What is hypnosis?

HypnosisHypnosis refers both to the art of inducing a trance state and the state itself. This state resembles, but is not the same as, ordinary sleep.

A trance state in hypnosis is characterised by the following:

Selective attention. 

The subject’s attention narrows to the hypnotist’s voice, the suggestions given, to changes in muscular activity, to the developing sensations that accompany the descent into trance.


Conscious thought processes either decrease, or are hived off from the developing trance state, thus cutting out conscious interference.

Responsive to suggestion

As depotentiation of the conscious mind develops, the subject enters without inhibition into the suggestions provided. These include suggestions for relaxation, sleep, eye-closure, hand or arm catalepsy, and trance deepening.


The hypnotic trance is similar to the state you enter just before you drop off to sleep in bed. While the body has in fact entered the sleep state there is still some peripheral awareness of what is happening. As trance deepens the subject develops what has been likened to a somnambulistic state.

Muscular inhibition

One of the most striking features of hypnosis is that subjects experience increasing difficulty in exercising the muscles in and around the eyes, and in their hands and arms. Muscular inhibition is a key indicator of successful trance.

Brain changes in hypnosis. 

Observation of brain processes in trance using MRI scans on hypnotised subjects demonstrates decreased vigilance, increased mind-body interaction, and reduced self-consciousness.

How does hypnosis work?

Hypnosis is not an abnormal state, but an extension of the person’s natural ability to enter into a state of reverie. Examples include daydreaming; driving a car on the motorway and going into ‘automatic’ mode; or becoming absorbed in a movie.

The skilled hypnotist induces trance through a combination of directions and suggestions. These include:

  • Capturing the subject’s attention with hand movements, or with a pendulum.
  • Dividing conscious activity from unconscious activity
  • Creating a focus on the hypnotist’s rhythmical, sleep-inducing voice
  • Securing eye-closure – first voluntary, then involuntary
  • Deepening trance. For example, inviting the client to descend in an imaginary lift to a somnambulistic state.
  • Securing other hypnotic phenomena: arm catalepsy, changes in sensory experience, or ideo-motor responses (e.g. involuntary movements of the fingers)

The aim is to induce a state of trance in which therapeutic techniques can be employed to the client’s benefit.

What is hypnotherapy?

Hypnotherapy is the use of trance for therapeutic purposes. It differs from the style of hypnosis used on stage or tv shows, in which the aim is to produce tricks for entertainment. Professional hypnotherapists are bound by strict rules relating to client consent, ethical responsibility, and safeguarding. Hypnotic techniques are applied to specific therapeutic goals agreed beforehand with the client.

Hypnotic techniques in therapy include:

  • Memory recall and resolution of distress
  • Desensitisation and other calming procedures (e.g. for anxiety)
  • Visualisation techniques
  • Mental rehearsal
  • Symptom reduction (e.g. symptoms of IBS)
  • Sleep production (for insomnia)
  • Anaesthesia (e.g. for pain management)

Typically, hypnotherapy employs recorded tapes for daily use by the client, as a supplement to the techniques employed in face-to-face sessions.

Although some hypnotherapists employ hypnosis as their sole clinical tool, most use hypnosis alongside other therapeutic approaches, such as brief therapysolution-focused therapystress-management, and cognitive-behavioural therapy.

Hypnotherapy is most useful when applied to anxiety problems, low self-esteem, chronic pain and insomnia.