Nonpharmacologic interventions such as psychotherapy, hypnosis, and meditation can offer significant benefits to patients with dermatologic conditions including psoriasis, eczema, and urticaria, according to Dr. Richard G. Fried.
While the use of nonpharmacologic interventions may seem counterintuitive, these therapies have been shown to improve psychosocial function and reduce the negative emotional states that can exacerbate or even elicit skin disease, said Dr. Fried of Yardley (Pa.) Dermatology Associates. Dr. Fried detailed several strategies and options for managing the mental aspect of skin disorders in an article in the June issue of Seminars in Cutaneous Medicine and Surgery.
"Clinical studies have demonstrated that psychological stress disrupts skin barrier function and increases the severity of cutaneous infections, and down-regulates antimicrobial peptide expression, resulting in more severe skin infections in mice," Dr. Fried wrote.
"This self-perpetuating negative interaction between stress and impaired skin function has been well-described and often underlies the so-called ‘vicious cycle’ that exists between skin and negative emotional states," he said.
Dr. Fried proposed three broad categories of ‘psychocutaneous’ patients. First, there are individuals with skin manifestations associated a psychiatric diagnosis such as depression, anxiety, or body dysmorphic disorder.
The second category includes patients with psych-derm conditions such as acne excoriée, neurotic excoriations, dermatitis artefacta, and trichotillomania. The third category covers patients with common skin conditions such as acne, rosacea, psoriasis, eczema, and urticaria that are known to be impacted by emotional factors.
Dr. Fried suggested that even patients dealing with the dermatologic effects of aging may be at risk for negative emotional sequelae and may benefit from nonpharmacologic interventions.
Hypnosis is one intervention that has been shown to benefit some patients. For example, long-lasting effects of hypnosis (particularly in highly hypnotizable patients) may include reduced scratching in eczema, and can aid resolution of acne excoriée.
"Recent studies in patients with alopecia areata (including several with ophiasis distribution) demonstrated that hypnosis promotes excellent regrowth in approximately 50% of treated patients and improvements in depression and anxiety in almost all patients," Dr. Fried reported.
Cognitive-behavioral psychotherapy is one of several common psychotherapy interventions used to treat the psychological aspects of skin disorders. Data from a 6-week study of cognitive-behavioral therapy in psoriasis patients showed improvements in anxiety, depression, and psoriasis-related stress, compared with patients who didn’t receive the therapy. In addition, the psychotherapy intervention group showed three times the clinical improvement, compared those undergoing conventional treatment without therapy.
Group psychotherapy has also been associated with symptom reduction, decreased pruritus, fewer eczema relapses, and decreased steroid use in patients with eczema who used it to supplement to their regular medication.
But nonpharmacologic interventions can also be practiced in a less formal manner by dermatologists themselves, Dr. Fried said.
"The power to heal by words, manner, and touch cannot be overstated. Gentle, compassionate, and optimistic comments and gestures can affect the physiology, emotional well-being, and compliance of our patients," he said.
Dr. Fried said referral to a psychodermatologist or mental health professional with an interest in dermatologic manifestations may help some patients, but sometimes treatment can be as simple as a patient’s regular dermatologist offering reassuring words to, "assuage some of the ‘terror of chronicity and progression’ that haunts our patients," he said.
Dr. Fried stated that he has received compensation for the development of educational papers from Ranbaxy, Bayer, Valeant, and Promius.
April 28, 2013- “Hypnosis seems helpful in treating addictions and the depression and anxiety associated with them”-
Hypnosis and hypnotherapy has been rooted in science with evidence based results reported for many years. Although the American Medical Association (AMA) currently has no clear position on the effectiveness of hypnosis and hypnotherapy, in 1958, the AMA reported hypnotherapy has a recognized place in the medical armamentarium and is a useful technique in the treatment of certain illnesses.
Hypnotherapy is considered an effective adjunct in psychotherapy for many issues, and more are being studied. On its own, hypnotherapy is reported to be beneficial: In 2001, the British Psychological Society commissioned a group of expert psychologists and published a report that declared hypnosis a proven therapeutic medium and valid for study.
