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.

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About the Author

Dr. Randi Fredricks, Ph.D. is a psychotherapist and author specializing in the treatment of mental health using integrative medicine and natural therapies. She works with individuals, couples, and families at her office in San Jose, California. Dr. Fredricks' publications include the landmark book Healing & Wholeness: Complementary and Alternative Therapies for Mental Health. No part of this article may be reproduced in any form or by any electronic or mechanical means, including information storage and retrieval systems. Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of Dr. Randi Fredricks as articles often present the published results of the research of other professionals. Copyright © 2012. To cite this article, please use the following citation: Fredricks, R. (2008). Healing & Wholeness: Complementary and Alternative Therapies for Mental Health. Bloomington, IN: Author House.


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