Take Rich Garvin, the CEO of an athletic shoe manufacturing company with sales in excess of $100 million a year. Despite his company’s size, Garvin had never hired a coach for any of his direct reports. He knew that his HR director used trainers and coaches, but Garvin was a finance guy first and foremost. And since the athletic shoe industry was flying high, he left personnel matters to those who were paid to worry about them. But in the late 1990s, the market for athletic shoes collapsed. In Garvin’s world, the most immediate casualty was his COO, who snapped under the strain of failing to meet sales estimates for three consecutive quarters. The COO began venting his frustration on store managers, buyers, and suppliers.
Sloane Perras, chief legal officer for The Krystal Co., has worked with several coaches over the years. “My first coach helped me deal with an enemy at work. I was able to understand my own part in the situation and to mitigate the effects of the drama. I learned so much from that situation that now I use my coach to facilitate and focus me on setting goals. If I didn’t have a coach, I would never take time out to think about my future and navigating my way forward.”
The book gives examples of induction methods, including what is now called the classic "Dave Elman Induction", as well as the use of hypnosis in dozens of physical and mental conditions. Since these uses are reserved today only for licensed professionals, and since licensed professionals usually shy away from or shun anything that is not considered mainstream, hypnosis is most often used today for behavior modification issues, such as weight loss or smoking cessation.
To get certified by the AASP, an individual must be a member of the organization, hold a graduate degree, demonstrate the requisite knowledge of the sports psychology field, and have several hundred hours of specific experience. Candidates with master’s degree are eligible for a provisional certification; a doctorate is required to obtain a standard certification.
Dr. Banks teaches Bush how to calm his anxiety and stress before a game with deep breathing exercises and meditation. He even gives Bush a CD with a guided imagery exercise on it that will take him to his 'happy place' (his cabin in the mountains) for 10 minutes to get into a relaxed mindset. These techniques also help Bush cope with the pressures from family, friends, coaches, and the sports organization of which he is a part.
The higher up you go in companies, the more you’re dealing with psychological and relational issues. Successful CEO leadership requires astuteness about others: their emotional and strategic personal drivers; their self-interest, overt and covert. These relationship competencies rest on a foundation of self-knowledge, self-awareness. And you can’t know the truth about another without knowing it about yourself.
Hypnosis can be a highly effective form of treatment for many mental, psychosomatic, and physical disorders. Hypnosis is a trance state in which the hypnotized person is in a heightened, more receptive state of mind. During hypnosis, the patient is not unconscious, does not lose control of his or her faculties, and does not do things under hypnosis that he or she would be unwilling to do otherwise.
Consultation and training. Team building; sports organization consultation; systems interventions with parents and families involved in youth sports participation; education of coaches regarding motivation, interpersonal and leadership skills and talent development; education of coaches and administrators regarding early identification and prevention of psychological difficulties.
McNulty’s mandate was to shadow Mirabella 24/7 for as long as needed to ensure that he would grow into his position. From the start of their relationship, McNulty and Mirabella had two private meetings a day during which McNulty analyzed Mirabella’s behavior and role-played effective styles for mastering interpersonal situations that Mirabella did not handle well. True to his jock background, McNulty reacted to Mirabella’s avowals of ineptitude and anxiety with exhortations. “Quitters never win, and winners never quit” was a favorite comment of his, but at times McNulty would also chide Mirabella for being a “weakling” who needed to “act like a man” to deal with the demands of his preordained role within the company.
“Does anyone here feel like cigarettes are their best friend?” Hall asked, telling us to clap our hands, then to clap them again, this time leading with the opposite hand of what we were used to. It felt weird. The sound in the room changed noticeably as well. The point, Hall said, was that smoking is a habit we all perform as involuntarily, through muscle memory, as the way we choose to clap our hands.