The report went on to say hypnotherapy is beneficial for a wide range of issues encountered in medicine, psychology and psychiatry with regard to stress, anxiety, pain, and psychosomatic illnesses. Some illnesses described are insomnia, irritable bowel syndrome, headaches and migraines, asthma and a variety of skin maladies. Weight reduction was also cited as benefiting from hypnotherapy.
A comparison study reported in 2007 by American Health Magazine indicates some psychological issues benefit more from hypnotherapy than psychoanalysis and behavior therapy. A German university meta-analysis of 444 studies supported this claim, concluding a 64 percent success rate with hypnotherapy for stress, anxiety and chronic pain.
According to Sanjay Paul, A psychology instructor at several universities, hypnosis is a heightened sense of suggestibility for accessing the subconscious mind which is responsible for up to 90 to 95 percent of our thoughts and actions. No one can be made to do anything they do not wish to under hypnosis. That old, inaccurate reputation stems from night club acts.
Paul goes on to say hypnosis can provide lasting change by “cleaning the bottom of the mental fish tank” and it is the sub-conscious that helps to maintain ones self-image and record all memory via sensor input as a 24 hour mental tape recorder.
Read more: http://communities.washingtontimes.com/neighborhood/steps-authentic-happiness-positive-psychology/2013/may/2/does-hypnotherapy-work-science-says-yes/#ixzz2SjLP1yZ2
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Rosario Dawson revealed tonight she is a convert to hypnotherapy after trying it for new film Trance.
The Sin City
star looked entrancing on the red carpet in a glittering red gown by British designer Jenny Packham, at the premiere of Danny Boyle's new thriller in London's Leicester Square.
Dawson's co-stars Vincent Cassel and James McAvoy both claimed they had tried hypnosis as research for the film, but it hadn't worked.
And Boyle said he didn't even try it because "directors are control freaks and I don't think they ever relax enough to be a useful subject for a hypnotist".
But Dawson, who plays a hypnotherapist in the film, said: "I think it works actually, quite well. I didn't have anything like cigarettes to quit or anything like that.
"But I remember I went in and gave her an idea of what I wanted to work on in the session. And I laid down and she put a blanket over me because when you go into a trance state it's sort of like being in between sleep and awake, so your body thinks it's falling asleep. So I got cold and then I relaxed and I went along with her voice and it was really comforting. My body did those little spasms that it does when you're falling asleep.
"And then I woke up and she said 'I know you said you wanted to work on this, but you reacted to this, this and this.' And I was like, 'How can you know all that?!' And she said my foot was kicking when she asked me about a certain thing.
"So it's actually quite interesting that your conscience will reveal itself, and if you're trained to read that, people give a lot of tells. It's almost like poker. We think we're hiding things, but we're not.
"So it was really great for me to experience that, because the premise of the film is that hypnotherapy works on such a strong level.
"So it was really necessary for me to believe that, and having been through that I gained a lot of respect for the profession, I have to say."
McAvoy plays a fine art auctioneer who gets mixed up with a criminal gang, headed by Cassel's character, who join forces with a hypnotherapist played by Dawson to try to recover a lost painting.
Dawson and Boyle were rumoured to be dating after working on the film, and she was his guest at the Olympic Opening Ceremony. But it was revealed earlier this month that they have split.
Boyle insisted they all became friends off camera.
He said: "With a three-hander like this, casting was absolutely everything and we were lucky to be able to attract Vincent Cassel, James McAvoy and Rosario Dawson to play the three parts.
"And they were great friends off camera.
"On camera you get the natural competitive instinct of actors to say, 'This film is about me'. And they do battle in a way."Find more about how
Rosario Dawson was converted to hypnotherapy The Independent
The definition of the word happiness is as "Happiness is a state of well-being characterized by emotions ranging from contentment to intense joy".
Very often we forget what we have and we just concentrate on things we don't have. We also fail to realise what we want is not necessarily what we need.
