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Clinical Hypnosis vs SSRIs for Hot Flashes

A side-by-side comparison of two menopause relief methods — efficacy, cost, how they work, and who shouldn't use them.

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Side-by-side comparison

  • Clinical Hypnosis A therapist-guided technique using relaxation, mental imagery, and suggestion to reduce hot flash frequency and severity.
  • SSRIs for Hot Flashes A low-dose SSRI (paroxetine 7.5 mg) approved by the FDA for moderate-to-severe hot flashes.
Method
Clinical Hypnosis A therapist-guided technique using relaxation, mental imagery, and suggestion to reduce hot flash frequency and severity.
SSRIs for Hot Flashes A low-dose SSRI (paroxetine 7.5 mg) approved by the FDA for moderate-to-severe hot flashes.
EfficacyClinical Hypnosis Recommended

Recommended by the Menopause Society for symptom relief.

Trial average: 80% reduction in hot flash score, across the whole group (not a share of people).

SSRIs for Hot Flashes Recommended

Recommended by the Menopause Society for symptom relief.

CostClinical Hypnosis Contact provider Insurance: VariesSSRIs for Hot Flashes $69–$200 monthly Insurance: Varies
DurationClinical Hypnosis 5 weekly sessions (about 45 minutes each)SSRIs for Hot Flashes Daily pill (ongoing)
ReversibilityClinical Hypnosis ReversibleSSRIs for Hot Flashes Reversible
STI protectionClinical Hypnosis NoSSRIs for Hot Flashes No
How it worksClinical Hypnosis

Clinical hypnosis uses a deeply relaxed state, mental imagery, and suggestion, such as imagery of coolness, to reduce hot flashes. The exact mechanism is unknown; one hypothesis is that regular practice improves parasympathetic tone, part of the autonomic nervous system.

SSRIs for Hot Flashes

Low-dose paroxetine is a selective serotonin reuptake inhibitor (SSRI) that blocks the reuptake of serotonin. How it reduces hot flash frequency and severity is not known.

PrescriptionClinical Hypnosis Not required Professional ServiceSSRIs for Hot Flashes Required Telehealth Prescription
Side effectsClinical Hypnosis
  • None reported in trials
SSRIs for Hot Flashes
  • Nausea
  • Headache
  • Fatigue or malaise
Who shouldn't use thisClinical Hypnosis None reportedSSRIs for Hot Flashes
  • Current or recent MAOI use (within 14 days)
  • Concomitant thioridazine or pimozide
  • Pregnancy
  • Hypersensitivity to paroxetine or any ingredient

Key differences

The Menopause Society rates both recommended. How long it lasts: Clinical Hypnosis, 5 weekly sessions (about 45 minutes each); SSRIs for Hot Flashes, daily pill (ongoing). A prescription is needed for SSRIs for Hot Flashes, not for Clinical Hypnosis. Clinical Hypnosis: Contact provider. SSRIs for Hot Flashes: costs $69–$200 monthly.