Today, hypnotherapists will suggest that smokers associate cigarettes with unpleasant tastes, odors, or sensations — for instance, that cigarette smoke smells like bus fumes, that the smoke has a nasty taste, or that it will cause you to suffer from dry mouth. They might also suggest that smokers believe that they have lost the desire to smoke and can easily cope with their nicotine withdrawal symptoms.
According to Dr. Clifford N. Lazarus, speaking for Psychology Today, hypnosis is a “genuine psychological phenomenon that has valid uses in clinical practice … hypnosis is a state of highly focused attention or concentration, often associated with relaxation, and heightened suggestibility. While under hypnosis (i.e., in a hypnotic trance), it seems many people are much more open to helpful suggestions than they usually are.” The suggestions made in a therapeutic setting get deep into a person’s brain, beyond their conscious thinking, leading to behavior change and the ability to overcome challenges that might otherwise seem insurmountable.
At an even more basic level, many executives simply benefit from receiving any feedback at all. "As individuals advance to the executive level, development feedback becomes increasingly important, more infrequent, and more unreliable," notes Anna Maravelas, a St. Paul, Minnesota-based executive coach and founder of TheraRising. As a result, she says, "Many executives plateau in critical interpersonal and leadership skills."
Because of shows like "Billions," the need and desire for coaching has expanded tremendously. The idea that someone can help you build muscles in the gym is now relating to someone coaching a C-suite executive through pivotal decisions while managing stress. Now that is huge progress. Who wouldn’t want less stress and more productivity in their lives? - Neeta Bhushan, Global GRIT Institute
“Learning hypnotherapy does not commit you to drastically changing your therapy practice,” says hypnotherapist Catherine Reiss. “The training will allow you to more quickly and effectively get to the cause of your clients’ unwanted behaviors and the feelings they present with it, but it also facilitates the use of trance in more traditional formats.”
Self-awareness is crucial to leadership and it can be heightened through coaching. To explain why and how, consider the obvious but insufficient explanation for the paradox that CEOs want coaching but don’t pursue it. Stephen Miles, CEO of the Miles Group, that partnered with Stanford on the study, pointed out that to CEOs, “coaching is somehow “remedial” as opposed to something that enhances high performance, similar to how an elite athlete uses a coach.” Moreover, CEO’s say they’re most interested in such skills as conflict management and communication. Yet they put the need for compassion, relationship and persuasion skills far down on their list. They think of the latter as “soft skills,” ancillary at best.
“Learning hypnotherapy does not commit you to drastically changing your therapy practice,” says hypnotherapist Catherine Reiss. “The training will allow you to more quickly and effectively get to the cause of your clients’ unwanted behaviors and the feelings they present with it, but it also facilitates the use of trance in more traditional formats.”
Mayo Clinic in Rochester, Minn., also is exploring adding hypnotherapy for IBS patients. — Sumathi Reddy, WSJ, "A Surprise Medical Solution: Hypnosis," 7 May 2018 Click to Read Story A Surprise Medical Solution: Hypnosis Major hospitals are finding hypnotherapy can help sufferers of digestive conditions like heartburn, acid reflux and irritable bowel syndrome. — Sumathi Reddy, WSJ, "From Meditation to Medication: Headspace Has a Prescription Strategy," 25 June 2018 The case’s progression is traced on Friday night’s episode of ABC’s 20/20, which is exclusively previewed above, in a clip that explains how Marcell first decided to undergo hypnotherapy to aid law enforcement. — Adam Carlson, PEOPLE.com, "Years After a High School Senior Was Nearly Beaten to Death, Hypnosis Helped Her ID the Suspect," 15 June 2018 Most professionals who conduct hypnotherapy treatments are psychologists. — Sumathi Reddy, WSJ, "A Surprise Medical Solution: Hypnosis," 7 May 2018 Such feats helped lay the foundation for both hypnotherapy and the work of later famous disabled Americans such as Helen Keller. — Justin T. Clark, BostonGlobe.com, "Building Boston to shape morality," 14 Apr. 2018 Exercise, healthy eating, and stress-reduction techniques—like mindfulness, acupuncture, or hypnotherapy—may be helpful, as well. — Amanda Macmillan, Health.com, "12 Reasons You Might Have Cramps That Have Nothing to Do With Your Period," 27 Mar. 2018 This past Saturday, almost 100 women and a smattering of men showed up to hear inspirational speakers participate in a healing circle, discover their inner power and watch a demonstration on the healing capabilities of hypnotherapy. — Ruth Sowby Rands, latimes.com, "On the Town: Event emphasizes inspiration, empowerment and healing," 26 Mar. 2018 The guideline said that non-drug therapies such as acupuncture (as well as physical and massage therapies, biofeedback and hypnotherapy) should be considered as first-line treatments for acute pain. — Brie Zeltner, cleveland.com, "New Medicaid rule will further open acupuncture services to 108,000 Ohio patients with low back pain, migraines," 31 Dec. 2017
