Showing posts with label pain management. Show all posts
Showing posts with label pain management. Show all posts

Wednesday, October 19, 2016

Placebo reduces back pain—even when patients know they're taking placebo

For patients with chronic back pain, "open" treatment with placebo—informing patients that they are taking an inactive pill, and why it might be helpful—leads to reductions in pain and disability, reports a study in Pain. 
Previous studies have suggested that placebos can have "clinically meaningful benefits"—possibly reflecting "non-conscious processes" related to participating in a study and taking pills.

"This study is the first to demonstrate potential clinically significant benefits of open placebo treatment in chronic low back pain," according to the new research by Claudia Carvalho of ISPA-Instituto Universitário, Lisbon, and colleagues.

Retrieved from:

Monday, August 22, 2016

Pain treatment specialist in Malaysia

Hypnosis for the Relief and Control of Pain

A meta-analysis (a study of studies) in 2000 of 18 published studies by psychologists Guy Montgomery, PhD, Katherine DuHamel, PhD, and William Redd, PhD, showed that 75% of clinical and experimental participants with different types of pain obtained substantial pain relief from hypnotic techniques. Thus, hypnosis is likely to be effective for most people suffering from diverse forms of pain, with the possible exception of a minority of patients who are resistant to hypnotic interventions. Drs. Patterson and Jensen indicate that hypnotic strategies are equivalent or more effective than other treatments for both acute and chronic pain, and they are likely to save both money and time for patients and clinicians. Evidence suggests that hypnosis might be considered a standard of treatment unless the person fails to respond to it or shows a strong opposition against it.

Practical Application

Hypno-analgesia is likely to decrease acute and chronic pain in most individuals, and to save them money in surgical procedures. Hypnotic analgesia has been used successfully in a number of interventions in many clinics, hospitals, and burn care centers, and dental offices. For acute pain, it has proven effective in interventional radiology, various surgical procedures (e.g., appendectomies, tumor excisions), the treatment of burns (dressing changes and the painful removal of dead or contaminated skin tissue), child-birth labor pain, bone marrow aspiration pain, and pain related to dental work, especially so with children. Chronic pain conditions for which hypnosis has been used successfully include, among others, headache, backache, fibromyalgia, carcinoma-related pain, temporal mandibular disorder pain, and mixed chronic pain. Hypnosis can alleviate the sensory and/or affective components of a pain experience, which may be all that is required for acute pain. Chronic conditions, however, may require a comprehensive plan that targets various aspects besides the pain experience. The patient may need help increasing behaviors that foster well-being and functional activity (e.g., exercise, good diet) challenging faulty thinking patterns (e.g., "I cannot do anything about my pain"), restoring range of motion and appropriate body mechanics, and so on. Clinicians using hypno-analgesia should be up to date in other treatments for pain besides hypnosis, consult with other specialists as appropriate, and integrate different strategies to provide the most effective and enduring relief for pain.

Hiro Koo is a certified specialist in hypnosis and pain management (from a nationally accredited college). Feel free to contact us any time: [email protected]

Cited Research

Lang, E. V., & Rosen, M. P. (2002). Cost analysis of adjunct hypnosis with sedation during outpatient interventional radiologic procedures. Radiology, 222, pp. 375-82.
Lynn, S. J., Kirsch, I., Barabasz, A., Cardeña, E., & Patterson, D. (2000). Hypnosis as an empirically supported clinical intervention: The state of the evidence and a look to the future. International Journal of Clinical and Experimental Hypnosis, Vol. 48, pp. 235-255.
Montgomery, G. H., DuHamel, K. N., & Redd, W. H. (2000). A meta-analysis of hypnotically induced analgesia: how effective is hypnosis? International Journal of Clinical and Experimental Hypnosis, Vol. 48, pp. 138-153.
Patterson, D. R., & Jensen, M. P. (2003). Hypnosis and clinical pain. Psychological Bulletin, Vol. 129, pp. 495-521.
Rainville, P., Carrier, B., Hofbauer, R. K., Bushnell, M. C., & Duncan, G. H. (1999). Dissociation of sensory and affective dimensions of pain using hypnotic modulation. Pain, Vol. 82, pp. 159-71.

Retrieved from: (Picture)

Sunday, August 14, 2016

Hypnotherapy in the treatment of severe refractory irritable-bowel syndrome (IBS)

Whorwell PJ; Prior A; Faragher EB. Controlled trial of hypnotherapy in the treatment of severe refractory irritable-bowel syndrome.The Lancet 1984, 2: 1232-4. 
This was the earliest formal study of hypnosis treatment for IBS and remains to date one of the best studies in this research area, as it was thoroughly placebo-controlled and showed dramatically greater improvement from hypnosis treatment above the placebo. 

