1 in 4 women will require treatment for depression at some time, compared with 1 in 10 men. The reasons for this are unclear, but are thought to be due to both social and biological factors. Doctors are also more likely to treat depression in women than in men, even when they present with identical symptoms.
Common mental health problems such as depression and anxiety are distributed according to a gradient of economic disadvantage across society, with the poorer and more disadvantaged suffering disproportionately from common mental health problems and their adverse consequences.
The Royal College of Psychiatrists found that the number of older people affected by depression is much higher than this. This figure is estimated to be 1 in 5 older people (rates are thought to be double this in older people living in care homes).
According to the Royal College of Psychiatrists, around 50% of older people with depression receive no help from the National Health Service.
Depression tends to recur in most people. More than 50% of people who have one episode of depression will have another, while those who have a second episode have a further relapse risk of 70%.
Children with at least one depressed parent have a 50% chance of developing depression themselves before the age of 20.
The World Health Organisation forecasts that by 2020 depression will be the second leading contributor to the global burden of disease.
Source: Reading University
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History of Hypnosis
The word hypnosis is taken from the Greek for sleep, Named after the Greek God of sleep ’hypnos’. Hypnosis can trace its history back thousands of years to shamans inducing trances in subjects. Evidence exists that shows Egyptians using suggestion and sleep trances. There are many references to trance and hypnosis in early writings. In 2600 BC the father of Chinese medicine, Wong Tai, wrote about techniques that involved incantations and passes of the hands. The Hindu Vedas written around 1500 BC mention hypnotic procedures. Trance-like states occur in many shamanistic, druidic, voodoo, yogic and religious practices.
The physician Hippocrates (c. 460 BC – c. 370 BC) and Aesculapius both used forms of hypnosis in their treatment. In the early Christian era the use of hypnotism declined although some of Jesus`s miracle healings could be put down to it.
Johann Joseph Gassner (1727–1779), a Catholic priest, believed that disease was caused by demons and could be exorcised by incantations and prayer. He suggested patients touch his crucifix then they would fall to the floor in a trance like state this was witnessed by Franz Anton Mesmer (1734–1815), a physician from Austria, investigated an effect he called "animal magnetism" or "mesmerism", the idea that diseases are the result of blockages in the flow of magnetic forces in the body. He believed that he could store his animal magnetism in large baths of iron filings and transfer it to patients with steel rods and 'mesmeric passes'.
In `1842 a Scottish eye surgeon James Braid (1795 – 1860) coined the term "hypnotism" in his unpublished Practical Essay on the Curative Agency of Neuro-Hypnotism (1842). One day, when he was late for an appointment, he found his patient in the waiting room staring into an old lamp with glazed eyes. Fascinated, Braid gave the patient some simple commands, telling him to close his eyes and go to sleep. The patient complied and Braid’s interest grew. He discovered that getting patients to fixate on something was one of the most important elements in putting them into trance and he started to use a swinging watch as the eye fixation point. He wrote the first book on Hypnotism called Neurypnology (1843).
James Esdaile (1805–1859) used hypnotism to perform 345 major operations using mesmeric sleep as the sole anaesthetic in British India. On returning to England the medical profession just laughed and ridiculed him. However, some people say that if chloroform had not been discovered around the same time as hypnosis for anaesthesia, then hypnosis would be more widely used today
John Elliotson (1791–1868), an English surgeon, used mesmerism to perform 1834 surgical operations and in 1849 formed a mesmeric hospital.
Hippolyte Bernheim consider to be the father of modern hypnotism with Ambroise-Auguste Liébeault (1864–1904) he founded the Nancy School, a school of hypnotherapeutic theory and practice in the last two decades of the 19th century.
The neurologist Jean-Martin Charcot (1825–1893) used hypnotism for the treatment of hysteria. And was the first to record the use of post-hypnotic suggestion. Sigmund Freud who was a student of Charcot and witnessed experiments by Liébeault and Hippolyte Bernheim in Nancy he then developed ‘abreaction therapy’.
Another pioneer was the Frenchman Emile Coue (1857 - 1926). He developed something called 'auto suggestion', although he is perhaps even more famous for his saying "Every day in every way I am getting better and better". His new technique was the affirmation technique. He also anticipated what is known as the placebo effect. Recent research into placebos is quite startling and shows that placebos often work better than conventional medicine. Emile Coue was the first person to realise the power of suggestion in hypnosis.
