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Can a professional hypnotist help a diabetic client[1]

Can a professional hypnotist help a diabetic client[1]



The professional hypnotist is a motivator, a coach, a guide and a stress management consultant who can assist a client with diabetes by teaching techniques that allow the client to use his or her ...

The professional hypnotist is a motivator, a coach, a guide and a stress management consultant who can assist a client with diabetes by teaching techniques that allow the client to use his or her natural ability to positively change the way she or he thinks, feels, or behaves in relation to the diabetic condition. Working under the direction of a referring licensed practitioner, the hypnotist teaches the client to create these positive changes through the use of motivational coaching and self-hypnosis combined with imagery and creative imagination related to a positive and healthy lifestyle. Published literature and personal experience will be used to support this hypothesis.



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    Can a professional hypnotist help a diabetic client[1] Can a professional hypnotist help a diabetic client[1] Document Transcript

    • CAN A PROFESSIONAL HYPNOTIST HELP A DIABETIC CLIENT1Can A Professional Hypnotist Help A Diabetic Client?David C. GrinsteadNorthCentral UniversityAugust 2005
    • CAN A PROFESSIONAL HYPNOTIST HELP A DIABETIC CLIENT2AbstractThe professional hypnotist is a motivator, a coach, a guide and a stressmanagement consultant who can assist a client with diabetes by teachingtechniques that allow the client to use his or her natural ability to positively changethe way she or he thinks, feels, or behaves in relation to the diabetic condition.Working under the direction of a referring licensed practitioner, the hypnotistteaches the client to create these positive changes through the use of motivationalcoaching and self-hypnosis combined with imagery and creative imagination relatedto a positive and healthy lifestyle. Published literature and personal experience willbe used to support this hypothesis.
    • CAN A PROFESSIONAL HYPNOTIST HELP A DIABETIC CLIENT3Can A Professional Hypnotist Help A Diabetic Client?Diabetes is not a standalone disease. There are many contributing factorsthat often worsen the symptoms and speed up the progression of diabetes. It is soserious that diabetes is considered to be a worldwide epidemic. Out of controldiabetes can result in other illnesses such as blindness, kidney disease, impotence(Hastings, 2005), heart disease, stroke, amputations, nerve damage and death (NCHealth Smart, June 2004).Sometimes I have clients that have been told by their medical doctor that theyhave Impaired Glucose Tolerance (IGT). This means that though not yet havingfull-blown diabetes, there are some problems with the processing of their sugar.Other than the medical team providing guidelines so as to avoid becoming diabetic,they generally must wait until the patient returns for treatment for diabetes. Thisis because, in spite of the suggested life style changes and guidelines, nothingchanges for most of the patients. Major contributing factors to this situation arethat people with IGT generally have these standard characteristics: overweight,stressed out, poor eating habits, low exercise levels, and lack of motivation forchange (Hastings, More ways).Matters of the psychic are of primary concern when dealing with the diabeticcondition. Factors such as fear, anxiety, and stress have great influence on thesymptoms and progression of the illness. As earlier as the 17th century emotionalfactors were recognized in diabetes “when Thomas Willis, describing the sweet taste
    • CAN A PROFESSIONAL HYPNOTIST HELP A DIABETIC CLIENT4of diabetic urine, said that the disease was due to ‘progressive sorrow’ (Kroger,1963, p. 172).” This relationship of psychic factors and how they can affect orinterfere with therapy or directly influence the disease is a long recognized realityby multiple investigators.Hypnosis is particularly useful for diabetics because of the relaxationresponse that it induces. The control and management of stress is crucial in theeffective treatment of diabetes. Stress negatively affects a person with diabetes inmany ways: As a diabetic’s stress levels increase, so does their blood sugar. This isdue to the ‘fight-or-flight’ response that people experience as a result of negativestress. When a person enters this state of mind, their body releases chemicalsknown as ‘insulin-antagonists’. These chemicals temporarily block the action ofinsulin while simultaneously causing the release of stored sugar in the liver andmuscles (Devin, 2005).By definition a hypnotist is a stress management consultant and this is animportant area of disease management where the professional hypnotist can benefita client with diabetes.When we get stressed, our body’s cortisol levels are elevated. Highlevels of cortisol, a hormone released by the adrenal cortex, cause highblood sugar levels. With hypnotherapy and self-hypnosis, though,cortisol levels and blood glucose [Type text] levels may decrease(Leighton, 2005, p. 2).Much more can be done for the diabetic than just keeping his urinesugar-free by means of diet and insulin. An appreciation . . . as well asrecognition of how to cope with current stresses, allows a wider scopefor the physician in the treatment of this condition. In selected cases,
