Evidence-based cognitive hypnotherapy for depression

Clinical depression is one of the most common psychiatric disorders treated by psychiatrists and psychotherapists. It also poses special problems to therapists as it is a complex disorder that affects the whole person – emotions, bodily functions, behaviours and thoughts. Although depression is treated successfully with antidepressant medication and psychotherapy, a significant number of depressives do not respond to either medication or existing psychotherapies. It is thus important for clinicians to continue to develop more effective treatments for depression. This article describes Cognitive Hypnotherapy (CH), an evidence-based multimodal treatment for depression, which can be applied to a wide range of patients with depression. The components of CH are described in sufficient detail to allow for their replication and validation. Moreover, CH for depression provides a template for studying the additive effect of hypnosis as an adjunctive treatment with other medical and psychological disorders. Although this article emphasizes evidence-based practice, this approach should not limit the scope of therapists' creativity in the application of hypnosis to the management of depression. Copyright © 2009 British Society of Experimental & Clinical Hypnosis. Published by John Wiley & Sons, Ltd.