Hypnotherapy and Eating Disorders
By Dr. Randi Fredricks, Ph.D.
While the modern diagnoses of anorexia nervosa, bulimia nervosa, and binge eating disorder were first recognized as major health problems in the
1950s, many of the behaviors that characterize eating disorders have been practiced for centuries.
Research suggests that up to 5% of Americans have some type of eating disorder, and many experts believe the figure is much higher.
Those suffering with an eating disorder are often able to hide their illness until outward signs result, such as severe weight loss or gain.
Researchers have suggested that hypnotherapy may be a useful part of an integrated treatment program for eating disorders.
Studies have reported that hypnotherapy strengthens both self-confidence and the ability to cope, which can result in healthier eating, improved
body image, and greater self-esteem.
Hypnotherapists use specific techniques with someone with an eating disorder to help them work through conflicts and difficult experiences.
During the hypnotherapy process, the hypnotherapist generally does an initial session of gathering history and then uses hypnotherapy over the
next few sessions. Typically, the patient is guided through hypnotic exercises involving suggestions on how to change behavior.
Guided Imagery
Guided imagery is a type of hypnotherapy that can be helpful in reducing some of the anxiety associated with eating disorders. It uses directed
thoughts and suggestions to guide the imagination toward a relaxed, focused state. When used in mental health care, guided imagery involves going
into a state of deep relaxation and creating a mental image of recovery and wellness.
Two studies at Mount Sinai Hospital in Toronto found that guided imagery improved the ability to self-soothe in women with bulimia nervosa.
Using guided imagery therapy with 50 bulimics, researchers measured eating disorder symptoms, psychological functioning and the experience of
guided imagery. At the end of 6 weeks, the researchers concluded that “The guided imagery treatment had substantial effects on the reduction of
bingeing and purging episodes; the imagery group had a mean reduction of binges of 74% and of vomiting of 73%.” In addition, the guided imagery
therapy also demonstrated improvement on measures of attitudes concerning eating, dieting and body weight.
References (To view, roll mouse over the "References" heading; to hide, click on the heading)
Esplen, M. J., & Garfinkel, P. E. (1998). Guided imagery treatment to promote self-soothing in bulimia nervosa: a theoretical rationale. J Psychother Pract Res Spring, 7(2), 102-118.
Esplen, M. J., Garfinkel, P. E., Olmsted, M., Gallop, R. M., & Kennedy, S. (1998). A randomized controlled trial of guided imagery in bulimia nervosa. Psychol Med, 28(6), 1347-1357.
Fredricks, R. (2008). Healing & wholeness: Complementary and alternative therapies for mental health. Bloomington, IN: Authorhouse.
Torem, M. S. (1992).The use of hypnosis with eating disorders. Psychiatr Med, 10(4), 105-118.
Young, D. (1995). The use of hypnotherapy in the treatment of eating disorders. Contemporary Hypnosis, 12<.i>, 148-153.