South Windsor + Rocky Hill
Clinical Hypnosis

Harness the healing power of your own mind.

Provided by 4 Elements Direct Primary Care LLC

Clinical hypnosis is a scientifically validated, evidence-based therapeutic technique that uses focused attention and guided suggestion to help your mind and body heal — reducing pain, easing anxiety, improving gut health, and supporting recovery without medication.

Chronic & acute pain management
Anxiety & procedural stress
IBS & gut-directed therapy
Cancer-related symptom relief
Sleep & fatigue improvement
Evidence-based & clinically studied
Your Clinical Hypnosis Practitioner
Deb Maccarone
Certified Clinical Hypnosis Practitioner
"Clinical hypnosis isn't about control or performance — it's about helping you access the remarkable capacity your own mind already has to heal, regulate, and restore."

Deb brings a compassionate, clinically grounded approach to hypnosis — drawing on the growing body of research supporting its use for pain, anxiety, gut health, and recovery. Every session is personalized to your specific needs and goals, in a safe and supportive environment.

Working within the 4 Elements wellness team, Deb collaborates with physicians and health coaches to ensure your hypnosis sessions complement and support your overall care plan.

Clinical Applications

Where clinical hypnosis makes a measurable difference.

An umbrella review of 49 meta-analyses found that over 54% of reported effect sizes were medium or large — with the strongest results in pain, procedural settings, and pediatric populations.

🩹

Chronic Pain Management

A meta-analysis of 530 patients with chronic musculoskeletal and neuropathic pain found moderate reductions in pain intensity and interference — with a clear dose-response: 8 or more sessions produced significantly larger effects than fewer sessions.

🏥

Procedural & Surgical Anxiety

The most robustly studied application. A 2025 meta-analysis of 20 RCTs found significant reductions in anxiety during invasive medical procedures. An earlier meta-analysis of 34 RCTs found positive effects on pain, emotional distress, medication use, and recovery time.

🫁

Irritable Bowel Syndrome (IBS)

Gut-directed hypnotherapy (GDH) is one of the best-established applications in all of mind-body medicine — with systematic reviews confirming it is superior to control conditions, comparable to other psychological therapies, and produces long-lasting symptom improvements.

🎗️

Cancer-Related Care

An RCT of 109 cancer survivors found that hypnosis produced large reductions in chronic pain intensity, along with moderate improvements in fatigue and sleep disturbance. Evidence also supports its use for anxiety in breast cancer care and chemotherapy-related symptoms.

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Opioid & Medication Reduction

A JAMA Internal Medicine systematic review found hypnosis had a moderate association with pain reduction — and 63% of hypnosis studies reported significant improvements in opioid dose, desire for opioids, or time to first postoperative opioid use.

😴

Sleep, Fatigue & Stress

Hypnosis supports the nervous system's shift into parasympathetic rest — improving sleep quality, reducing fatigue, and lowering anxiety scores across a range of clinical settings, including cancer survivorship and intensive care environments.

Research & Evidence

Decades of research. A substantial evidence base.

Clinical hypnosis has a growing and rigorous body of evidence supporting its safety and efficacy across multiple medical domains — published in leading journals including JAMA, Critical Care, and Clinical Psychology Review.

54%

Of reported effect sizes in a 20-year umbrella review were medium or large (Cohen's d ≥ 0.5) across 49 meta-analyses and 261 RCTs [1]

34 RCTs

Found positive effects on pain, emotional distress, medication use, recovery time, and even procedure duration in surgical and procedural settings [3]

ICU patients receiving hypnosis were three times less likely to require additional lidocaine during unplanned invasive procedures (HYPIC Trial, 2025) [11]

🩹 Chronic Pain

Hedge's g = −0.42 pain intensity reduction

A meta-analysis of 9 RCTs (530 patients) with chronic musculoskeletal and neuropathic pain found a moderate decrease in pain intensity and pain interference. Sessions of 8 or more produced significantly larger effects (g = −0.555) compared to shorter courses (g = −0.299), suggesting a meaningful dose-response relationship. [5]

A JAMA Internal Medicine review found hypnosis had a moderate association with pain reduction (Cohen's d = −0.54), with 63% of studies reporting significant opioid-related improvements. [6]

🏥 Procedural & Surgical Settings

SMD = −0.43 anxiety reduction (2025)

