KARL NAINANI Psychotherapy & Clinical Hypnotherapy

    Services offered:    

    About me

    I am a Psychotherapist & Clinical Hypnotherapist working with adolescents and adults, generally around trauma, anxiety, and eating disorders.

    Please note that I am not presently taking on new patients.

    Trauma: those who have had traumatic experiences including rape, childhood and adult sexual and/or physical abuse, and working with those suffering from PTSD, C-PTSD, and Dissociative Identity Disorder.

    Anxiety: those suffering from anxiety, social anxiety and panic attacks.

    Eating disorders: those who are are trying to overcome eating disorders such as anorexia* and bulimia nervosa. 

    Confidence & Self-improvement: those who wish to utlise hypnotherapy to stop smoking, build confidence, develop focus, lose weight, overcome exam nerves. 

    As a niche area of my practice, I work with adult children of narcissistic or borderline personality disorder parents and those who suffer from the effects of parental alienation by a high conflict parent. I help people who grew up in such family systems reclaim their lives, confidence and find the role that's right for them in life, not the role prescribed by their narcissistic parent and help bring them out of the FOG (fear, obligation and guilt).

    Q & A about hypnosis from your perspective:

    Q. Why do you use a hypnotherapeutic approach?
    A. I find it highly effective at changing behaviors and beliefs. A very typical comment that I receive from patients is how quickly they have seen their lives change and how effective and efficient treatment has been. Working at a trance level, where people are highly suggestive, very relaxed and have ease of access to their memory, it makes it very easy to identify where behaviors and beliefs began and to change them. Quite a few of my patients came to see me after spending years in talk therapy, sometimes spanning several therapists. It is quite common for them to tell me that within a few months of hypnotherapy, they have achieved much more progress than years of talk therapy. One of the reason is because there are little to no conscious filters/walls, so work is done directly with the subconscious level of the mind. The subconscious mind is our deeper inner thinking is where our behaviors, reflexes / responses and choices in life come from. That's where we work. It is quite common for me to get messages and calls from patients well over a year after therapy where they tell me all the amazing changes in their lives and how things have changed since all the things that were holding them down and holding them back are resolved. The changes are powerful.

    Q. Will I do something against my will when I am hypnotized?
    A. Hypnosis induced trance is much like day dreaming. If I were to say something that "shocks your conscious mind", you will pop right out of trance. In stage hypnosis, you may have seen people standing on top of tables, dancing and thinking they are chickens. They entered hypnosis knowing that they would be up to having a bit of fun, and therefore were in the mindset of allowing such activities to happen. When patients ask for personal changes, they are thus open to allow those changes to happen.

    Q. If our internet connection goes out, will I be stuck in hypnosis?
    A. You will essentially feel quite relaxed and perhaps dreamy and after a short while of noticing that you don't hear me, will come out of a hypnotic trance. Again, think of the trance state to be much like day dreaming. It's a wonderfully relaxed state, where your are highly open to suggestions, your mind is in a very creative state. You are essentially in the best state for learning and changing behaviors. 

    Q. Why a trance state?
    A. When the mind is very relaxed, it goes into a reprogramming state. It's a highly creative state where you are very suggestible. It is thus easy to use metaphors and direct suggestions to help change your behaviors and beliefs, while making it extremely easy for you to access your memories, where needed. It's also in this state where it's easy to break cycles, such as those seen in panic disorder and anxiety.

    Q. If hypnotherapy is such a powerful intervention, why are there so few Clinical Hypnotherapists?
    A. Very few universities have Master level degrees in Clinical Hypnosis. Generally, hypnotherapy is taught high level and theoretically at best through degrees in both psychotherapy and psychology. In order to be a competent clinical hypnotherapist, one needs to have a strong background in various therapy types, such as cognitive behavioral therapy, psychoanalytic therapy, among others. Further, effective hypnotherapy at a clinical level involves years of formal studies and hands on training; a very creative mind that can come up with metaphors; a style that works and is unique; be very intuitive and in tune with how the patient is thinking and feeling. It's certainly not for every therapist and demands a lot of extra work around this specific skill set, and effort, where the value derived can never really be charged. 

    Q. Any tips?
    A. Yes! Hypnotherapy works best when sessions are almost one and a half hours long (essentially 2 sessions at a time) and where the patient can attend every two to three days. While most goals which patients come to see me are worked out within six to twelve sessions, some discuss more and start to perfect themselves and tend to find that this works best for them as they are able to work out their goals sooner than later. This approach is certainly the most optimum and tends to work out incredibly well; however, traditional once a week for an hour works but does take quite a bit longer to achieve therapeutic goals.

