Wednesday, 29 March 2017

Epilepsy and Hypnosis/Hypnotherapy

I have noticed that hypnotherapists tend to worry a lot about epilepsy and a question that gets raised quite often on forums takes the form of, "I have a client coming with problem X, who also has epilepsy, is it safe to work with them?"

Not an unreasonable question.

Now, I've seen rather a lot of epilepsy in my time working as a nurse - both in Accident and emergency and in Neurology/Neurosurgery. In the neuro departments, epileptic seizures are something the staff become very used to dealing with, ranging from "pseudo-seizures" through to full blown "grand mal" seizures.

I'll write more about this shortly. But first I want to look a little at why it is that hypnotherapists are overly sensitive to epilepsy. After all, I rarely see any concerns expressed about hypnosis and diabetes, and realistically an underlying diabetes is much more likely to cause problems than an underlying seizure problem.

It's all about culturally bound anxieties. In Britain, less so these days, a common concern around children is "appendicitis" - it is one of our enduring worries every time a child got a stomach ache. It is actually quite rare, but regardless I can recall being warned extensively about the perils of an inflamed appendix in classes at junior school, and the endless stream of worried parents bringing their children into A&E with the immortal words, "I think he has a suspected appendicitis, doctor!"

But meanwhile, people here in the UK rarely suffer, "hypoglycaemia" as a condition. At least not yet, although this trend is increasing, nor do we yet suffer systemic yeast/candida infections, as people do in the USA.

I was told last year that systemic candida infection has reached epidemic proportions over there, although I think this most unlikely.Victorian Britain was somewhat worried about its bowels and the state of the nation depended very much upon its collective movements and flow. The Chinese concern themselves with Chi and in parts of Africa and Asia, penis function and penis health is of the highest cultural importance with the inevitable mass "penis panics" occurring periodically.As a subculture, hypnotherapists tend worry about epilepsy.

I don't really know why, they just do. I think there is still a residual fear in the condition itself that lies subtly in the cultural background. Afterall, it wasn't so long ago that epileptics were kept away from the normal folks as they were all potential maniacs who would attack the nice people and corrupt the masses.

This social role was soon replaced by the "dope fiend" but that didn't stop epileptics being relegated to special schools and mental hospitals to keep the rest of us safe from their strangeness.

That prejudice is much less these days, but cultural beliefs and understandings take a long time to change.So for me, the question is, "does hypnosis cause epilepsy?"

The answer is, of course, yes. And no.

Some individuals will only convulse in a certain state, like agitation, or sleep, whilst others just convulse regardless of their "state."

But does hypnosis cause epilepsy. Well, no, of course it does, but it might be a trigger. Unlikely, but it is possible. A meteorite might crash through the roof and kill you too. Possible, but unlikely.The real issue is not so much, "will my work with this client cause them to have a seizure?" (if you really think you are going to cause a seizure in your client...err...might I suggest you seriously rethink what you are doing!) but rather, "if they should have a seizure, what am I going to do?" It all comes down to standard risk assessment and protocols.

For example, see enough people with problems and eventually at least one of the following will happen: sudden death, heart attack, diabetic collapse, asthma attack (the most likely, I think), hysterical freakout with self-harm and so forth.I think it a mistake to think just in terms of, "What if they have a seizure?" - but rather, "What if there is a medical emergency, what shall I do?"

Well, the answer is simply, "Deal with it!" And if a therapist does not know how, well, then they can find out.

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