In order for a hypnotherapist to convey positive suggestions for change, the patient must be in a receptive state. The state is called trance and the method of achieving a trance is through induction. Induction techniques are many and varied and involve the therapist offering suggestions that the patient follows. The formerly common "your eyes are getting heavy" suggestion may still exist, but other more reliable and acceptable (by the patient) forms of induction have come to the forefront. The artful hypnotherapist is always aware of the present condition of the patient and uses this information to lead him/her down the path of induction. In its lighter stages, trance can be noted by the relaxation of muscles. At this point, hands can levitate when given the suggestion, and paresthesia, a feeling of numbness, can be induced. In a medium trance, a patient can be led to experience partial or complete amnesia , or failure to recall events of the induction after the fact. A deep trance opens the patient to powerful auditory, visual, or kinesthetic experiences. The phenomenon of time distortion is experienced most profoundly at this level. Patients may believe they have been away briefly, and may react with disbelief when told they were away much longer. Although some work can be done in lighter states of trance, the best circumstance for implementing change is when the patient reaches a deep trance state. At this level, the patient is focused inwardly and is more receptive to positive suggestions for change. This is also the point at which the therapist can invoke posthypnotic suggestions, or instructions given to the patient so he/she will perform some act or experience some particular sensation following awakening from the trance. For example, these suggestions, if accepted by the patient, can be formed to make foods taste bad, cigarettes taste bad, delay impulses, curb hunger, or eliminate pain. However, it should be noted that posthypnotic suggestions given to a person, which run counter to the person's value system or are not something they are likely to do under ordinary circumstances, will not be accepted and therefore not implemented.

Milton Erickson (1901–1980), the founding president of the American Society for Clinical Hypnosis and a fellow of the American Psychiatric Association, the American Psychological Association, and the American Psychopathological Association, was one of the most influential post-war hypnotherapists. He wrote several books and journal articles on the subject. During the 1960s, Erickson popularized a new branch of hypnotherapy, known as Ericksonian therapy, characterised primarily by indirect suggestion, "metaphor" (actually analogies), confusion techniques, and double binds in place of formal hypnotic inductions. However, the difference between Erickson's methods and traditional hypnotism led contemporaries such as André Weitzenhoffer to question whether he was practising "hypnosis" at all, and his approach remains in question.
Hypnotherapy is used for nonmedical patients as well as those who wish to overcome bad habits. Hypnotherapy has been shown to help those who suffer from performance anxiety, such as in sports, and speaking in public. In academic applications, it has also been shown to help with learning, participating in the classroom, concentrating, studying, focusing attention span, improving memory, and helping remove mental blocks about particular subjects.
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.
Hypnosis is effective in decreasing the fear of cancer treatment[127] reducing pain from[128] and coping with cancer[129] and other chronic conditions.[116] Nausea and other symptoms related to incurable diseases may also be managed with hypnosis.[130][131][132][133] Some practitioners have claimed hypnosis might help boost the immune system of people with cancer. However, according to the American Cancer Society, "available scientific evidence does not support the idea that hypnosis can influence the development or progression of cancer."[134]
“Attending the Hypnotherapy Academy was one of the best things I have ever done for myself! The training under Tim Simmerman’s exceptional leadership is a comprehensive and thorough educational process. Upon completion of this excellent curriculum, I know that the Academy’s graduates will be in the highest percentage of successful hypnotherapists throughout the world. Not only did the exceptional hypnosis training prepare me for a rewarding and successful career as a hypnotherapist, it also provided me with a network of valued associates, my fellow classmates.”