    Q. What about research as to the efficiency of a Clinical Hypnotherapist?
    A. The table below and often quoted study by Dr. Alfred Barrios compares Hypnotherapy with Psychoanalysis and Behavioral Therapy. Dr. Barrios took into consideration 1,018 articles dealing with hypnosis; 899 articles on psychoanalytic therapy; and 355 articles on behavioral therapy. The results were impressive for those possessing the education, training, skill and art of Clinical Hypnotherapy. See the table above for the results.

    No. of Sessions..
    Hypnotherapy vs Psychoanalysis vs Behavioural Therapy

    Therapy                             Recovery Rate       No. of Sessions 

    Psychoanalysis                           38%                   600  

    Wolpian (Behavioural) Therapy   72%                      22

    Hypnotherapy                           93%                        6 

    Source:  Barrios, A. Hypnotherapy, A Reappraisal. Psychotherapy: Theory, Research and Practice, Spring Issue.

    To give an example of research as to the efficiency of hypnosis in general, let's look at two of the ever so popular subjects for hypnosis -- smoking sensation and weight loss (likewise,anxiety, social phobia, panic attacks, PTSD, confidence, and more more!):

    90.6% Success Rate for Smoking Cessation Using Hypnosis
    Of 43 consecutive patients undergoing this treatment protocol, 39 reported remaining abstinent from tobacco use at follow-up (6 months to 3 years post-treatment). This represents a 90.6% success rate using hypnosis. 
    Source: University of Washington School of Medicine, Depts. of Anesthesiology and Rehabilitation Medicine, Int J Clin Exp Hypn. 2001 Jul;49(3):257-66. Barber J.

    Hypnosis Most Effective Says Largest Study Ever: 3 Times as Effective as Patch and 15 Times as Effective as Willpower
    Hypnosis is the most effective way of giving up smoking, according to the largest ever scientific comparison of ways of breaking the habit. A meta-analysis, statistically combining results of more than 600 studies of 72,000 people from America and Europe to compare various methods of quitting. On average, hypnosis was over three times as effective as nicotine replacement methods and 15 times as effective as trying to quit alone.
    Source: University of Iowa, Journal of Applied Psychology, How One in Five Give Up Smoking. October 1992.

    Hypnosis Over 30 Times as Effective for Weight Loss
    Investigated the effects of hypnosis in weight loss for 60 females, at least 20% overweight. Treatment included group hypnosis with metaphors for ego-strengthening, decision making and motivation, ideomotor exploration in individual hypnosis, and group hypnosis with maintenance suggestions. Hypnosis was more effective than a control group: an average of 17 lbs lost by the hypnosis group vs. an average of 0.5 lbs lost by the control group, on follow-up.
    Source: Cochrane, Gordon; Friesen, J. (1986). Hypnotherapy in weight loss treatment. Journal of Consulting and Clinical Psychology, 54, 489-492.

    Two Years Later: Hypnosis Subjects Continued To Lose Significant Weight
    109 people completed a behavioral treatment for weight management either with or without the addition of hypnosis. At the end of the 9-week program, both interventions resulted in significant weight reduction. At 8-month and 2-year follow-ups, the hypnosis subjects were found to have continued to lose significant weight, while those in the behavioral-treatment-only group showed little further change.
    Source: Journal of Consulting and Clinical Psychology (1985)

    Hypnosis Subjects Lost More Weight Than 90% of Others and Kept it Off
    Researchers analyzed 18 studies comparing a cognitive behavioral therapy such as relaxation training, guided imagery, self monitoring, or goal setting with the same therapy supplemented by hypnosis. Those who received the hypnosis lost more weight than 90 percent of those not receiving hypnosis and maintained the weight loss two years after treatment ended.
    Source: University of Connecticut, Storrs Allison DB, Faith MS. Hypnosis as an adjunct to cognitive-behavioral psychotherapy for obesity: a meta-analytic reappraisal. J Consult Clin Psychol. 1996;64(3):513-516.

    Hypnosis More Than Doubled Average Weight Loss
    Study of the effect of adding hypnosis to cognitive-behavioral treatments for weight reduction, additional data were obtained from authors of two studies. Analyses indicated that the benefits of hypnosis increased substantially over time. 
    Source: Kirsch, Irving (1996). Hypnotic enhancement of cognitive-behavioral weight loss treatments--Another meta-reanalysis. Journal of Consulting and Clinical Psychology, 64 (3), 517-519.

