As chronic obstructive pulmonary disease (COPD) advances, about 35% of patients experience severe weight loss called pulmonary cachexia, including diminished muscle mass. Around 25% experience moderate to severe weight loss, and most others have some weight loss. Greater weight loss is associated with poorer prognosis. Theories about contributing factors include appetite loss related to reduced activity, additional energy required for breathing, and the difficulty of eating with dyspnea (labored breathing).
"It is my belief that psychotherapy has the best chance to be effective when the client and therapist have a strong therapeutic alliance. That is, they have a good working relationship and are working toward exactly the same goals using methods or approaches best suited for the client. I strive to achieve this by providing a warm and safe climate, listening closely to the needs of my clients, and discussing our options and strategies."
Social conditions such as poverty, social isolation and inability to get or prepare preferred foods can cause unintentional weight loss, and this may be particularly common in older people. Nutrient intake can also be affected by culture, family and belief systems. Ill-fitting dentures and other dental or oral health problems can also affect adequacy of nutrition.
So did it work? As it is for hypnosis in general, the jury is still out. I left the session feeling noticeably different. I sat in my car outside for a half hour and did not smoke. I went to dinner nearby and sat, and had a drink, and did not smoke. Eventually I caved in to the craving, but I didn't like it. I'm still smoking, I just don't enjoy them anywhere near as much as I used to anymore.
People may undergo hypnosis in order to address all manner of problems—from addictions, like mine, to emotional trauma. There’s some evidence that it could be an effective tool in dentistry, treating eating disorders and post-traumatic stress disorder, and helping with pain during childbirth. But despite its prevalence, there's still ample confusion about what it actually is, sometimes even among those who've already committed to it. I certainly had no idea what I was in for as I relaxed into my superlatively uncomfortable chair, ready for, well, something. Or maybe nothing.
I paid in the region of 2,000 pounds for hypnotherapy with a fully trained and registered professional hypnotherapist. The hypnotherapy made my problems worse. I find it incredibly frustrating that when I have typed letters to the hypnotherapy organisation that this hypnotherapist belongs to, a lot of what I am actually saying in the letters when explaining exactly why the hypnotherapist's treatment has made me worse, and how my problem works gets ignored. I can see that the Hypnotherapist has not interpreted my problems correctly enough. I do not believe that it is totally fair that this Hypnotherapist's work seems to be above being checked for flaws. I am suffering as a result.