    • CAN A PROFESSIONAL HYPNOTIST HELP A DIABETIC CLIENT5the use of hypnotherapy can reduce the quantity of insulin needed tokeep the urine sugar-free… (Kroger, 1963, pg. 172).Stress relief techniques work for the diabetic because of the use of imagerythat is the foundation of mind-body-spirit medicine. In clinical and medicalhypnosis imagery is the essential and activating element. The same holds true forguided imagery, relaxation therapy, meditation, creative imaging, progressiverelaxation, and biofeedback.Imagery is the thought process that invokes and uses the senses. Theseinclude vision, sound, smell, and taste, and the senses of movement,position, and touch. Virtually nothing exists in our experience that wedo not image in some way, and those images can produce physiologic,biochemical, and immunologic changes in the body that affect healthoutcomes.Imagery has been found beneficial in the treatment of eczema, acne,diabetes, breast cancer, arthritis, migraine and tension headaches, andsevere burns.Research strongly suggests that imagery is capable of altering specificimmune parameters, hormonal responses, and immune cell migration.Further, imagery assessment tools have been used to assess treatmentfor cancer, spinal pain, and diabetes and have been proven highlyaccurate as predictors of treatment outcomes.Published outcomes from research on mental imagery are almostuniformly positive and include significant reductions in pain andanxiety, length of hospital stays, pain medication use, and reportedside effects (Freeman & Lewis, 2001, p. 265).The hypnotist makes use of the full range of imagery by including words,thoughts, and feelings that represent all [Type text] [Type text] control in a directand powerful way and in this way differs from simple visualization techniques.Sometimes all a patient needs is some one-on-one hypnotic motivational coaching inorder to make healthy life style changes such as: improving eating habits, losing
    • CAN A PROFESSIONAL HYPNOTIST HELP A DIABETIC CLIENT6weight, starting an exercise program, improving blood glucose self-monitoringhabits, or reducing stress. However, in order for hypnotherapy to be effective adesire for change must be present. “People who go into hypnotherapy expectingmiracles and who are not committed to change may be disappointed (Leighton,2005, pg 2).”Proper exercise is most important in the management of diabetes because 95%of all persons with diabetes have Type 2 and since 90% of those persons are obese,the need for motivation is clear. Exercise contributes greatly to an individual’ssense of well being and lowers stress levels. And there is much documentationshowing how many Type 2 diabetics, because of exercise and proper eating habits,have had significant weight reduction followed by complete symptom remission(Hastings, 2005).Motivation and the ability to make better food choices is an absolute necessityin the proper management of the diabetic condition. The harmful state of emotionalaffairs accompanying diabetes makes it difficult for a diabetic to do as instructed bythe doctor. Because of the stress and emotional pain often associated with thedisease, people often reach for whatever makes them feel better immediately. Oftenit is too much and the kind of food that is not good for a diabetic.The rationalizations proffered for overeating are many. Some of theseare: It runs in my family; it’s my glands; others eat twice as much as Ido. However, the actual causal factors are hostility, anxiety, guilt, self-pity, self-punishment and depression. These are usually found incombination and are often repressed from awareness (Kroger, 1963,174).
    • CAN A PROFESSIONAL HYPNOTIST HELP A DIABETIC CLIENT7The long-term consequences of uncontrollable eating can be devastating.Amputations are an all too common outcome as many are the result ofindiscriminate and out of control eating habits. These are devastating events andjust another one of the horrific many complications resulting from an improper diet.Yet, those with diabetes, who want too, can put away the denial and consciouslymanage their eating habits and their illness. “Though the use of hypnosis, peoplecan actually change their inner motivations, to decrease their desire for unhealthyfood, and change bad eating habits. At the same, time they will actually increasetheir desire for healthier foods, and develop better eating habits (Hastings, 1999).”Pain is another important, common element that must be dwelt with whenworking with pre-diabetics and diabetes. It is almost always overlooked because ofthe question of which came first—diabetes, pain, or depression.Pain raises blood sugar levels. Also, pain can definitely engenderinappropriate pain management (self-medicating) conduct. Thisbehavior may include over-eating and other activities that precipitateor aggravate diabetes.In a recent study involving 993 patients at the Veterans AffairsHealthcare system in Michigan, Sarah Krein, PhD, RN, noticed onestrong conclusion: chronic pain was a major limiting factor in theperformance of self-care behaviors that are important for minimizingdiabetes-related complications (Hastings, More Ways).Just as many people learn to live with depression, diabetic clients may alsohave learned to cope with their pain. And there maybe many who just get by whileliving with both. Therefore, it is important that pain management be consideredwhen working with diabetes. Pain and depression go hand in hand while feeding off