Sigmund Freud (1856 - 1939) was also interested in hypnosis, initially using it extensively in his work. He eventually abandoned his practice for a number of reasons, the most important being that he was not successful. He favoured psychoanalysis, a kind of hypnotherapy but without hypnosis.
Milton Erickson (1901–1980) developed many ideas and techniques in hypnosis referred to as Ericksonian Hypnosis, this has influenced many modern thoughts around hypnosis. As a teenager he was stricken with polio and paralysed, but he managed to re-mobilise himself. It was while paralysed that he began to observe and analyse people, and he became fascinated by human psychology. Erickson treated people by using techniques such as metaphor, confusion and humour, while they were in a hypnotic trance. He became famous for his 'indirect techniques'. Today a hypnotherapist who uses indirect suggestions is deemed to be an 'Ericsonian'. Personally, I prefer to use a mixture of both direct and indirect suggestion.
In the United Kingdom, the Hypnotism Act 1952 was instituted to regulate stage hypnotists' public entertainments. On 23 April 1955, the British Medical Association (BMA) approved the use of hypnosis in the areas of psychoneuroses and hypnoanesthesia in pain management in childbirth and surgery
In 1958, the American Medical Association (AMA) approved a report on the medical uses of hypnosis. It encouraged research on hypnosis although pointing out that some aspects of hypnosis are unknown and controversial. Two years after AMA approval, the American Psychological Association (APA) endorsed hypnosis as a recognised branch of psychology.
What is a Hypnotic Trance?
A hypnotic trance is totally natural being a very pleasant and deep state of relaxation coupled with a heightened sense of awareness of the subconscious mind.
Hypnosis is a trance state between being fully awake and fully asleep which you experience every time you go to sleep and wake again. Other are examples of trance states are driving a familiar route then suddenly realising you don’t know where you are or getting to your destination and not remembering the journey. A Similar state can occur when reading a book or watching television.
Can anybody be Hypnotised?
All Hypnosis is self-Hypnosis, the therapist is there to aid and direct you achieve a trance state and to provide useful therapeutic suggestions to enable you to reach your goals. If you don`t want to be hypnotised, then you won’t be. You need to be able to understand what is being said to you, so much speak the same language as the therapist, be mature enough to understand and be reasonably Intelligent.
Will I be made to do or say stupid things?
Most definitely not, Hypnotherapy is often confused with stage Hypnosis, in stage Hypnosis the Hypnotist uses selection methods to determine who is most suggestable and most likely to go along with the theme of the show. The hypnosis relaxes the people on stage and makes them less inhibited, this together with a tendency in them to be more naturally more outgoing, coupled with audience expectations. Empowers then to perform as expected, if there is no way you would normally act like a chicken, take you clothes off or dance like Elvis you won’t except those suggestions under hypnosis and will either ignore them or wake up.
Is there any chance I won’t wake up?
No Hypnosis is not sleep, you are in total control of what happens and you can return to a normal level of consciousness whenever you want. You can also move, open your eyes or talk and still be in a trance state. If something happened to the therapist whilst you were in hypnosis most likely you would wake up if not and if you were very relaxed, you may draft into a light sleep and wake naturally when you were ready to do so.
Does Hypnosis Work Instantly?
This very much depends on the issue being tackled, some problems may only need one session of therapy but are often followed by a personalised recording which you need to say listen to everyday for a week. Other issues, especially complex ones or with multiple contributing causes may need several sessions
Do Self Hypnosis Recording work?
Yes, they often work well for simple goals without complex causes. However, they are generally not a substitute for face to face therapy which is far more personalised to the person and the issue. As the cause of a particular issue may not be clear, or is misinterpreted by the person listening to the recording and therefore it doesn’t address the problem correctly.
If you hae any other questions please comment or contact us directly.
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Fear of speaking in public is one of the most common fears and often stems from fear of appearing stupid in front of friends or peers. It can manifest in many forms, common symptoms include;
Problems with Blushing, Confidence and self-esteem can be cured using Hypnotherapy as can a general fear of Public Speaking.
Why hypnosis can cure social anxiety
Why do you think we have emotions? Wouldn't live be simpler without them? Do we have emotions to give middle class people something to talk about or to provide soap opera writers with script material?
Of course not. As with everything else in human makeup, emotions exist to keep us safe and alive and able to thrive.
Emotions motivate movement
Embedded in the word "emotion" is another word: "motion". Emotions are there to make us move. Either towards something or away from it.
