What it is
Clinical hypnosis for vasomotor symptoms is a therapist-guided mind-body therapy that uses a deeply relaxed state, individualized mental imagery, and suggestion to reduce hot flash frequency and severity. It is also used for other chronic symptoms such as pain and anxiety. It is not the same as stage hypnosis. It is a structured clinical intervention supported by randomized controlled trials.
How well it works
In the Elkins 2013 RCT of 187 postmenopausal women, clinical hypnosis reduced hot flash scores by 80% at 12 weeks, compared to 15% in a structured-attention control group. The NAMS 2023 position statement lists it as a Level I recommendation.
Side effects and cautions
No adverse events, side effects, or unintended effects from hypnosis were reported in the Elkins trial. The trial excluded women with a history of psychosis, borderline personality disorder, or serious psychopathology, which the authors describe as contraindications for clinical hypnosis.
Where to get it
In the Elkins trial, the program ran five weekly sessions of about 45 minutes with a therapist trained in clinical hypnosis, plus daily self-hypnosis practice at home with an audio recording. NAMS notes that the program can also be accessed through a smartphone app. Check our provider directory for clinics near you.