Despite some web sites and promotional materials that say otherwise, hypnosis is not an approved therapy by the American Medical Association (AMA). The organization does not have an official position on the use of hypnosis. A position statement regarding the use of the technique for medical and psychological purposes was rescinded by the AMA in 1987.
A unique combination of medical and psychological competencies is needed to become a qualified sports psychologist in the United States, though individual qualifications and licensure requirements vary from state to state. Few schools in the U.S. offer undergraduate or graduate programs specifically in sports psychology, though students looking to major in this field may double-major in psychology and exercise science or pursue a degree in clinical psychology with a sports psychology concentration.
An often-overlooked intangible benefit of executive coaching is stress reduction. Executive coaches can empower executives with an arsenal of tools and tactics to combat stress and, in turn, improve productivity levels. A study by Jan Ramsøy and Sigrid Stover Kjeldsen, in cooperation with the Norwegian University of Life Sciences, found that coaching reduced executives’ stress levels by, on average, 18 percent after only eight to 10 coaching conversations (some participants experienced stress level reductions as high as 47 percent). Perhaps what’s most powerful is the fact that effective coaching appears to be contagious! Research by Dr. Sean O’Connor & Dr. Michael Cavanagh of The University of Sydney found that the closer employees are situated to individuals who have participated in coaching, the higher their levels of well-being.
The hardest part is getting started, but once you get through that, you’re already halfway there. You truly can change your mindset. Once you start eating healthy, you’ll see that you’ll start craving healthier foods. Once you start a physical activity you love, you’ll find yourself getting excited to do it again. Always remember, you’re a lot stronger than you think. You’ll truly amaze yourself at what you can do!
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Low-calorie diets: It is harmful to reduce your daily calorie intake lower than 1400 calories per day, because your body adjusts to a semi-starvation state and looks for alternative sources of energy. In addition to burning fat, your body will eventually burn muscle tissue. Because your heart is a muscle, prolonged starvation will weaken it and interfere with its normal rhythms. Low-calorie diets don't meet the body's nutrition needs, and without nutrients your body cannot function normally.
According to many sources including the National Center for Biotechnology Information (NCBI) which is part of the United States National Library of Medicine and a branch of the National Institutes of Health (NIH), hypnosis is scientifically proven to help relieve both mental challenges and physical pains. Hypnosis can alleviate stress and reduce pain after surgeries, has been shown to relieve anxiety in children in the emergency room, and can be useful for managing pain associated with everything from arthritis to migraines. Hypnosis is non-invasive and gives you a way to control pain or discomfort that might otherwise seem out of your hands. Hypnosis shouldn’t be used as a substitute for medical care, but may be an excellent complementary tool that is best provided by a trained therapist or licensed medical provider. The University of Maryland Medical Center shares many conditions for which hypnosis can be useful:
This is the process of helping the members of a group enhance their ability to work cohesively through the improvement of communication, group objectives, trust, and respect. Team building strategies are often used at the beginning of a season to help group members become more familiar and trusting of each other. Common techniques include group introductions of each other, ropes courses, and individual and team goal setting.