Thirty patients with severe symptoms that had been unresponsive to other treatment were randomly chosen to receive either 7 sessions of hypnotherapy (15 patients) or 7 sessions of psychotherapy plus placebo pills (15 patients). 

The psychotherapy group showed a small but significant improvement in abdominal pain and distension, and in general well-being but not bowel activity pattern. The hypnotherapy patients showed a dramatic improvement in all IBS symptoms. The hypnotherapy group showed no relapses during the 3-month follow-up period. 

Figure adapted from the above paper by Whorwell and colleagues, showing the changes in the hypnosis group and the comparison treatment group in well-being (upper left-hand graph) and IBS symptoms during the 2-week baseline and 12-week treatment period.

How to Select a Hypnotherapist in Malaysia?
Get answers to the following three questions:
1) Is this person a licensed health professional? Be aware that hypnosis certificates and vanity letters after the person’s name such as C. Ht. ("certified hypnotherapist") mean nothing in terms of clinical qualifications. In Malaysia, A licensed clinical hypnotherapist should be registered with the professional body in Malaysia: The Association of Hypnotherapy Practitioners, Malaysia (AHPM)

2) Does this person have formal training and significant experience in clinical hypnosis and psychology field? Using hypnosis with good success requires considerable skill and knowledge. In general, 50 hours or more of certified workshop training in hypnosis would be good, although less is sometimes adequate.

3) Does this person know the details of successful hypnosis treatment protocols for IBS? Hypnosis in itself is probably not sufficient to treat IBS effectively. Specific gut-directed hypnotherapy method need to be included.


Tuesday, July 26, 2016

Impact Journalism Day: Healing powers of hypnosis promoted by Swiss

In the large burns unit of the Lausanne University Hospital (CHUV) in Lausanne, Switzerland, hypnosis is used on a daily basis.
A study has shown that hypnosis reduces the time patients spend in intensive care and saves $26,000 a patient.

The hospital now wants to extend this insight into other departments.
"If hypnosis were a medication it would already be in all hospitals, but it is an approach, and thus it must overcome cultural barriers," says Pierre-Yves Rodondi, a doctor at the University Institute of Social and Preventive Medicine at the hospital.
"There are scientific studies, unfortunately ignored by a large part of the medical community, that demonstrate the effectiveness of hypnosis in pain management: it is a tool that should be integrated into treatment. It even works with those who are sceptical."
According to a scientific study carried out at the hospital and published in the journal Burns, hypnosis helps patients with severe burns to recover faster and cuts the cost of therapy.

The study found it reduces anxiety, the use of drugs, the overall need for anaesthetics and, on average, reduces the time spent by patients in intensive care by five days. The savings could be converted into more specialist hospital staff.
"It could be related to a lower level of stress, but this is just our hypothesis," explains Maryse Davadant, a nurse in the intensive care unit and a pioneer in the use of hypnosis at CHUV. 
"On average, we start the first session a few days after the patient is admitted, when he or she is no longer intubated and unable to concentrate.
"Then we teach them to do self-hypnosis: this is a tool that the patient will always have, and the analgesic effect lasts even after therapy.
"We have two nurses in the ICU who only do hypnosis.
"We offer it to everyone, some are aware of it and are interested, whereas others are more sceptical, but almost everyone tries it and is satisfied."


Saturday, March 5, 2016

No brain, no pain: Hypnosis can replace anesthesia in brain surgery

For many people, the idea of being awake while your skull is cut open sounds like something straight out of a horror movie. However, 37 people decided to forgo anesthetics for brain surgery and opted to receive hypnosis instead.
Hypnosis in surgery is not a new concept. In 1864 a Scottish surgeon named James Esdaile reported “80 percent surgical anesthesia using hypnosis as the sole anesthetic for amputations in India,” according to the Journal of the National Cancer Institute. In 1957, Dr. William Saul Kroger caught the New York Time’s attention when he used hypnosis on a breast cancer patient, the Miami Herald reported.

However, Dr. Ilyess Zemmoura of Centre Hospitalier Universitaire de Tours and his colleagues have been evaluating the effects of using anesthesia since 2011. Focusing primarily on brain cancer patients, he and his team have been conducting awake operations to remove brain cancer tumors.

Certain brain operations require patients to be awake for at least part of the process. These surgeries are very tricky, according to the International Business Times, and surgeons depend on certain responses and interactions to avoid damaging critical parts of the brain, such as the eloquent cortex.