Hypnotherapy has been studied for the treatment of irritable bowel syndrome.[117][118] Hypnosis for IBS has received moderate support in the National Institute for Health and Clinical Excellence guidance published for UK health services.[119] It has been used as an aid or alternative to chemical anesthesia,[120][121][122] and it has been studied as a way to soothe skin ailments.[123]
Therefore, Braid defined hypnotism as a state of mental concentration that often leads to a form of progressive relaxation, termed "nervous sleep". Later, in his The Physiology of Fascination (1855), Braid conceded that his original terminology was misleading, and argued that the term "hypnotism" or "nervous sleep" should be reserved for the minority (10%) of subjects who exhibit amnesia, substituting the term "monoideism", meaning concentration upon a single idea, as a description for the more alert state experienced by the others.[23]

Hypnosis has been used as a supplemental approach to cognitive behavioral therapy since as early as 1949. Hypnosis was defined in relation to classical conditioning; where the words of the therapist were the stimuli and the hypnosis would be the conditioned response. Some traditional cognitive behavioral therapy methods were based in classical conditioning. It would include inducing a relaxed state and introducing a feared stimuli. One way of inducing the relaxed state was through hypnosis.[77]
"If you're looking for a gay therapist in Dallas who personally understands the confusion, frustration, and difficulties that can come with being gay or lesbian, look no further. Whether it be problems in your relationship, a lack of acceptance from your family, or confusion about who you are, we can help. Together we will find ways to work on your relationship, help improve your self-esteem, and feel better about yourself and life in general. Call us today to see how I can help you feel how you want to feel."
Joe Griffin and Ivan Tyrrell (the originators of the human givens approach) define hypnosis as "any artificial way of accessing the REM state, the same brain state in which dreaming occurs" and suggest that this definition, when properly understood, resolves "many of the mysteries and controversies surrounding hypnosis".[29] They see the REM state as being vitally important for life itself, for programming in our instinctive knowledge initially (after Dement[30] and Jouvet[31]) and then for adding to this throughout life. They explain this by pointing out that, in a sense, all learning is post-hypnotic, which explains why the number of ways people can be put into a hypnotic state are so varied: anything that focuses a person's attention, inward or outward, puts them into a trance.[32]
"Sometimes life has a way of placing unexpected challenges in our path. It is the goal of my practice to help my clients find the strength to overcome these challenges. When someone makes the decision to seek counseling I believe this is a statement, by that person, they have the capacity to resolve their problems, with my assistance. I bring a vast array of professional and life experience into my practice. I have attained my Approved Consultants Status with the American Society Clinical Hypnosis. I am very excited that I am able to add the use of hypnotherapy to my practice."
Psychiatric nurses in most medical facilities are allowed to administer hypnosis to patients in order to relieve symptoms such as anxiety, arousal, negative behaviours, uncontrollable behaviour, and to improve self-esteem and confidence. This is permitted only when they have been completely trained about their clinical side effects and while under supervision when administering it.[147]
“I learned more powerful and effective techniques to facilitate growth and positive change at the Hypnotherapy Academy than during my entire psychology master’s program! Tim has masterfully integrated the best of the best of what truly works, into his hypnotherapy certification course. In three years at Georgetown University and another three years at the Institute of Transpersonal Psychology, I NEVER EXPERIENCED SUCH HIGH QUALITY TEACHING and such a useful curriculum as I have at the Academy. I am a happy beneficiary: I reached very specific financial goals, and became a happier, more centered and enthusiastic person as a result of the course.”