The concept of ADHD coaching was first introduced in 1994 by psychiatrists Edward M. Hallowell and John J. Ratey in their book Driven to Distraction. ADHD coaching is a specialized type of life coaching that uses specific techniques designed to assist individuals with attention-deficit hyperactivity disorder. The goal of ADHD coaching is to mitigate the effects of executive function deficit, which is a typical impairment for people with ADHD. Coaches work with clients to help them better manage time, organize, set goals and complete projects. In addition to helping clients understand the impact ADHD has had on their lives, coaches can help clients develop "work-around" strategies to deal with specific challenges, and determine and use individual strengths. Coaches also help clients get a better grasp of what reasonable expectations are for them as individuals, since people with ADHD "brain wiring" often seem to need external mirrors for accurate self-awareness about their potential despite their impairment.
While there are many variations, executive coaching usually involves a series of phases, starting with intake, assessment, goal setting, and development planning, and then progressing through the development plan, with periodic check-ins with the executive’s manager. The process is over when the development goal(s) is achieved, or when the coach and/or coachee decides that it should stop. The typical duration of a coaching engagement is seven to 12 months.
Professionals in this field may favor one proficiency over another, as this field does require a distinctive combination of training in both medicine and psychology. With their in-depth knowledge of physiology and kinesiology, in addition to their psychology training, some sports psychologists may focus on rehabilitation and reintegration of athletes after an injury, while others may focus on mental health issues surrounding coach-player communication conflicts or improving team dynamics.
As an interdisciplinary subject, exercise psychology draws on several different scientific fields, ranging from psychology to physiology to neuroscience. Major topics of study are the relationship between exercise and mental health (e.g., stress, affect, self-esteem), interventions that promote physical activity, exploring exercise patterns in different populations (e.g., the elderly, the obese), theories of behavior change, and problems associated with exercise (e.g., injury, eating disorders, exercise addiction).
Coachability, in my opinion, is the number-one success factor to consider. The reason is that no matter how experienced or effective the coach might be, no change of the executive (coachee) will occur if the executive does not want to change, recognize the need to change, or does not take responsibility for the change needed. The executive needs to be open to feedback, willing to use the feedback to commit to change, and be willing to be held accountable to the commitment.
Sports psychologists may also pursue voluntary certification. This does not confer the legal right to practice, but does demonstrate expertise in a specialty area. Sports psychology professionals at both the master's and doctoral levels are eligible to become Certified Consultants (CC-AASP) through the Association for Applied Sport Psychology (http://www.appliedsportpsych.org/certified-consultants/become-a-certified-consultant).
Capella University is accredited by the Higher Learning Commission and offers several Online Master's and Doctoral programs in Psychology including both clinical and non-clinical specializations. Capella University, also offers four online CACREP - accredited master's programs: MS in Clinical Mental Health Counseling, MS in Marriage and Family Counseling/Therapy, MS in School Counseling and PhD in Counselor Education and Supervision. Click here to contact Capella University and request information about their programs.
While the findings about the efficacy of hypnosis on smoking are often murky, studies on the matter have shown increasingly positive results. Even Matt Damon and Charlize Theron have gotten in on the act. And the folks offering the service aren’t bearded men dangling pocket watches and telling you how heavy your eyelids are getting, or seeing patients in dingy basements outfitted with lava lamps and burning incense. Rather they’re people with advanced degrees who practice in the same kinds of clinics where you’d see your shrink or your ophthalmologist; rates usually start at around $80 per hour and can go as high as $200 (most practitioners recommend between one and four sessions).
"In counseling, the first step can be the hardest. I'm EMDR certified so my primary focus is abuse/trauma or anxiety. If you're struggling with anxiety, trauma, PTSD, abuse, domestic violence, depression, stress, dating, or career; I can help! I'm an expert in LISTENING with a specialty in HOPE. I will listen and guide you to find your courage to overcome the past and face the challenges ahead. Together we will discover your healing power to change by building on your strengths, increasing your self-confidence, and empowering yourself to move forward."
