I’ve been having long distance virtual conversations again. People have started asking me interesting and searching questions. I like it. It keeps me on my toes. Grounded.
Occasionally stops me waffling.
Dawn, of Finding My Inner Courage fame, asked one which cut straight to the heart of what I do. It sounded so simple…
“Could you please explain to me how hypnosis works with chronic pain?”
‘Ah, one of the difficult ones’, I thought, paraphrasing Wen, enlightened figment of Terry Pratchett’s fertile imagination.
This was either going to involve writing my first book, (quite a good idea actually but perhaps not just yet), or would really test my ability to be succinct. You may have gathered that I tend to pad my prose with sideways off-shoots as they arrive in my head whilst I type. What I sent her was quite a good summary of this complex subject and I thought it might be worth sharing.
So here is my bite-sized reduction of the totality of the Chronic Pain Experience and how Hypnotherapy addresses it:
There are two parts to this: How does ‘pain’ happen and How does Hypnotherapy address this?
How does Pain happen?
In essence, pain is the result of lightning fast calculations that your brain makes as a result of the totality of the many sensory inputs it has. This includes your nerve impulses, hormonal communications, emotional state, and your unconscious thoughts/feeling/beliefs (which are internally created sensory inputs).
Your brain uses these to assess your current situation and various potential future situations and makes decisions about your current and future safety, particularly with regard to the potential for physical damage.
Pain is an alarm which your brain can choose to trigger (PLEASE NOTE: this is not a conscious decision or choice – it is automatic. You can’t consciously choose not to feel pain!). Your brain will only decide to trigger pain if it assesses that you are in danger AND that pain is the most appropriate alarm to use. (Think about soldiers in mid-battle, athletes in competition, parents whose children are in danger – all have been known to suffer major injury and still function without pain – The pain comes later, if at all).
Pain is essentially an attention-grabbing alarm. It stops you in your tracks and insists, (very loudly), that you do something to protect yourself.It is vital to survival.
When you feel pain, your brain increases the sensitivity of the nerves which indicated the damage. It wants to know as much as it can, quickly.
It triggers healing & protection responses (inflammation, muscle tension etc.). These in turn can trigger increases in sensitivity.
Important: You should always seek medical advice if you have persistent or unexpected pain
The pain alarm can misfire in two ways:
- The sensitivity fails to reduce when the healing process has completed. The brain misinterprets increased sensitivity as increased damage and increases the sensitivity yet again to be sure it knows as much as it can about the damage. Instead of gradually lowering the threat level, the alarm hyper-sensitises itself and sets up a vicious circle. You keep feeling pain because you keep feeling pain because you keep feeling pain…
- If your environment is threatening, your brain’s base level for alarms is set very high anyway. You are constantly on high-alert. You get very jumpy about injury and so feel pain much more quickly than ‘normal’. A key point here is that your ‘environment’ includes how you feel, so if you feel bad about yourself. (limiting beliefs, self-loathing, lack of self-worth, lack of love etc.), your brain treats this in the same way as a physically threatening environment.
How does Hypnotherapy help?
Essentially hypnotherapy works in 3 ways.
- It uses hypnotic trance to temporarily convince the brain that it is safe. As an example, ‘Dissociative Trance States’ dissociate ‘you’ from your entire ‘body’ or just the ‘part’ of your body which hurts. This convinces your brain that the threat is longer relevant to ‘you’. You now feel no pain. This is really effective for hypnotic anaesthesia. It can be dangerous to use these techniques in isolation because pain is an essential warning tool.
- Hypnotherapy can be effective in the longer term by addressing the perceived level of threat in your environment. This can be either by helping you discover resources which give you perceived control in a physically threatening environment or by addressing any deeply embedded underlying personal issues as discussed above. This reduces the environmental threat level and ‘resets’ the sensitivity of your pain alarm to normal levels.
- Hypnotherapy can re-connect the mind and body, which Western Society believes to be separate. This allows you to bring some control and guidance to your natural healing ability and to focus this healing on those areas which have been injured or damaged. This is effective in long term pain relief because healing actually does improve AND increases your unconscious’ sense of control, reducing the need for a pain alarm to be triggered. Essentially, if you are already dealing with the threat, your unconscious doesn’t need to remind you of that threat. (This is one of the reasons that toot-ache often stops once you sit down in the dentist’s waiting room – you have already taken the action needed, so the alarm stops).
I thought this worked quite well as a high-level walk down the road I travel and it’s a different style of post than I usually do, although as you can tell, I couldn’t completely resist the chatter.
Let me know what you think. I
It might be worth writing some more of these.