fear. This in turn may become a lens through which any future pain is anticipated. Thus making it terrifying to visit a dentist, or go to a doctor. 

One particular model of pain interests me a great deal: the  so called “three dimensions” of pain, described by In 1968 Ronald Melzack and Kenneth Casey. This model of pain proposes the following three aspects of pain:

“Sensory – discriminative” In other words the intensity, location and duration

“Affective – motivational” The unpleasantness – the power of the urge to get rid of the sensation.

“Cognitive – evaluative” Formed by an appraisal of the pain,  the cultural values and context surrounding the sensations.

You can see that these categories are very similar to the ones used by the MAPS as Super clusters.

What is interesting to me is that certainly the Cognitive / Evaluative aspects of pain can be influenced by hypnotherapy. 

To an extent it is also possible to lessen the Affective / Motivational dimension (the unpleasantness) of a sensation by using your mind to transform the sensation into another sensation; simply imagining that an ache is a hot sensation instead of an ache for example. 

With regard to the actual physical transmission of the sensation of pain (the sensory / discriminative) along the nerves to the brain there are many approaches within hypnotherapy that suggest that you can induce numbness; mostly well known of these approaches being so called “glove anesthesia” in which the clients hand becomes numb and may then be placed against another part of the body – a jaw for example, to lessen the sensation of tooth ache.

In 1983 Spiegel and Bloom worked with 54 women with chronic cancer pain from breast carcinoma. They put the women into two support groups. One group was taught self-hypnosis and the other was not. The group using hypnosis used suggestions such as “filtering out” pain by imagining other different sensations competing for supremacy on the sight of the pain. They  were also encouraged to use self hypnosis on their own. The study lasted 12 months. The group that had been taught to use hypnosis demonstrated significantly less pain and suffering than the control group.

In 2004 a similar piece of research was carried out. Elkins et al did a randomized study of 39 advanced-stage (Stage III or IV) cancer patients with malignant bone disease.  Again patients were randomly assigned to receive either weekly sessions of supportive attention,  or a hypnotic intervention. Patients assigned to hypnotherapeutic intervention received four sessions per week in which a hypnotic induction was followed a script. This included suggestions for relaxation, comfort, mental imagery for dissociation and pain control, and instruction in self-hypnosis.

 Thety were also given a recording and asked to listen to this outside the sessions. So it was quite an intense blast of hypnotherapy. The hypnotic group reported far less pain than the control group.

The human mind really is a huge warehouse of resources,

What Is Anxiety?

What is Anxiety? It’s quite a slippery term. Used by many people in different ways. In general speech we mean unease or nervousness. Sometimes we can attach the feeling to a particular forthcoming event, and sometimes it is a more general feeling that is non specific and falls over us like a cloak. The word itself comes from the Latin anxius to choke, and I guess we have all experienced that particular grade of anxiety which tightens your throat. Very nasty.

Here’s an interesting thing, you can sometimes swap the word “anxious” with “eager”:

“I’m anxious to get to the station”

“I’m eager to get to the station”

“I’m anxious about the speech I have to give next Friday”

I’m eager to make that speech next Friday”

I think this points to the fact that anxiety and excitement are quite closely related emotions. For example stage fright is an interesting combination of anxiety and excitement.

Two people facing the same challenge may fall either side of the dividing line between the concepts. One person may feel principally eager to go on stage, whilst the other may feel principally anxious. In other words we may respond differently to stimuli in our lives. We are obviously meant to experience some anxiety in relation to certain events and occurrences; this is part of our survival system. In the presence of a tiger anxiety is a necessary and appropriate part of our flight or flight system.

Things get more complicated in the modern world as we experience anxiety in relation to things that appear to be threats. The site of your boss, going on a train journey, going to the bank; these may not really contain the level of threat that warrants high levels of anxiety. Nevertheless the mechanisms of the mind may perceive these things as “tigers”.

In fact there are 6 types of anxiety disorder (according to DSM-1V):

Phobia

Generalised anxiety disorder

Obsessive Compulsive Disorder

Post Traumatic Stress Disorder

Acute Stress Disorder

Panic disorder

As you see, these are quite wide ranging and, from the point of view of a therapist, require quite different approaches. A certain amount of investigation is needed to decide which of these categories they might fall into, and therefore what might be the most appropriate approach for that particular person.

In Generalised Anxiety Disorder or GAD a person may be anxious about almost anything and everything, and this distress is inhibiting to normal life. People suffering from Generalised Anxiety Disorder may experience many symptoms that you might associate with fear; sweating, wanting to go to the loo, heart pumping, a dry mouth and much more.

There are many different ideas about the causes of GAD. What follows is my rather generalised idea of how it may be viewed through the lens of different theories.

Psychoanalytical theory, for example, may put forward the idea that the id and the ego are in conflict. The id is desperately trying to express itself in its sexual or aggressive ways, and the ego is trying to repress this unacceptable expression. This conflict causes anxiety. Remember I’m generalising here.

In Cognitive Behavioural Therapy, it may be proposed that reasons such as the perception of loss of control are at the root of the problem.

Learning theory considers that we learn to associate anxiety with bad things that have happened to us, so the sight of your boss may cause anxiety as your previous experience has shown you that you may be in trouble.

As a Hypnotherapist I might take the view that whatever the cause, the experience may well be linked to certain stimuli in your life. I would hope to try and build new and more suitable associations with that stimuli. Sometimes people may “catastrophise” an event or experience, where they kind of dramatise and magnify their experience. This is not done consciously, it is done at an unconscious lrvrl.

There are many approaches that a Hypnotherapist might take, and the approach will depend very much on the particular character and perceptions of the client.

I’m very interested in working with people with anxiety as I think it is quite a universal experience. In fact it was anxiety that lead me into hypnotherapy in the first place.

Here there is an important thing to say about my experience; I faced some quite horrid surgery, and felt extremely anxious about it. In trying to find answers I went to a Hypnotherapist. The truth is that I was still frightened and it still hurt, but I just had a couple things I could do in my head – even whilst being wheeled into the operating theatre. It really wasn’t a magic bullet, but it did help me deal with the reality I faced.