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Whereas the older "depth scales" tried to infer the level of "hypnotic trance" from supposed observable signs such as spontaneous amnesia, most subsequent scales have measured the degree of observed or self-evaluated responsiveness to specific suggestion tests such as direct suggestions of arm rigidity (catalepsy). The Stanford, Harvard, HIP, and most other susceptibility scales convert numbers into an assessment of a person's susceptibility as "high", "medium", or "low". Approximately 80% of the population are medium, 10% are high, and 10% are low. There is some controversy as to whether this is distributed on a "normal" bell-shaped curve or whether it is bi-modal with a small "blip" of people at the high end.[45] Hypnotizability Scores are highly stable over a person's lifetime. Research by Deirdre Barrett has found that there are two distinct types of highly susceptible subjects, which she terms fantasizers and dissociaters. Fantasizers score high on absorption scales, find it easy to block out real-world stimuli without hypnosis, spend much time daydreaming, report imaginary companions as a child, and grew up with parents who encouraged imaginary play. Dissociaters often have a history of childhood abuse or other trauma, learned to escape into numbness, and to forget unpleasant events. Their association to "daydreaming" was often going blank rather than creating vividly recalled fantasies. Both score equally high on formal scales of hypnotic susceptibility.[46][47][48]
This finding—that PHA temporarily disrupted some people’s ability to recall the past—echoes decades of hypnosis research. What is entirely new in Mendelsohn et al.’s study is their demonstration that PHA was associated with a specific pattern of brain activation. Consistent with what normally occurs in remembering, when people in the non-PHA group performed the recognition task and successfully remembered what happened in the movie, fMRI showed high levels of activity in areas responsible for visualizing scenes (the occipital lobes) and for analyzing verbally presented scenarios (the left temporal lobe). In stark contrast, when people in the PHA group performed the recognition task and failed to remember the content of the movie, fMRI showed little or no activity in these areas. Also, fMRI showed enhanced activity in another area (the prefrontal cortex) responsible for regulating activity in other brain areas.
We know it is hard to sort out all the different claims made by some so-called “hypnosis schools and boards.” Stay away from “distance learning” or correspondence courses that claim to certify you as a clinical hypnotherapist. Hypnosis and hypnotherapy is a healing art based on scientific methods. Only basic hypnotherapy theory can be obtained from the right books or videos. Effectiveness is unlikely without live demonstrations, in-depth and advanced discussion, question and answer opportunities and supervised clinical practice.  Just as correspondence courses are inappropriate for counselors, medical doctors and massage therapists, they are wrong for people who want to be effective and successful clinical hypnotherapists.
In the everyday trance of a daydream or movie, an imaginary world seems somewhat real to you, in the sense that it fully engages your emotions. Imaginary events can cause real fear, sadness or happiness, and you may even jolt in your seat if you are surprised by something (a monster leaping from the shadows, for example). Some researchers categorize all such trances as forms of self-hypnosis. Milton Erickson, the premier hypnotism expert of the 20th century, contended that people hypnotize themselves on a daily basis. But most psychiatrists focus on the trance state brought on by intentional relaxation and focusing exercises. This deep hypnosis is often compared to the relaxed mental state between wakefulness and sleep.
There is only one Hypnotherapy Academy of America curriculum designed by its lead instructor, Tim Simmerman-Sierra. He has EXCLUSIVELY held the position of lead instructor since 1995.  Hypnotherapy Academy of America is a federally registered trademark, awarded to Tim and Angela Simmerman-Sierra. In recent years we have seen that others have started to use “Hypnotherapy Academy” as part of their name. We believe this is to borrow from our name brand recognition, credibility and professional reputation. We have been using this name since 1999. Do not accept any imitation.
“I arrived at the Hypnotherapy Academy of America believing that I had paid for and would receive the most comprehensive hypnotherapy training in the world. What I didn’t expect, however, was to find myself in an environment where I would have so many profound life transforming experiences. By the end of the second week I was completely in awe and felt that our class had already gotten more than our money’s worth. Upon completion of the course, I feel sure of two things. First, that I’m fully prepared to begin a successful hypnotherapy practice. Second, that my life will never be the same again.”
The Federal Dictionary of Occupational Titles describes the job of the hypnotherapist: "Induces hypnotic state in client to increase motivation or alter behavior patterns: Consults with client to determine nature of problem. Prepares client to enter hypnotic state by explaining how hypnosis works and what client will experience. Tests subject to determine degree of physical and emotional suggestibility. Induces hypnotic state in client, using individualized methods and techniques of hypnosis based on interpretation of test results and analysis of client's problem. May train client in self-hypnosis conditioning. GOE: 10.02.02 STRENGTH: S GED: R4 M3 L4 SVP: 7 DLU: 77"[8]
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