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International Handbook of Clinical Hypnosis - E-Lib FK UWKS

International Handbook of Clinical Hypnosis - E-Lib FK UWKS

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CLINICAL HYPNOSIS WITH CHILDREN 319<br />

preferred to not use any medicine. Typical for migraine, Barry's headaches<br />

occurred in the forehead, <strong>of</strong>ten beginning unilaterally and `sometimes ocular'.<br />

Sonophobic and photophobic during a headache, he noted triggers to include<br />

bright lights like the computer or TV, stress like an upcoming test in school,<br />

and <strong>of</strong> being `very small and getting shoved and jostled a bit.' Barry<br />

described fatigue and loss <strong>of</strong> appetite in association with his headaches. Most<br />

headaches lasted 1±2 hours, though some had lasted an entire day. He<br />

reported daily headaches, particularly over the past month with half being<br />

`regular' ones and half being `migraines'.<br />

The idea <strong>of</strong> a headache ruler from 0 to 12 was introduced. Barry caught on<br />

quickly and said `usually it's a 3 or 4 ...without Ibupr<strong>of</strong>en the highest will be 9,<br />

highest ever was a 10 or 11 and usually it has to be 6 before I take the medicine.<br />

It gets the headache to go `down to like 2 or 1 or 0'. He says he can be his<br />

regular self when it's at 1±2. Barry's goal was to get the headache down `under<br />

2, maybe to 1.75'.<br />

Barry also had respiratory allergies since age 6, short stature smallest in his<br />

junior high 7th grade), and a history <strong>of</strong> sleepwalking, having once been<br />

discovered trying to leave the house in the middle <strong>of</strong> the night.<br />

At the second visit Barry's calendar showed headaches most days in the<br />

previous 2 weeks, with self-ratings as high as `7'. He and his family watched a<br />

video <strong>of</strong> other children learning self-hypnosis. he was taught a self-hypnosis<br />

exercise focusing on favourite place imagery, progressive relaxation, and<br />

imagining the headache `ruler' in his mind, adjusting it whatever way he<br />

decided. Stories were told <strong>of</strong> other children who adjusted their rulers, for<br />

example, `I knew this 7-year-old girl who had tummy aches, and every time<br />

she had one she'd picture an elevator in her mind and whatever the tummy ache<br />

was on, she'd be on that ¯oor ...so if it was a 4 she'd picture herself on the<br />

fourth ¯oor, and she'd reach over and push the elevator button to ride<br />

...down ...to 3 ...the light would go <strong>of</strong>f at 4 and on at 3 ...then <strong>of</strong>f at 3<br />

on at 2 ... that's right. Then 1 and then 0 and when she got <strong>of</strong>f the elevator her<br />

tummy ache was gone. There was this 11-year-old boy who had headaches, he<br />

pictured himself travelling around his own body, made his way to the main<br />

computer called the brain, found the switch for headaches, and turned<br />

...it ...down ...I don't know what ways you'll discover, but you will ...'<br />

He was taught self-hypnosis during this ®rst experience and agreed to practise<br />

daily.<br />

At the third visit 2 weeks later, Barry proudly reported daily self-hypnosis<br />

practice at bedtime, and only three headaches in the preceding 2 weeks. At<br />

the fourth visit 2 weeks later he reported two headaches which `I got rid <strong>of</strong> in<br />

5 minutes with my self-hypnosis.' Barry's mother was thrilled to note the<br />

startling difference in him, noting not only absence <strong>of</strong> headaches, but that he<br />

was no longer coming home from school exhausted, and overall seemed much<br />

happier.

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