Although both the organization and the executive must be committed to coaching for it to be successful, the idea to engage a coach can originate from either HR and leadership development professionals or from executives themselves. In the past, it has more often sprung from the organizational side. But given the growing track record of coaching as a tool for fast movers, "We see more executives choosing coaching as a proactive component of their professional life," says Cheryl Leitschuh, a leadership development consultant with RSM McGladrey (Bloomington, Minnesota).
Both sport psychology (focusing on the dynamic interplay between psychological factors and athletic performance) and sport and exercise psychology (focusing on using psychological insight to increase exercise and activity levels) are essential components in empowering performance. Whether that be for professional athletes or the general population, an understanding of how the mind works can have a huge impact.
We have created the two-year part-time Ashridge Masters in Executive Coaching in response to the emergence of executive coaching as an established and distinct profession within the international field of individual and organizational development. Our aim is to raise the standard of coaching both professionally and ethically. The program draws on theories from complexity science, sociology and psychology to come to a distinct understanding of organizations and hence the role of both coaches and clients.
Students may wish to become student members of Division 47 of the American Psychological Association: Sports Psychology. Membership may provide them with leadership as well as networking opportunities. They will receive a newsletter and a journal, Sport, Exercise, and Performance Psychology. The dissertation provides an opportunity to distinguish oneself in the field. Division 47 has an award competition for dissertations.
When Garvin was confronted by a second decline in sales, this one precipitated by the FNG syndrome, he had no idea that Nelson’s activities had caused the problem. In fact, because he believed that Nelson was expert in all matters of personnel functioning and efficiency, Garvin increased his reliance on his friend’s counsel. He had become a victim of what, in the language of psychiatry, is called “transference”—a dynamic that gave Nelson extraordinary psychological power over Garvin.
"DONALD LEE, earned his B.A. from Brandeis University. He earned his M.A., M.Ed., and Ed.D. in counseling psychology from Columbia University. He is also a Licensed Professional Counselor. He provides individual psychotherapy to children, adolescents, and adults, as well as, providing marital and family therapy. He treats individuals with anxiety, depression, ADHD, substance/alcohol abuse, and adjustment issues. Dr. Lee has taught courses in individual therapy, group counseling, and racial-cultural counseling at the graduate level. His clinical experiences have involved work with the chronically mentally ill, victims of trauma, and has consulted at agencies working with victims of domestic violence."
Research in sport psychology involves studying and observing athletes in order to find out what motivates them to keep pushing on, and what gives them the thirst for landing in the winner's circle. A sport psychology researcher might also try to find ways for athletes to perform better and with fewer obstacles. The knowledge gained through this research can then be applied during counseling sessions with athletes.
It is pertinent to mention that the practice of applied sport psychology is not legally restricted to individuals who possess one type of certification or licensure. The subject of "what exactly constitutes applied sport psychology and who can practice it?" has been debated amongst sport psychology professionals, and as of 2011, still lacks formal legal resolution in the United States. For instance, some question the ability of professionals who possess only sport science or kinesiology training to practice "psychology" with clients, while others counter that clinical and counseling psychologists without training in sport science do not have the professional competency to work with athletes. However, this debate should not overshadow the reality that many professionals express the desire to work together to promote best practices among all practitioners, regardless of training or academic background.
There is an intense mental toll of reaching—and remaining—at the pinnacle of a sport. “The top six inches of the body matter just as much the rest,” says Matthew Cunliffe, a sports psychologist, who spoke with Quartz about what goes through the minds of elite athletes and how psychologists can help them win. The conversation has been edited and condensed for clarity.
When it comes to quitting, sometimes it might seem that the deck is stacked a bit against you. After all, the tobacco in today’s cigarette is much more addictive than it was decades ago. I even learned companies are cultivating tobacco with higher levels of nicotine. Many more additives have been included. Cigarettes have been carefully engineered to make a long-term consumer out of you.