We all have deep basic needs - for warmth, security, love and connection and, of course, food and shelter. We have needs for status, significance, attention and to feel safe in our lives. We need stimulation, to exercise our creativity to learn and produce in the world. Some emotions drive us toward experiences that would help meet these needs and ensure our survival. And other emotions serve to drive us away from experiences or situations which, we feel, would prevent us meeting our essential needs.
But what happens when we get directed the wrong way by our feelings?
You are pulled towards social contact by your needs, and away from it by social anxiety
The "motion" in "emotion" has us moving either towards what we feel we need or away from what we feel we don't want. Think lust, love, anger, greed, hunger - all feelings that motivate us towards an experience. And think about feelings that drive us away from something - fear, terror, disgust.
Hopefully, our emotions get it right and drive us toward what is good for us and away from what is bad for us. But sometimes they don't.
The social phobic both wants and doesn't want social contact. They are pulled and pushed in different directions by their feelings. If social contact was bad for us, it would be great to be terrified of social events because it would be life saving. But a socially anxious person instinctively knows they need social contact at the same time as fearing it; they are pulled and pushed at the same time by their emotions... tricky! And it gets worse.
We avoid what we fear - but also fear what we avoid
One problem is that the more you avoid something, the more the fear around it increases. It's as if your "emotional brain" draws conclusions from your behaviour: "She's avoiding this situation all the time, so it must be genuinely dangerous. So I'll ramp up her fear of this situation even more to make sure she won't go near it."
On the other hand, people can switch off their fear around stuff they should fear simply because they have made themselves go towards it. I'm thinking of the old-time circus lion-tamer calmly putting his head in a lion's mouth, and of those perennial favourites, the human cannonballs, getting themselves fired from a cannon. Not hobbies I'd recommend. The point is that even dangerous acts like these can start to feel "normal" to your emotional brain if you voluntarily and repeatedly do them (the "emotional brain" concludes "This must be safe, else why are we doing it?").
So yes, we avoid what we fear, but we can also come to fear something just because we avoid it so much.
A number of approaches have been tried over the centuries to overcome the difficulties this presents. None are as successful as hypnotic therapy. Consider, for instance, what happens with "exposure therapy" and "cognitive therapy" in the context of dealing with fears like shyness and social anxiety.
Exposure therapy: A step too far?
The understanding that emotions are physical drivers away from or towards something is extensively used in exposure therapy. (1) This approach typically has you gradually having more and more contact with what scares you. So the spider phobic might on week one see a drawing of a spider, on week two see a photo of a spider, on week three see a toy spider, on week four touch the toy spider, week five has them seeing a movie of a spider and week six an actual live spider. This can be very effective if the person can be induced to remain calm through the gradual exposure (sometimes known as "systematic desensitisation"). (It would be easier and faster to use hypnosis and the rewind technique.)
The idea is that spiders need to start to feel a "normal" part of experience, and this is done through forcing oneself to go towards rather than away from; classic behavioural therapy, and probably what the lion-tamer did to get the nerve he needed...
Another kind of exposure therapy takes a less gradual approach and is known as "flooding". Yikes! This might see the spider phobic being put straight in a room full of spiders, with the idea that fully experiencing your worst fear - and surviving it - will put an end to that fear.
So does it work?
Therapy for the therapy
Yes, it can work - provided the person undergoing the therapy is taught to relax deeply. But (you knew there was a "but") I can't tell you how many clients I've had to treat to help them recover from the effects of this kind of therapy when it's gone wrong. These are the ones who didn't get better, the ones who couldn't get past the photo of the spider on week two, the ones who were deeply traumatised by being thrown in at the deep end of having to speak in front of a hundred people when they were still chronically shy.
There has to be, and fortunately is, another way.
The beauty of hypnosis when treating fears
Hypnosis, used sensibly, is the perfect way to expose someone in a safe and relaxed way to a situation they had been avoiding. As far as your emotional brain is concerned, if you have relaxed deeply and felt spontaneous at a party a few times while in hypnosis, this is a sufficiently strong indication that this situation is not dangerous, and that this kind of social event can now be "retagged" as something you can potentially go safely towards - before you've even been to an actual party. Someone who hasn't left the house for years can "leave their house" in hypnosis and "experience it" before they go out the door in real life. The exposure therapy is fully within their own control, in sync with a relaxed mind and body.
