There has now been quite a bit of research done in the field of hypnotherapy for the management of hot flashes⸺and the results are great!
In one study, almost 200 women who reported experiencing at least 50 hot flashes per week were recruited to examine the effectiveness of hypnotherapy for hot flashes. The participants recorded hot flashes in a diary, and also wore sensors that recorded their hot flashes. One group received hypnotherapy, and the other group had an equivalent number of sessions with a doctor where they discussed their symptoms and received education material and encouragement.
The hypnotherapy group received five, 45-minute weekly sessions. In these, the women were guided into a state of hypnotic calmness, then offered imagery created to reduce the intensity of hot flashes, such as of cool environments. The women also received a recording of the hypnotic induction, and were directed to continue practicing at home.
The study demonstrated that women in the hypnosis group reported 74% fewer hot flashes, compared to 17% fewer among the women not receiving therapy. The skin sensors worn by the participants indicated a 57% reduction in hot flashes in the hypnotherapy group, compared to 10% in the women in the control group. In addition, women receiving hypnotherapy reported lower levels of sleep disturbance.
What happens during a hypnotherapy session?
Forget about all the TV shows, movies and cartoons you’ve seen about hypnosis⸺in a hypnotherapy session you will never forget who or where you are, or be under someone else’s control.
You will be asked to lie or sit down, and then taken through a relaxation exercise, perhaps focusing on a spot on the wall, deepening your breath or closing your eyes and relaxing your body, one part at a time. This is focused relaxation. Keeping your mind’s attention on the here and now, while calming the rest of you.
In this state of focused relaxation it becomes easier to ignore outside disturbances and intrusive thoughts and focus on the imagery and suggestions your therapist will say to you.
Once you are relaxed, your hypnotherapist will guide you through some cooling imagery. This might be sipping an ice-cold drink on a hot day, or feeling the sensation of an ice-cube in your mouth. You may be guided to imagine stepping into cool water or other cold environments. The purpose of this cool imagery is to encourage the brain to regain control of its temperature-control mechanisms and in your deeply relaxed state these images may feel very real.
The hypnotherapist may then give you suggestions for managing your hot flashes in your day-to-day life. Such as, “Your hot flashes will bother you less and less, you will gain control over your hot flashes.” These suggestions are designed to give you a sense of control over your hot flashes, whilst also providing a sense of calm.
Finally comes the alerting, where your hypnotherapist will bring you back to your normal state of alertness. You’ll remember everything that happened and hopefully finish with a calmer, cooler body, brain, and mind.
Hypnotherapy and sleep
You may be experiencing hot flashes at night, but even without these night sweats, menopause is often accompanied by sleeping difficulties.
Research by the Center for Disease Control in the United States has shown that a third of menopausal women sleep an average of seven hours a night or less, and nearly half wake up without feeling rested at least four days a week.
The research also showed that one in four menopausal women found it difficult to fall asleep, and one in three had trouble staying asleep throughout the night.
The good news is that hypnotherapy has been shown to improve sleep quality and duration. This approach can allow you to feel relaxed and comfortable at bedtime, rather than feeling anxious and worried. In the hot flashes hypnotherapy study we mentioned earlier, 43% of those who received hypnotherapy reported improved sleep quality, compared to only 4% in the control group.
Hypnotherapy and mild anxiety and depression
During menopause, it’s not uncommon to experience changes to your mood or mental health. You may notice more feelings of anxiety or sadness.
Mood swings may be brought about by significant shifts in hormone levels, which can in turn, be worsened by poor sleep and night sweats. These factors, plus general anxiety or failing quality of life due to severe symptoms, can all be factors leading to depression.
Many women who have used hypnotherapy to manage their hot flashes report feeling calmer and less stressed or anxious.
While this form of hypnotherapy is directed at reducing hot flashes, hypnotherapy has been used as a tool to reduce anxiety or depressive feelings and has been shown to improve overall psychological wellbeing after menopause.
Where to get hypnotherapy for hot flashes
Hypnotherapy for hot flashes is a specialized service. If you decide to seek in-person therapy, do your research and make sure you check your practitioner’s qualifications.
In-person hypnotherapy sessions can also become quite expensive. As such, you may want to look into at-home versions of programs, such as hypnotherapy apps.
The Wrap Up
Hypnotherapy has been recognised as one of the safest and most effective tools in managing menopausal hot flashes. Hot flashes are caused by the hypothalamus mistakenly believing your body is overheating and triggering your body’s cooling response. A hypnotherapy session takes you into a focused state of relaxation where suggestions and cooling imagery can help you manage your internal temperature control and reduce hot flashes by up to 80%. Hypnotherapy for hot flashes is available through in-person sessions with a clinician, or at home through an app.
References
Elkins, G.R., Fisher, W.I., Johnson, A.K., Carpenter, J.S. and Keith, T.Z., 2013. Clinical hypnosis in the treatment of post-menopausal hot flashes: a randomized controlled trial. Menopause (New York, NY), 20(3). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3556367/
2021. Introduction to Menopause. [online] Available at: <https://www.hopkinsmedicine.org/health/conditions-and-diseases/introduction-to-menopause> [Accessed 27 August 2021].
Bakour, S.H. and Williamson, J., 2015. Latest evidence on using hormone replacement therapy in the menopause. The Obstetrician & Gynaecologist, 17(1), pp.20-28. https://obgyn.onlinelibrary.wiley.com/doi/pdfdirect/10.1111/tog.12155
Woyka, J., 2017. Consensus statement for non-hormonal-based treatments for menopausal symptoms. Post reproductive health, 23(2), pp.71-75. https://journals.sagepub.com/doi/full/10.1177/2053369117711646
Hickey, M., Szabo, R.A. and Hunter, M.S., 2017. Non-hormonal treatments for menopausal symptoms. bmj, 359. https://www.bmj.com/content/359/bmj.j5101.abstract
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