Executive coaching is a major growth industry. At least 10,000 coaches work for businesses today, up from 2,000 in 1996. And that figure is expected to exceed 50,000 in the next five years. Executive coaching is also highly profitable; employers are now willing to pay fees ranging from $1,500 to $15,000 a day. That’s a lot more than any psychotherapist could even dream of charging. Why are companies willing to pay so much more for their coaches?
While it’s good to be aware of portion sizes on nutrition labels, why not flip them to your benefit? For example, instead of a bowl of ice cream with a few blueberries, have a bowl of blueberries with a spoonful of ice cream. While one cup of ice cream has more than 250 calories and not much in the way of nutrition, one cup of blueberries contains only 80 calories and is a good source of fiber and vitamin C. Or, instead of a plate of pasta with some veggies, have a plate of veggies with some pasta. A mix of steamed or roasted cruciferous vegetables works great with a smaller amount of pasta. Not only does this ingredient swap cut the calories in the dish, the additional veggies provide nutrients like fiber, potassium and vitamin A.
The program he followed consists of an introductory video, several audio sessions, and an e-book. “There was all this imagery and counting down and clouds,” he says. “I would fall asleep listening.” It might all sound a little new agey, but Jonathan hasn’t had a cigarette in a year — besides a few weeks of cheating at the six-month mark. There wasn’t even a major time commitment — he would fall asleep a few minutes into the sessions every night, and he found himself smoke-free within days of starting the program.
Motivation: A major subject within sports psychology, the study of motivation looks at both extrinsic and intrinsic motivators. Extrinsic motivators are external rewards, such as trophies, money, medals or social recognition. Intrinsic motivators arise from within, such as a personal desire to win or the sense of pride that comes from performing a skill.
Thank you!!! You have saved my life! As a pack and a half smoker for over 20 years I thought iT would be impossible to quit. My wife made an appointment for me with Rita. This appointment was a game changer, life saver and the best thing I've done to improve my health and all over well being! Rita is very personable, very nice and very professional. Make an appointment and, like me, leave a NON SMOKER!!
Sports have always been a big part of my life and culture, so it is a great fit for me personally to be involved in a profession that allows me to make an impact in areas for which I have a true passion. I also enjoy the fact that I am able to address both performance enhancement and mental skills training while still being able to offer assistance to athletes and performers who are stuck, or are experiencing issues that hinder their performance or life satisfaction. Additionally, compared to other branches of psychology, sports psychology utilizes many techniques and interventions that require very active participation from both the psychologist and the client. That is another factor that is very fitting with my approach.
There are two types of sports psychology. One that deals with mental-skills training. It’s teaching athletes to use psychological skills to, say, control anxiety. The other deals with psychological therapy. It uses some of the mainstream talking therapies and applies them to sports performance to deal with the underlying issues that affect an athlete.
I find it extremely rewarding to be able to make a difference in people’s lives, not just in the quality of their performances, but also in their life satisfaction and overall well-being. When athletes are able to see the fruit of their work in developing performance skills and reducing performance barriers, it is rewarding to have been a part of that process.
“I tried so many different smoking cessation products and programs over the past years. These included gums, patches, and pills. Finally, armed with a determination to quit, I decided to try hypnotherapy. I found The Miami Hypnosis Center on-line and it changed my life. I used to smoke like a chimney and enjoyed it like anything else, and now I’m happy to finally say that I am a non-smoker.” – Pasquale Pisana
They say, in real estate, success is based on location, location, location. Well, in coaching, we will be saying technology, technology, technology. Coaches will differentiate themselves in the future by connecting through platforms and being able to meet almost anywhere and anytime regardless of their physical location. Coaches will engage clients through micro-learning sessions, gamification and will add value by providing clients access to content beyond their counsel. - Brad Federman, F&H Solutions Group
During a hypnotherapy session, the therapist will bring you into a state of deep relaxation in which the critical, conscious part of your brain recedes and the subconscious mind becomes alert and focused. The therapist will make suggestions, based on your intended goals, that will take root in your subconscious mind. These suggestions should affect your thinking in a positive way and empower you to make change.