Typically when a patient undergoes brain surgery, they will be put to sleep at the beginning of the operation prior to the skull being opened, woken up in the middle to ensure responses are normal, then put back to sleep again. This process is known as asleep-awake-asleep ‒ or AAA – which seems like an onomatopoeia when thinking about waking up in the middle of brain surgery.

Zemmoura and other researchers detailed the hypnosis process to a total of 48 patients, according to Ars Technica. Hypnosis sedation, much like AAA sedation, begins several weeks prior to the operation. The patient meets with a hypnotist to practice entering a trance. From 2011 to 2015, 37 of the 48 underwent brain surgery using hypnosis sedation. Six patients were unable to enter a trance at the time of the surgery and switched to AAA sedation.

While the drawbacks to hypnotherapy may seem obvious ‒ waking up out of the trance, pain, sneezing while a surgeon has their hands on your brain ‒ there are many benefits as well. The Journal of the National Cancer Institute estimated that the use of hypnosis could save both time and up to $338 per procedure.

Although some in the medical community remain skeptical – there was no control group in the study to compare results with – Zemmoura’s small patient group largely reported positive results. Follow-up questionnaires showed little to no negative psychological impact, Neuroscience News reported.


Sunday, June 7, 2015

[Exhibitor] National Cancer Survivors Day 2015

I am here and I care!

It is an honour to be invited to participate in National Cancer Survivors Day 2015 which organized by the National Cancer Society Malaysia. Managing mental health needs is a crucial part for cancer patients or survivors. My role today is to provide brain assessment, support and treatment advice if necessary. 

There is a healthtalk on how the clinical hypnotherapy able to help cancer patients and cancer survivors. In fact, clinical hypnotherapy has proven to be extremely valuable in the treatment of cancer. Hypnosis has been shown to be effective for decreasing chemotherapy-related nausea and vomiting in children with cancer. 

Indeed, hypnotherapy is an effective supplement therapy in the management of terminally ill cancer patients in a hospice setting. It is useful in addressing: 
(1) management of anxiety, depression, anger, and frustration; 
(2) management of pain, fatigue, and insomnia; 
(3) management of side-effects of chemotherapy and radiotherapy; 
(4) visualization to promote health improvement. 
By successfully addressing these areas, studies have shown that hypnotherapy improves the individual quality of life and life expectancy. Further, there is a quantifiable cost savings to the hospital in terms of reduced medication and need for medical care.
One of the most well-known techniques involves the use of “positive mental images” of a strong army of white blood cells killing cancer cells. One 10-year follow-up study involving 86 women with cancer showed that a year of weekly “supportive/ expressive” group therapy significantly increased survival duration and time from recurrence to death. Postoperative complications and hospitalizations for the hypnotic intervention group are significantly shorter than the norm.

You can read this review:
"Hypnosis for Cancer Care: Over 200 Years Young" - The goal of this review was to summarize the empirical literature on hypnosis as an integrative cancer prevention and control technique. We have reviewed where hypnosis has strong support for its efficacy (surgery and other invasive procedures), where it holds promise (weight loss, chemotherapy, radiotherapy, metastatic disease), and where more work is needed.
Neuro-hypnotherapy is first of its kind in Malaysia developed by myself by combining technology (EEG biofeedback) and art of science (Clinical Hypnotherapy) which is best of two worlds. 
Feel free to contact me for a free brain assessment session. 

For more information on volunteering opportunities, you can contact the NCSM.


Saturday, April 25, 2015


美国医疗体系开始运用“生物反馈”和“EEG biofeedback脑波反馈疗法”等方法,治疗偏头痛,让患者不吃药就能看到明显疗效。 



EEG biofeedback脑波反馈疗法与生物反馈疗法相似,


进行神经反馈治疗看上去像在玩电子游戏或看电影。患者在医师指导下,把那无痛的电子传感器贴在耳垂和头皮上,用脑电波来启动电脑上的游戏程序。当“好”脑电波明显增加时,屏幕就会显示优秀的信号,并给实验者一些奖励。当“坏”脑电波增强时,游戏或电影速度就会减慢甚至停止。经过一定的训练后,病人的脑神经系统就能逐渐学会使用那些好脑电波,来对付那些可能引发头痛的坏脑电波。神经反馈疗法一般需要进行20—40次,每次30-60分钟。专家认为,EEG biofeedback脑波反馈疗法能达到永久治愈的目的。 


在马来西亚,你也可以找到EEG biofeedback治疗,

但效果视乎不同的EEG biofeedback系统而定。
推荐大家使用临床上与科学研究上普遍使用的international 10/20 system(EEG biofeedback system). 在Newmindcentre.com的治疗师们使用的也是international 10/20 system。

