Jun 26

Doctors: hypnotize your patients

Posted in News

Earlier this month, Professor David Speigel of Stanford University addressed the joint conference of the Royal Society of Medicine, the British Society of Clinical and Academic Hypnosis and the British Society of Medical and Dental Hypnosis.

(The what? Yes, that in itself is pretty amazing – that the RSM is having a joint conference with hypnosis societies.)

In his talk, he called on the NICE (which is “the independent organisation responsible for providing national guidance on the promotion of good health and the prevention and treatment of ill health” in Britain, according to its website) to approve the use of hypnotherapy for “the treatment of conditions ranging from allergies and high blood pressure to the pain associated with bone marrow transplantation, cancer treatment and anaesthesia for liver biopsy. Nice has already approved the technique for the treatment of irritable bowel syndrome”, according to the report in the Guardian.

Unfortunately the article closes with a poorly-informed quote from the chair of the Royal College of General Practitioners:

It is a useful tool used by some GPs and patients for relaxation, but I don’t think it is something that we should support being rolled out to all medical students and all doctors. We can’t call on the NHS to support it without there being a firm medical and economic basis, and I’m not convinced those have been proved to exist.

He seemingly hasn’t done his reading. As I mentioned a little while back, a 2002 meta-study concluded that 89% of surgical patients would benefit from hypnosis, and a 2007 study estimated a 9% cost saving could result. Both these studies were published in hightly reputable mainstream medical journals.

ic20031217
Creative Commons License photo credit: Brendan Adkins

Gradually, mind-body medicine and techniques such as hypnosis are being accepted into mainstream medical practice. I look forward to the day when I, or my colleagues, can set up practice in a clinic with a group of doctors, dentists and physiotherapists and nobody thinks it’s at all surprising.

Back in the 50s and 60s, Dave Elman taught hundreds of American doctors and dentists how to use hypnosis. Sadly, a lot of ground has been lost since, but we are slowly seeing it recovered.

Professor Spiegel is at Stanford, which has long had a significant research programme in hypnosis. The classic text Hypnosis in the Relief of Pain (Hilgard, Hilgard and Barber) came out of research in Stanford’s laboratories. He and other researchers are carrying on a tradition of thorough scientific investigation of hypnosis extending back to at least the 1930s.

Convincing “mainstream” medical practitioners of the benefits of hypnosis is, thanks to them, no longer a problem of lack of evidence. It’s a marketing and PR problem.

Technorati Tags: , , , , , , ,

Sign up below to get early notification and a discount on my forthcoming book, How Not to Change Your Life.


Jan 14

The Blue Prescription: “Relax”

Posted in Tools
This entry is part 5 of 8 in the series Mind-Body Healing

For over 10 years now, New Zealand general practitioners and other primary healthcare providers have been giving “green prescriptions” – written advice to patients to be physically active, as a way of improving their health. Research published in the British Medical Journal indicates that it works.

Paris - Luxembourg park Corredora
Creative Commons License photo credit: Celso Flores

I’m all for this. Not only am I all for improving health by non-drug means, I’m very much in favour of encouraging health professionals to think about ways of doing so and communicate those to their patients or clients.

So here’s a further idea: the “blue prescription”.

Let’s say that your patient presents with elevated blood pressure, digestive problems, general malaise, sleeping difficulties or headaches, is nervous and jumpy, irritable or anxious, or gets ill a lot with colds and other minor infections. You have some tests run and there is nothing serious wrong with them, but they feel unwell and tired nearly all the time. They’re perhaps a person in their middle years with a growing family and an all-too-slowly-shrinking mortgage, who’s consistently working overtime, or who works on long-term projects with a lot of pressure, or who holds a job with a lot of responsibility which they feel is a bit beyond them. What do you do?

2008.11.25 - The physician
Creative Commons License photo credit: a.drian

Well, some doctors will either tell them there’s nothing really wrong with them and send them home (that’ll be $45, thanks), or prescribe medication that they may or may not really need or benefit from – antidepressants, perhaps, sleeping pills, or the ever-popular Losec to reduce the acidity of their stomach.

I propose, instead, the “blue prescription”. Just as the “green prescription” is a written recommendation for exercise, the “blue prescription” is a written recommendation for deliberate relaxation, with a referral to a yoga class, meditation teacher or (best of all, in my of course unbiased opinion) hypnotherapist.

For those without the means or inclination to go to someone else, you could provide a small brochure like the bookmarks that I give my clients outlining Dr Herbert Benson’s “relaxation response” practice, or even a recording like my therapeutic relaxation track. (It’s free for download from the page just linked to, and you can use it as long as you acknowledge me as the source.)

So there’s the challenge: start prescribing relaxation. We need more of it.

'Selfie'
Creative Commons License photo credit: exfordy

Technorati Tags: , , , , , , , ,

Sign up below to get early notification and a discount on my forthcoming book, How Not to Change Your Life.


Jan 14

Upgrading your knowledge of irritable bowel syndrome

Posted in Tools

This is mainly for the healthcare professionals among my readers.

I’ve just been through a good BMJ Learning module on Irritable Bowel Syndrome. While it’s aimed at doctors and will ask you questions about medication, it does have a good overview of the state of current knowledge about IBS and the various treatment options, though it doesn’t discuss causes or suggest investigating or offering advice about stress.

What it does do is recommend referral to psychological interventions (cognitive behavioural therapy, hypnotherapy or psychological therapy) if dietary changes and medication of the symptoms have not been effective after 12 months. Yes, it specifically mentions hypnotherapy – which is good, because hypnotherapy is very effective for IBS.

I’m subscribed to the BMJ Learning site, because even though it is mainly for doctors, now and again they have something there I can use (I originally joined for their Smoking Cessation module). It’s clear and well-laid-out and the self-tests help you to consolidate the learning. I’ve definitely learned useful things from both these modules.

Technorati Tags: , , , , ,

Sign up below to get early notification and a discount on my forthcoming book, How Not to Change Your Life.


comments: 0 » tags: ,