We think we need the latest gadgets, luxury goods etc to feel happy but do we really need this or can you live without them if you had to?
The poster puts things into perspective. Most of us in the western world have all the necessities which are food, clothes and a home but instead we still feel poor. Just because we focus on the things we think we should have rather than what we have and really need to have to live.
Remember happiness comes within, you can be a millionaire and be seriously unhappy and suicidal. Money it self does not bring happiness. It is your response to someone and something which makes you happy. Nobody and nothing can make you feel happy but you.
Hypnosis has always been surrounded by an air of scepticism but recently people’s opinions have started to change, as Professor Peter W Halligan, of Cardiff University’s School of Psychology, explains
HYPNOSIS uses the powerful effects of suggestion to produce and modify a wide range of compelling experiences and clinical symptoms.
With its origins in Mesmerism, and later associations with mysticism, quackery, literary fiction and stage entertainment, it is understandable that formal research involving hypnosis was not always been valued or believed by mainstream science. This however, is changing.
Recently, hypnosis has begun to attract renewed interest from cognitive and social neuroscientists interested in using hypnosis and the striking effects of hypnotic suggestion to test predictions about normal psychological functions but also to explore how simulating symptoms from clinical conditions using hypnosis may help better understand the responsible brain systems involved.
Common misconceptions about hypnosis include the belief that hypnosis is a form of sleep or that many of the striking effects produced by targeted suggestions can only be generated in hypnosis.
In fact, studies have shown that responses to the same suggestions with and without a hypnotic induction can be very similar and that difference between the two conditions is small.
Participants in hypnosis studies typically describe the perceptual and behavioural changes experienced in response to suggestion as “real” and beyond their voluntary control. They also report these experiences as not imaginary and not simple compliance with what they think the experimenter wants to hear or had suggested.
Understandably, scepticism remains regarding the credibility of these first person reports, however, several recent studies have provided persuasive evidence for the objective “reality” of hypnotic experience, using targeted suggestions that disrupt automatic, unconscious processes over which participants are thought to have little or no control.
Many but not all people are responsive to hypnotic suggestion but only a minority are strongly responsive – which makes them good subjects for research studies.
Subjects who are highly hypnotisable are capable of experiencing short-term amnesia or fleeting hallucinations.
Under hypnosis, many of these are capable of being convinced that their limbs feel heavier, or experiencing temporary changes in their ability to make movements.
One of the particular conditions that colleagues and I have found very informative is psychogenic paralysis – sometimes described as hysterical motor conversion. This is a debilitating condition where despite not having evidence of brain damage, patients are unable to move their limbs. Patients with similar “functional” or “psychogenic” conversion disorders can comprise between 30 and 40% of patients attending neurology outpatient clinics and place a huge strain on public health services.
Using neuroimaging and other methods, my colleagues and I have demonstrated the involvement of distinctive brain regions in highly hypnotizable individuals who experienced paralysis-like experiences, which could be turned “on” and “off”.
When compared to the actual movements of the limb, the suggested paralysis condition revealed increased activity in brain regions know to be active during motor planning and intention to move – and also brain areas involved in response selection and inhibition.
Comparing symptoms conveyed by conversion disorder patients and those produced by “paralysis” suggestions in hypnosis, also revealed similar patterns of brain activation associated with attempted movement of the affected limb. Collectively these findings could inform future studies of the brain mechanisms underpinning limb paralysis in patients with conversion disorders and could inform effective treatments.
Far from being a mystical process, the neuropsychological exploration of hypnotic suggestion has begun to highlight the importance of the often neglected process of suggestionability. The psychological disposition to respond to suggestion (for example, placebo) is universal and remains one of the most remarkable but least researched psychological processes involving human behaviour and consciousness.
Read more: Wales Online http://www.walesonline.co.uk/news/health-news/2013/03/18/hypnosis-has-a-lot-to-offer-patients-says-professor-of-psychology-91466-33008108/#ixzz2NujDBjxt
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