Wednesday, April 8, 2015

[Review] Anxiety management Malaysia: Neuro-hypnotherapy helped me to fall asleep faster and reduce anxiety symptoms

ST (40 years old), a highly anxious woman, turned to neuro-hypnotherapy when everything else failed. Through medical doctor advice, she learnt how neuro-hypnotherapy could deal with the issues that disrupting her sleep pattern. 
Before she was undergoing therapeutic sessions for her own anxiety symptoms, she obtained the score of 41 (High anxiety) on Beck Anxiety Inventory. At the end of her neuro-hypnotherapy session, her score reduced to 13(Low Anxiety) on Beck Anxiety Inventory.
The Pittsburgh Sleep Quality Index (PSQI) is designed to measure sleep quality and disturbance over a 1-month period. All scores are combined according to the scoring criteria included with the form to produce a Global PSQI Score. Scores above 5 indicate clinically meaningfully disturbed or poor sleep. The global score on the PSQI was reduced significantly from 10 (very poor sleep quality) to 4 (better sleep quality).

I can't stop worrying about death and dying. I've been constantly imagining about death and how then everyone will care about me. I can't sleep because I'm afraid I'm going to die. My medical doctor told me to avoid taking sleeping pills because he knows how addictive they can be.
The other thing is I always have a horrible sharp pain under my shoulder, My medical doctor gave me painkiller and advised me to see a mental health care professional.

I met Hiro Koo during a corporate health talk. After the EEG brainwaves analysis session, I know myself better and able to find a way to treat the root cause of my issues. I choose the neuro-hypnotherapy because my issues can be managed without medications and no side effects.

The biggest difference before and after neuro-hypnotherapy? Well, now it takes me 15 minutes on average to fall asleep! Previously, it takes more than 30 minutes for me to fall asleep. I become happier, less fearful about death, less anxious and feel calmer than ever.
I also learned personalized self hypnosis method from Hiro Koo for pain management. I see a very noticeable improvement after a month of treatment. Absolutely no pain now with no noticeable side effects. I am impressed!

I would definitely recommend your services to any friend who need help. I am very pleased with neuro-hypnotherapy, which have significantly improved the functions of my health and quality of my life. I am very thankful to Hiro Koo for good help at the needful time.

Remark: Our client's information will be kept strictly confidential all the time. All reviews have been acknowledged and provided by past and current clients of Spectrum of Life proactive healthcare centre (Clinical Hypnotherapist Hiro Koo). Clients names have been changed to protect their identity. 

Monday, March 30, 2015

Hypnotherapy Malaysia for cancer pain management, cancer care and coping skills for cancer

Clinical hypnosis has been defined as a mind-body therapy that involves a deeply relaxed state, individualized mental imagery, and therapeutic suggestion. Clinical hypnosis has a very long history, with reports of medical application dating back to the 18th century. Some have suggested that there is even evidence for the use of clinical hypnosis since ancient times, with inscriptions of hypnotic-like phenomena on a stone stele from Egypt during the reign of Ramses XII, some 3,000 years ago. The word hypnosis, derived from the Greek word for sleep, was coined by James Braid in 1841. Clinical hypnosis is a mind-body therapy, one of the fastest-growing and most commonly employed categories of complementary and alternative medicines (CAM), as defined by the NCCAM (National Center for Complementary and Alternative Medicine) of the National Institutes of Health. A national health interview survey of medical usage in 2007 found that 4 out of 10 US respondents reported having used complementary and alternative medical treatments in the previous year.[1] Further, research suggests that CAM use continues to be highest among those with chronic diseases (eg, cancer).[2,3] Mind-body interventions such as clinical hypnosis are also becoming popular for their ease of integration into an overall cancer survivorship treatment plan with relatively low risks.[4]
Hypnosis produces an altered state of consciousness, awareness, or perception. The hypnotic state is a highly relaxed state in which the patient’s mind (conscious and subconscious) is focused and receptive to therapeutic suggestion. It involves learning to use one’s mind and thoughts to manage emotional distress, (eg, anxiety, stress), unpleasant physical symptoms (eg, pain, nausea), or to help change certain habits or behaviors (eg, smoking). While hypnosis sessions may vary depending on a patient’s needs, a clinical hypnosis session typically comprises two basic phases:
Induction. During this phase, the therapist helps the patient to relax, and may ask the patient to imagine a peaceful scene that helps him or her to become more focused and concentrate on what is to be accomplished during the session.
Application. During this phase, the patient receives suggestions. Hypnotic suggestions, the key ingredient of hypnosis, are special statements that are designed to suggest relief from troubling symptoms.