    Hypnosis Showed Significantly Lower Post-Treatment Weights
    Two studies compared overweight smoking and non-smoking adult women in an hypnosis-based, weight-loss program. Both achieved significant weight losses and decreases in Body Mass Index. Follow-up study replicated significant weight losses and declines in Body Mass Index. The overt aversion and hypnosis program yielded significantly lower post-treatment weights and a greater average number of pounds lost.
    Source: Weight loss for women: studies of smokers and nonsmokers using hypnosis and multi-component treatments with and without overt aversion. Johnson DL, Psychology Reprints. 1997 Jun;80(3 Pt 1):931-3.

    Hypnosis can more than double the effects of traditional weight loss approaches
    An analysis of five weight loss studies reported in the Journal of Consulting and Clinical Psychology in 1996 showed that the "… weight loss reported in the five studies indicates that hypnosis can more than double the effects" of traditional weight loss approaches.
    Source: University of Connecticut, Journal of Consulting and Clinical Psychology in 1996 (Vol. 64, No. 3, pgs 517-519).

    Weight loss is greater where hypnosis is utilized
    Research into cognitive-behavioral weight loss treatments established that weight loss is greater where hypnosis is utilized. It was also established that the benefits of hypnosis increase over time.
    Source:  Journal of Consulting and Clinical Psychology (1996)

    Hypnotherapeutic interventions are utilised for patients presenting with the following issues where hypnosis has been shown to be quite beneficial:

    • Anorexia*
    • Binge eating
    • Habit breaking, such as smoking and nail biting
    • Skin problems, such as psoriasis
    • Panic attacks
    • Phobias
    • Social phobias
    • Exam nerves
    • Irritable Bowel Syndrome (IBS)
    • Blushing
    • Bruxism (grinding teeth)
    • Obsessive compulsive disorders (OCD)
    • Insomnia
    • Psychosexual issues and sexual performance enhancement
    • Post Traumatic Stress Disorder (PTSD)
    • Paruresis: Shy Bladder Syndrome (SBS)
    • Weight loss
    EMDR is usually utilised for patients presenting with issues following trauma, sexual and physical abuse, rape, PTSD and C-PTSD.

    *when working with those suffering anorexia nervosa I work with those who are in regular contact with their GP and/or refer them to their GP for a medical evaluation. I will inform your GP that I am working with you and may be in frequent contact with your GP.

    If you are interested in understanding how hypnotherapeutic interventions are applied in therapy, please have a read case study that I published about an A Levels patient that had performance anxiety around school exams: Case Study I - Hypnotherapeutic Treatment of Performance Anxiety or my other published article: Hypnotherapeutic Treatment of Anxiety: Eclectic & Pluralistic Approach.

    I am happy to offer reduced fees for those who are having financial difficulties, students and/or require longer-term treatment. Please call +353 871026522 to discuss a reduced fee.

    I am registered practitioner / member with the following::

    British Society of Clinical Hypnosis (BSCH)

    Clinical Hypnotherapy & Psychotherapy Association (CHPA)

    Complimentary & Natural Healthcare Council. CNHC's register (Accredited Register by the UK Professional Standards Authority for Health and Social Care)

    As a an expert and thought leader in Clinical Hypnotherapy, I offer highly effective methods of helping people achieve their goals. On-line therapy is an excellent way for those who are not available to attend session in person. However, I am also available to visit patients who are in institutions and hospitals, such as those working though anorexia and dissociative identity disorder and typically work as part of the care team, along with special consultants. Travel costs can be negotiated.

    For those looking for smoking cessation or weight loss, please book an initial block of three sessions in a row as this will require about two and a half hours of work within a trance state for the first session. There is an option to purchase 3 sessions for £250, for this very purpose.

    For those under 16,  before starting any therapy, I will require your parent/guardian's consent to do so. Therefore, please have them ring me on my Irish number at: +353 871026522 for the following purposes 1) ask for their consent to provide therapy 2) ensure your parent's/guardian's commitment to provide you access to therapy from start through achieving your goals; 3) to form an agreement and understanding that they will only require simple status on improvement and that they will agree to me (and my associates, where applicable) withholding specific information and details discussed during therapy as it is generally beneficial that you can have a level of confidentiality during therapy. 

    Outside of life of being a therapist, I am a Trustee of Time4, a UK registered charity that is involved with early intervention for youth in crisis as well as providing Mindfulness training to students and teachers in schools in Surrey. I am also one of the founding board members of Dinit, an Irish not for profit that is providing help on national issues, such as homelessness and provides emergency logistics relief to areas of crisis and conflict abroad.

    I look forward helping you achieve your goals, whether they are overcoming the things that may have held you down and held you back; or moving on from less than perfect experiences in your life. I truly enjoy seeing my patients transform and live their potential. It's the most wonderful gift of being a therapist.

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