Hypnosis is a powerful tool to help clients overcome challenging issues such as anxiety, phobias, pain management, hot flashes and more. Hypnosis is also a way to help let go of addictions like smoking, overeating and gambling. In and of itself, hypnosis is not a therapy, but it can be used in conjunction with therapy to empower and encourage the person receiving it to make positive change. Some people are more susceptible to hypnosis and will benefit more from hypnotherapy than others.
Executive coaching is hot. What was stigma ("You're so broken you need a coach?") has become status symbol ("You're so valuable you get a coach?"). Tiger Woods and Michael Phelps have coaches. Even President Barack Obama has a coach, if you count David Axelrod. Microsoft 's young high-potential leaders get coaches. If elite athletes and organizations think they need coaches, shouldn't you have one too? Shouldn't we all?
I started smoking when I was 15yrs old. I am now 48yrs old. I have smoked at least a pack a day for 33yrs. More if I'm out on a girls night drinking wine! In the past I tried Chantix which worked for about 2 months but I had strange dreams and my entire personality went in the toilet so as soon as I stopped taking the pills I started smoking again. I also tried acupuncture which was a joke and I white knuckled my way for about 2 weeks.
"FMI's Executive Coaching provides opportunities for key leaders to identify specific areas of focus and work one on one with a coach to become stronger leaders. The personal time investment can be significant, but the potential benefits to the individual and firm makes FMI's coaching an incredibly valuable tool. FMI took great care in understanding the firm's needs as well as my personal development goals in matching me to a coach that worked with me to maximize the benefits of this coaching. "
GoodTherapy.org is not intended to be a substitute for professional advice, diagnosis, medical treatment, or therapy. Always seek the advice of your physician or qualified mental health provider with any questions you may have regarding any mental health symptom or medical condition. Never disregard professional psychological or medical advice nor delay in seeking professional advice or treatment because of something you have read on GoodTherapy.org.
A typical hypnotherapy session has the patient seated comfortably with their feet on the floor and palms on their lap. Of course, the patient could choose to lie down if that option is available and if that will meet the patient's expectation of hypnosis. The therapist can even set the stage for a favorable outcome by asking questions like, "Would you prefer to undergo hypnosis in this chair or on the sofa?" Once patients make the choice, they are in effect agreeing to undergo hypnosis. Depending on the approach used by the therapist, the next events can vary, but generally will involve some form of relaxing the patient. Suggestions will lead the patient to an increasingly relaxed state. The therapist may wish to confirm the depth of trance by performing tests with the patient. For example, the therapist may suggest that when the eyes close that they will become locked and cannot be opened. The therapist then checks for this by having patients try to open their eyes. Following a successful trial showing the patient's inability to open the eyes, the therapist might then further relax them by using deepening techniques. Deepening techniques will vary for each patient and depend largely on whether the patient represents information through auditory, visual, or kinesthetic means. If the patient is more affected by auditory suggestions, the therapist would use comments such as "You hear the gentle patter of rain on the roof;" or, "The sound of the ocean waves allow you to relax more and more." For the visual person, the therapist might use statements such as, "You see the beautiful placid lake, with trees bending slightly with the breeze." Finally, with the kinesthetic person phrases such as, "You feel the warm sun and gentle breeze on your skin," could be used. It is important for the therapist to know if the patient has difficulty with the idea of floating or descending because these are sometimes used to enhance the experience for the patient. However, if the patient has a fear of heights or develops a feeling of oppression with the thought of traveling downward and going deeper and deeper, suggestions implying the unwanted or feared phenomenon will not be taken and can thwart the attempt.