A meta-analysis of randomized controlled studies of clinical hypnosis identified 57 studies that demonstrated hypnosis as an effective treatment for a number of health disorders and conditions including pain, smoking cessation, migraines, allergies, analgesia in labor, asthma, dermatology, dentistry, anxiety, hypertension, tinnitus, and postoperative recovery in surgery.[6]

What is the Evidence Related to Hypnosis and Cancer?

Clinical hypnosis has been described in the medical literature to relieve a broad spectrum of symptoms, including treatment of common symptoms associated with cancer care, as discussed below.


Hypnosis is the most frequently cited form of nonpharmacologic cognitive pain control.[7] Hypnotherapy for the management of chronic pain has been demonstrated to provide relief for the symptoms of pain in cancer, arthritis, sickle cell disease, temporomandibular disorder, and fibromyalgia. Hypnosis has demonstrated positive outcomes for the reduction of chronic and procedural-related pain in oncology.
A study of breast cancer patients found that those assigned to treatment (standard care or expressive-supportive therapy) that included clinical hypnosis demonstrated significantly less pain. In addition, patients who underwent hypnosis reported significantly less of an increase in pain over time.[8] Another study of advanced-stage cancer patients with malignant bone disease was conducted by randomizing patients to receive either hypnotherapy or supportive attention (eg, encouragement, active listening).[9] Results showed the hypnosis intervention group had a significant overall decrease in pain.
Syrjala and colleagues studied 45 cancer patients to evaluate the efficacy of hypnosis for pain relief following chemotherapy.[10] Participants were randomized into the following conditions: hypnosis, cognitive behavioral therapy (CBT), attention control, and standard care. There were no reported significant differences among the groups for nausea, presence of emesis, nor opioid intake; however, the hypnosis group showed a significant reduction in oral pain. Montgomery and colleagues studied 200 patients undergoing excisional breast biopsy or lumpectomy.[11] Participants in this study were randomly assigned to a hypnosis session or to a control condition involving nondirective empathic listening. The hypnosis group had significant reductions in pain intensity, self-reported pain unpleasantness, nausea, fatigue, and discomfort compared with the control. Moreover, the per-patient cost to the medical institution was $772.71 less for those in the hypnosis group compared with patients in the control group, because of reduced surgical time. Lang and colleagues conducted a randomized controlled trial evaluating hypnosis for women (n = 236) undergoing large core breast biopsy.[12] During the procedure, in addition to standard of care, participants received either empathetic attention or a hypnotic relaxation treatment. Results indicated that hypnosis reduced pain and anxiety compared to empathetic attention, which only showed a reduction in pain.
A recently published review examined the evidence from clinically controlled trials, evaluating hypnosis for procedural-related pain in pediatric oncology.[13] Eight randomized controlled trials were analyzed, demonstrating positive outcomes in clinical hypnosis for pain management in pediatric oncology.


It has been reported that 70% to 80% of all cancer patients who receive chemotherapy experience nausea and vomiting.[14] Clinical hypnosis has been studied for relief of nausea and vomiting secondary to chemotherapy. In a randomized study of the efficacy of hypnosis in reducing nausea and vomiting in children receiving chemotherapy, researchers found children participating in hypnosis had less anticipatory nausea and vomiting and less overall vomiting compared with controls who did not undergo hypnosis.[15] This finding was replicated in a later study also demonstrating that patients using clinical hypnosis showed a reduced need for antiemetic medication.[16] A review by Richardson and colleagues of six randomized, controlled trials suggests there were large effect sizes for hypnotic treatments when compared with treatment as usual, and these were at least as large as the effects of CBT.[13] In a study of mediators of a brief hypnosis intervention to control side effects in breast cancer surgery patients, Montgomery and colleagues concluded that clinical hypnosis works to a significant extent through the two psychological mechanisms of cognition and emotion. Results of a study of a 200 breast cancer patients who underwent a presurgical hypnosis intervention to improve postsurgical side effects suggest that, to reduce postsurgical nausea, clinical hypnotic interventions should be designed to specifically target patient expectancies and distress.[17]