    • CAN A PROFESSIONAL HYPNOTIST HELP A DIABETIC CLIENT8of each other. Pain can be managed effectively with hypnosis, thereby making amajor difference in the daily life and long-term prognosis of client’s with diabetes(Hastings, More Ways)An area of potential personal embarrassment and feelings of personalinadequacy that can be aided with hypnosis is sexual dysfunction. Almost 60% ofmale diabetics must deal with impotence. Growing out this experience are two areasof concern: (1) Harmful and unneeded stress that may result between the diabeticand their partner. (2) The chance of a male diabetic taking a sexual enhancementmedication that is potentially harmful (Hastings, 2005).As a tool for effectively managing sexual problems, hypnosis has been used fora long time. Almost 50 years ago, Erickson and Kubie (1941) provided us with theearliest known case of successful treatment of ISD with hypnosis. Hypnoticinterventions with sexual dysfunctions (Araoz, 1980, 1982; Crasilneck, 1979, 1982;Hammond, 1984b, 1985c; Zilbergeld & Hammond, 1988) seem to hold considerablepromise in sex therapy . . . (Hammond, 1990, pg. 350).By learning self-hypnosis clients gain a sense of self-confidence, self-controland reduce stress. Both mental and physical tension plus physical fatigue lowersexual performance and interest levels. The learned ability to change mental gearsand focus on sensual involvement provides an opportunity for greater sexualactivity. The use of imagery to increase sexual arousal and passion prior to sexualinvolvement is another advantage of self-hypnosis for diabetes.
    • CAN A PROFESSIONAL HYPNOTIST HELP A DIABETIC CLIENT9One example of hypnosis helping people with diabetes to change theirinsulin requirements and sometimes eliminate them, is illustrated in acase study found in the book, "Mind-Body Therapy," by Ernest L.Rossi, PhD and David B. Cheek, M.D. "A 33 year-old diabetic womanwas seen in the fourth month of her third pregnancy in consultationwith two other physicians who felt that her pregnancy should beterminated because of severe toxemia and two serious episodes ofdiabetic come which had occurred in her second pregnancy."Dr. Cheek then noted that: "With the hope of understanding herpsychological reactions better, I talked with the patient and herhusband about using hypnosis to help control pain and thus helpcontrol her insulin needs. Their interest and response was favorable.During a two-hour session, the patient was trained in achievingcomplete anesthesia of her abdomen. She was taught to awaken fromhypnosis if a nurse or physician should enter her room in order thatshe might not give a dangerous impression of being in a diabetic coma.She was much impressed by her ability to produce anesthesia. Onadmission to the hospital she was taking 180 units of insulin a day,using 60 units of protamine zinc, and filling out her requirements withRegular insulin. The response to the surgery was remarkable. Shemaintained a normal temperature, pulse, and respiration after a totalhysterectomy under spinal anesthesia. Her blood sugar never wentover 117 mg. / 100 cc. although she was eating a regular hospital dietfrom the day of surgery. A 3-plus glycosuria on the day of operationdropped to zero on the second day. No insulin was used during thehospital stay. During the next 11 months, she used only an occasionaldose of insulin during periods of emotional stress.” (Hasting, 1999).In conclusion, a properly trained professional hypnotist, working under thedirection of a licensed practitioner, should be included as part of a diabetic’s healthcare team. As a motivator, a coach, a guide and a stress management consultant thehypnotist can be of great benefit to a person dealing with diabetes.
    • CAN A PROFESSIONAL HYPNOTIST HELP A DIABETIC CLIENT10ReferencesFreeman, L.W., & Lawlis, G.F. (2001). Mosbys Complementary AlternativeMedicine: A Research-Based Approach. Mosby: St. Louis, MO.Hammond, D.C. (PhD) (1990). Handbook of hypnotic suggestions and metaphors.Norton & Company: New YorkHastings, C.D. (C.I., C.Ht.) (2005). Hypnosis: A new paradigm of healing forDiabetics. Retrieved August 8, 2005:http://www.newconnexion.net/article/05-05/diabetes.htmlHastings, C.D. (hypnotist). More ways a hypnotist can responsibly help a personwith diabetes. Retrieved August 8, 2005:http://www.mindbodyhypnosis.com/diabetes.htmlHasting, C.D. (1999). Hypnosis—more than watch waving—therapist uses hypnosisto achieve success. Retrieved August 8, 2005:http://www.diabeteshealth.com/read,1009,1676.html.Kroger, W.S. (M.D.) (1963). Clinical and experimental hypnosis in medicine,dentistry and psychology. Philadelphia and Toronto: J. B. LippincottCompany.Leighton, Mary (RN, BSN, CDE) (Winter 2005). Hypnotherapy—could it makea difference for you. Diabetes News: Diabetes Education Center of theMidlands, 1-2.North Carolina Health Smart (June 2004). The State of Member Health 2004:health trends and implications for plan members and North Carolina.