When they then "do it for real", it will already feel more familiar and therefore not as threatening. The previously dreaded social event may even, dare I say it, turn out to be relaxing and fun.
It's important to understand here that we are talking about more than just what a person believes.
Feelings and thoughts can be at odds
You can fully believe something is good for you and still fearfully flee from it. You can fully believe something (or someone) is bad for you but still be emotionally driven towards it (or them). Cognitive approaches to dealing with fears often come unstuck over this, as fears aren't driven so much by "faulty thinking" as by more primitive emotional conditioning geared towards survival. It is much easier to access, and modify, these primitive drivers through the use of hypnosis than through reasoning.
When we help someone with social phobia it's generally obvious the phobia has gone the moment they open their eyes, because calm, disassociated hypnotic exposure to the previously feared trigger while feeling completely relaxed has transformed their response. They know it wasn't "real" - but nonetheless a new positive blueprint for responding with calm and being in flow when in social situations has become established in their subconscious. Being socially relaxed is the new "normal".
The new 10 steps to overcome social anxiety course, like all the ten steps courses, has a hypnotic download for each step of the way. This is partly because social skills can be developed and honed during hypnotic rehearsal but also because we want people to experience hypnotic "safe" social experiences before they go into these situations for real. In this way the horrible away from feelings of fear can gently be replaced with the happier toward feelings of pleasure and positive expectation when it comes to socializing and meeting new people.
When depressed teens receive cognitive-behavioral therapy in a primary care clinic, they recover better and faster that teens who do not receive the primary care-based counseling. A new study is the first to look at the effectiveness of cognitive behavioral therapy in primary care for teenagers not taking antidepressants.
Moving care for depression into primary care clinics has been a goal of health reform as experts believe providing mental health services as a component of primary care will improve outcomes. Primary care providers, such as pediatricians, are often the first to identify depression in teens, but until recently, they have had few tools to treat teens.
Prior strategies include asking primary care providers to prescribe antidepressants, and make referrals to mental health professionals, but teens often decline medications or stop taking them before they can have an effect.
Teens may also be reluctant to follow up on referrals to mental health and it may take some time before they can get in for an appointment.
The new study examined a five to nine week program where counselors used traditional cognitive behavioral therapy (CBT) techniques to help teen’s challenge unhelpful or depressive thinking, and replace those beliefs with more realistic, positive thoughts.
The program also helped youth create a personalized plan to increase pleasant activities, especially social activities.
The CBT program was successful in helping teens recover faster from depression.
On average, teens in the program recovered seven weeks faster (22.6 weeks vs. 30 weeks) than teens who didn’t participate in the program. After six months, 70-percent of teens in the program had recovered, compared to 43 percent of teens not in the program.
“This study shows that youth who refuse antidepressants can still be successfully treated in primary care using cognitive behavioral therapy,” said Greg Clarke, Ph.D., lead author and depression researcher at the Kaiser Permanente Center for Health Research in Portland, Ore.
“We know from previous studies that when kids aren’t depressed, they do better in school, are less likely to have sleep and substance abuse problems, and ultimately graduate high school more often,” added Clarke.
The research took place from 2006 to 2012 in Kaiser Permanente primary care clinics in Washington and Oregon. Clarke and his colleagues enrolled 212 teens, ages 12 to 18, who were diagnosed with major depression and either refused an antidepressant prescription or initially filled the prescription, but did not seek refills.
The teenagers were randomized to receive standard care plus cognitive-behavioral therapy in primary care or standard care only, which could have included therapy from Kaiser Permanente’s mental health department as well as outside therapy or school counseling.
Researchers followed the teenagers for two years and had them fill out surveys seven times during that period. By the end of the two-year study, 89 percent of teenagers who received primary care counseling had recovered, compared to 79 percent in the standard care group.
Recovery is defined as having no or minimal symptoms of depression for eight weeks or more. These symptoms include feelings of hopelessness, losing interest in friends and activities, changes in sleep and appetite patterns, trouble concentrating, and feelings of worthlessness or excessive guilt.
Participants in both groups used about the same amount of health care services, except that significantly more teenagers in the standard care group were hospitalized for psychiatric care.
Chris Breen is a Clinical Hypnotherapist, Advanced Nurse Practitioner and Non-Medical Prescriber, Holding Diplomas In General and Gastric Band Hypnosis, He is registered with the General Hypnotherapy Register and the International Alliance of Holistic Therapists, We also have full indemnity Insurance.