Cancer-related fatigue has long been recognized as one of the most difficult symptoms to manage during cancer treatment, and it remains the most common unrelieved symptom of cancer.[18] Research suggests that fatigue is a multidimensional syndrome which results from both cancer and cancer therapies, such as chemotherapy and radiotherapy. Estimates of the prevalence of fatigue in cancer patients undergoing radiotherapy are diverse. Literature suggests that fatigue can affect 60% to 90% of patients receiving chemotherapy or radiation therapy.[19] This condition is managed through education of patients and caregivers about current evidence-based strategies to reduce fatigue, nonpharmacological interventions including exercise, and pharmacological therapies.[18] Despite the high prevalence of cancer-related fatigue, few intervention options exist.[20] A study was conducted to test the effectiveness of CBT and hypnosis for radiotherapy-related fatigue.[21] Breast cancer patients were randomly assigned to receive either standard care or CBT and hypnosis. Results show that with the cognitive-behavioral/hypnosis intervention, patients’ fatigue did not increase over the course treatment, whereas fatigue among patients receiving standard care increased linearly. Although this initial result is promising, additional research is critically needed in this area. To determine relative contributions of various interventions to fatigue relief in cancer patients, future studies should be designed with subjects assigned to groups providing hypnosis-only, CBT only, and combined cognitive-behavioral hypnotherapy, as well as a control group offering structured attention.

Hot Flashes

Clinical hypnosis for the treatment of hot flashes has been investigated. In two studies of breast cancer survivors, participants received five sessions of hypnotherapy, (provided approximately weekly) and were instructed in self-hypnosis. The hypnotic intervention was individualized to facilitate a hypnotic state, feelings of coolness, and control of symptoms. The results showed a 69% reduction of hot flashes relative to baseline,[22,23] and are comparable or superior to results from open-label studies with paroxetine and venlafaxine.[24] In a large ongoing randomized clinical trial of hypnosis for hot flashes, 184 post-menopausal women have been randomized to either clinical hypnosis or to structured-attention control that provides supportive, non-directive counseling. Preliminary unpublished results concur with earlier studies suggesting that hot flashes can be reduced by 70% at 3 months follow-up among post-menopausal women.[25]


Hypnosis can also be an effective treatment option for cancer patients suffering from sleep problems. Cancer patients experience sleeping difficulties for a number of reasons, including anxiety related to diagnosis, depression, pain, fatigue, and other treatment-related side effects. Cancer patients have been reported to be nearly three times more likely than members of the general population to meet diagnostic criteria for insomnia.[26]
While sleep disorders can be treated with pharmacotherapy, this treatment modality carries with it the inherent risks of dependence and potentially dangerous drug interactions. Furthermore, pharmacotherapy does not treat the underlying source of the sleep disturbance. Hypnosis provides cancer patients with a safe alternative treatment option that not only improves the ability to obtain restful sleep, but also leads to improvements in other symptom areas.
A study conducted by Elkins et al supports the efficacy of clinical hypnosis in improving the quality of sleep for cancer patients.[23] During this study, 51 breast cancer patients (all female) were assigned to either five weekly sessions of hypnosis or a waitlist control group. The main outcome for this study was a reduction in hot flash occurrence. At the conclusion of the 5-week treatment period, not only did cancer patients report fewer hot flash related daily disturbances, but they also reported significant improvements in sleep quality, as well as fewer symptoms of anxiety and depression. This study provides an example of how hypnosis may be effective at treating a target symptom and improving the patient’s overall quality of life.

How Is Hypnosis Currently Used in Cancer Care?

Hypnosis has been specifically employed in the palliative care of cancer patients to reduce symptoms associated with radiation and chemotherapy, such as pain, nausea, fatigue, hot flashes, and sleep dysfunction. Length of hypnotic treatment varies depending on the nature and severity of the problem. Clinical hypnosis treatment for cancer patients may range from a single session to multiple sessions. In research, cancer patients undergoing clinical hypnotherapy typically receive approximately five sessions or more of clinical hypnosis, each involving a hypnotic induction and instruction in self-hypnosis. The practice of self-hypnosis helps patients achieve a relaxed, therapeutic, hypnotic state. Professionals serve as facilitators of self-hypnosis, often providing hypnosis audio recordings for patients to use between sessions.
Hypnosis is frequently offered in conjunction with other therapies such as cognitive behavioral therapy (CBT). Research suggests that using a combination of hypnosis and CBT improved outcomes more than those achieved for at least 70% of patients who used CBT alone.[27] Additionally, CBT techniques can be utilized in a hypnotic context by preceding the CBT technique with a hypnotic induction.[28]

What Are the Potential Risks?

Clinical hypnosis has been commonly described as a safe method when used correctly, having few harmful side effects.[8] However, individuals may initially feel drowsy following hypnosis, due to its focus on increasing relaxation and decreasing anxiety. Unexpected delusional thoughts and trancelike states are also possible. Therefore, clinical hypnosis for patients with psychological disorders involving delusions is unadvisable. The clinical hypnosis literature has commonly listed exclusions for study participants with diagnoses of schizophrenia or borderline personality disorder.

What's the Bottom-Line Message?

Clinical hypnosis is a viable option for cancer patients, who, once trained in self-hypnosis, may employ these techniques to manage myriad symptoms.
In particular, hypnosis as an adjunct treatment for cancer patients and survivors can be effective in treating pain, nausea, fatigue, hot flashes, and sleep disorders. While current research into the efficacy of clinical hypnosis for the palliative treatment of cancer patients is extremely encouraging, some studies have been limited by less-than-desirable sample sizes, and there is a dearth of large randomized controlled trials. Additional research will be needed for clinical hypnosis to become a well-established evidence-based treatment for the palliative care of cancer patients. However, the existing evidence from all clinical research supports inclusion of clinical hypnosis as an effective adjunct therapy in the palliative cancer treatment milieu, and therefore hypnosis should be considered for patients with cancer on a case-by-case basis.
Financial Disclosure: The authors have no significant financial interest or other relationship with the manufacturers of any products or providers of any service mentioned in this article.
Acknowledgment: Dr. Elkins is supported by NCCAM grant 5U01AT004634 and NCI grant R21CA131795.


Hypnotherapy Malaysia for pain control and pain management

Hypnosis is a scientifically proven and effective form of pain relief.

Hypnosis is likely to be effective for most people suffering from diverse forms of pain, with the possible exception of a minority of patients who are resistant to hypnotic interventions (American Psychological Association, July 2, 2004).
Hypnotherapy is used to promote relaxation and induce an altered state of consciousness. The resulting psychological shift is intended to help people gain control over their states of awareness, which theoretically can help them gain control over their physical body, including their pain symptoms. 
Neuro-hypnotherapy is a viable option for patients suffering from chronic pain, who, once trained in self-hypnosis, may employ these techniques to do pain mangement anytime they need it. Welcome to contact us for more info.

Scientific Proof & Research Studies:


Meta-analyses are essentially studies of studies. Where individual studies can sometimes show contradictory results, meta-analyses can be used to assess the performance of a treatment over a number of studies - this takes advantage of a larger sample size and hopefully leads to a more reliable result.

Montgomery, David, Winkel, Siverstein & Bovbjerg (2002)

This meta-analysis examined the results of 20 published controlled studies examining the use of hypnosis as an adjunct with surgical patients. In these studies hypnosis was typically administered to patients in the form of a relaxing induction phase followed by suggestions for the control of side effect profiles (e.g. pain, nausea, distress). Only studies in which patients were randomised to either a hypnosis or control group (no-treatment, routine care, or attention control group) were included. The results revealed that patients in the hypnosis treatment groups had better outcomes than 89% of the patients in the control groups. It was found that adjunctive hypnosis helped the majority of patients reduce adverse consequences of surgical interventions.

A Meta-Analysis of Hypnosis for Chronic Pain Problems: A Comparison Between Hypnosis, Standard Care, and Other Psychological Interventions

Hypnosis is regarded as an effective treatment for psychological and physical ailments. However, its efficacy as a strategy for managing chronic pain has not been assessed through meta-analytical methods. The objective of the current study was to conduct a meta-analysis to assess the efficacy of hypnosis for managing chronic pain. When compared with standard care, hypnosis provided moderate treatment benefit. Hypnosis also showed a moderate superior effect as compared to other psychological interventions for a nonheadache group. The results suggest that hypnosis is efficacious for managing chronic pain. Given that large heterogeneity among the included studies was identified, the nature of hypnosis treatment is further discussed.

A meta-analysis of hypnotically induced analgesia: how effective is hypnosis?

Over the past two decades, hypnoanalgesia has been widely studied; however, no systematic attempts have been made to determine the average size of hypnoanalgesic effects or establish the generalizability of these effects from the laboratory to the clinic. This study examines the effectiveness of hypnosis in pain management, compares studies that evaluated hypnotic pain reduction in healthy volunteers vs. those using patient samples, compares hypnoanalgesic effects and participants' hypnotic suggestibility, and determines the effectiveness of hypnotic suggestion for pain relief relative to other nonhypnotic psychological interventions. Meta-analysis of 18 studies revealed a moderate to large hypnoanalgesic effect, supporting the efficacy of hypnotic techniques for pain management. The results also indicated that hypnotic suggestion was equally effective in reducing both clinical and experimental pain. The overall results suggest broader application of hypnoanalgesic techniques with pain patients.

Bell & Meadows (2013). "Efficacy of a brief relaxation training intervention for pediatric recurrent abdominal pain." Cognitive and Behavioral Practice 20(1): 81-92.  Excerpt: "The intervention consisted of a single 1-hour session including psychoeducation and coaching of breathing retraining; the length, duration, and content of the intervention were designed with a goal of maximum portability to primary-care settings....  This brief intervention was successful in lessening abdominal pain...  The intervention was also successful in decreasing some children's general somatic symptoms."

Birnie, et al. (2014). "Systematic review and meta-analysis of distraction and hypnosis for needle-related pain and distress in children and adolescents." Journal of Pediatric Psychology 39(8): 783-808. Excerpt: "Findings showed strong support for distraction and hypnosis for reducing pain and distress from needle procedures. The quality of available evidence was low, however."
Donatone (2013). "Focused suggestion with somatic anchoring technique: Rapid self-hypnosis for pain management." American Journal of Clinical Hypnosis 55(4): 325-342. Excerpt: "The focused suggestion with somatic anchoring technique has been used with various types of pain, including somatic pain (arthritis, post-injury pain from bone breaks, or muscle tears), visceral pain (related to irritable bowel disease), and neuropathic pain (related to multiple sclerosis). This technique combines cognitive restructuring and mindfulness meditation with indirect and direct suggestions during hypnosis.... Focused suggestion with somatic anchoring technique is used with both acute and chronic pain conditions when use of long-term medication has been relatively ineffective." 

Flor, H. (2014). "Psychological pain interventions and neurophysiology: Implications for a mechanism-based approach." American Psychologist 69(2): 188-196. Excerpt: "A number of psychological pain treatments have been examined with respect to their effects on brain activity, ranging from cognitive- and operant behavioral interventions, meditation and hypnosis, to neuro- and biofeedback, discrimination training, imagery and mirror treatment, as well as virtual reality and placebo applications. These treatments affect both ascending and descending aspects of pain processing and act through brain mechanisms that involve sensorimotor areas as well as those involved in affective-motivational and cognitive-evaluative aspects. The analysis of neurophysiological changes related to effective psychological pain treatment can help to identify subgroups of patients with chronic pain who might profit from different interventions, can aid in predicting treatment outcome, and can assist in identifying responders and nonresponders, thus enhancing the efficacy and efficiency of psychological interventions."

Jensen, M. P. and D. R. Patterson (2014). "Hypnotic approaches for chronic pain management: Clinical implications of recent research findings." American Psychologist 69(2): 167-177. Excerpt: "Clinical trials show that hypnosis is effective for reducing chronic pain, although outcomes vary between individuals.... Neurophysiological studies reveal that hypnotic analgesia has clear effects on brain and spinal-cord functioning that differ as a function of the specific hypnotic suggestions made, providing further evidence for the specific effects of hypnosis." 

Kong, et al. (2013). "Functional connectivity of the frontoparietal network predicts cognitive modulation of pain." Pain 154(3): 459-467. Excerpt: "The experience of pain can be significantly influenced by expectancy (predictive cues). This ability to modulate pain has the potential to affect therapeutic analgesia substantially and constitutes a foundation for nonpharmacological pain relief....  After cue conditioning, visual cues can significantly modulate subjective pain ratings. Functional magnetic resonance imaging results suggested that brain regions pertaining to the frontoparietal network (prefrontal and parietal cortex) and a pain/emotion modulatory region (rostral anterior cingulate cortex) are involved in cue modulation during both pain anticipation and administration stage. Most interestingly...pretest resting state functional connectivity between the frontoparietal network (as identified by independent component analysis) and the rostral anterior cingulate cortex/medial prefrontal cortex was positively associated with cue effects on pain rating changes."

Trost & Parsons (2014). "Beyond distraction: Virtual reality graded exposure therapy as treatment for pain-related fear and disability in chronic pain." Journal of Applied Biobehavioral Research 19(2): 106-126. Excerpt: "In addition to mitigating costs associated with traditional exposure protocols, the VRGET platform facilitates patient treatment engagement, provides real-time assessment of valuable outcome variables such as affective response and kinematic adaptation, and promotes generalizability of treatment gains across clinical and home environments." Ussher, M., et al. (2014). "Immediate effects of a brief mindfulness-based body scan on patients with chronic pain." Journal of Behavioral Medicine 37(1): 127-134. Excerpt: "These data suggest that, in a clinic setting, a brief body scan has immediate benefits for those experiencing chronic pain."

Valentini, et al. (2013). "Hypnotic modulation of pain perception and of brain activity triggered by nociceptive laser stimuli." Cortex: A Journal Devoted to the Study of the Nervous System and Behavior 49(2): 446-462. Excerpt: "Hypnotic suggestions exerted a top−down modulatory effect on both evoked and induced-cortical brain responses triggered by selective nociceptive laser inputs. Furthermore, correlation analyses indicated that gamma power modulation and suggestions of hyperalgesia may reflect the process of allocating control resources to salient and threatening sensory-affective dimensions of pain."