A 2025 meta-analysis of 20 RCTs (1,250 patients) demonstrated significant reductions in procedural anxiety. An earlier analysis of 34 RCTs (2,597 patients) confirmed positive effects on emotional distress (g = 0.53), pain (g = 0.44), medication consumption (g = 0.38), and recovery (g = 0.25). [2][3]

The American College of Surgeons guidelines for acute pain management in trauma patients acknowledge RCT-level support for hypnosis in perioperative care, including burn patients. [4]

🫁 Irritable Bowel Syndrome (IBS)

Superior to controls in 8 RCTs, 464 patients

Gut-directed hypnotherapy (GDH) has one of the strongest evidence bases among mind-body interventions. Systematic reviews confirm it is safe, superior to control conditions (including education and support groups), and comparable to other psychological therapies for IBS — with long-lasting improvements maintained at follow-up. [7][8]

🎗️ Cancer & Survivorship

Cohen's d = 0.86 pain reduction

An RCT of 109 cancer survivors with chronic pain found large pre-to-post reductions in pain intensity (d = 0.86), with moderate improvements in fatigue (d = 0.47) and sleep disturbance (d = 0.54). [9]

The VA Evidence Synthesis Program identified positive effects of hypnotherapy on anxiety in cancer patients, breast cancer care, and obesity/weight management. [10]

🧠 ICU & Acute Care

HYPIC Trial — Multicenter RCT, 2025

A 2025 multicenter RCT (78 patients) in critically ill patients undergoing unplanned invasive procedures found that hypnosis significantly reduced patient anxiety (difference −1.7, p = 0.01), reduced nurse stress scores (p = 0.003), and patients were three times less likely to require additional lidocaine (OR 0.3, p = 0.02). [11]

✅ Safety Profile

No difference in adverse effects vs. controls

Across multiple meta-analyses — including the 2023 umbrella review of 49 meta-analyses and the 2025 procedural review — clinical hypnosis has consistently demonstrated a favorable safety profile with no significant differences in adverse effects compared to control conditions. It is non-pharmacological, non-invasive, and carries no risk of dependency. [1][2][8]

Important Context

Clinical hypnosis is a complement to — not a replacement for — conventional medical care.

The evidence base, while substantial, includes variable RCT quality. Challenges include difficulty blinding participants, heterogeneity in techniques, and inconsistent outcome measures. Approximately 18% of meta-analyses in the umbrella review were rated high methodological quality. Deb works as part of your care team — always in coordination with your physician.

  • Non-pharmacological — no drug interactions
  • Non-invasive — no physical risk
  • No adverse effects vs. controls across meta-analyses
  • Complementary to all existing medical treatment
  • Coordinated with your 4 Elements care team
Scientific References

Peer-reviewed research behind our practice.

The following citations underpin the clinical evidence presented on this page. All studies are published in peer-reviewed journals or issued by recognized medical bodies.

  1. 1
    Meta-Analytic Evidence on the Efficacy of Hypnosis for Mental and Somatic Health Issues: A 20-Year Perspective. Rosendahl J, Alldredge CT, Haddenhorst A. Frontiers in Psychology. 2023;14:1330238. doi:10.3389/fpsyg.2023.1330238
  2. 2
    Hypnosis as a Non-Pharmacological Intervention for Invasive Medical Procedures — A Systematic Review and Meta-Analytic Update. Walter N, Leyva MT, Hinterberger T, et al. Journal of Psychosomatic Research. 2025;192:112117. doi:10.1016/j.jpsychores.2025.112117
  3. 3
    Efficacy of Hypnosis in Adults Undergoing Surgery or Medical Procedures: A Meta-Analysis of Randomized Controlled Trials. Tefikow S, Barth J, Maichrowitz S, et al. Clinical Psychology Review. 2013;33(5):623–636. doi:10.1016/j.cpr.2013.03.005
  4. 4
    Best Practices Guidelines for Acute Pain Management in Trauma Patients. Bernard A, Oyler DR, Anglen JO, et al. American College of Surgeons. 2020.
  5. 5
    Hypnosis to Manage Musculoskeletal and Neuropathic Chronic Pain: A Systematic Review and Meta-Analysis. Langlois P, Perrochon A, David R, et al. Neuroscience and Biobehavioral Reviews. 2022;135:104591. doi:10.1016/j.neubiorev.2022.104591
  6. 6
    Mind-Body Therapies for Opioid-Treated Pain: A Systematic Review and Meta-Analysis. Garland EL, Brintz CE, Hanley AW, et al. JAMA Internal Medicine. 2020;180(1):91–105. doi:10.1001/jamainternmed.2019.4917
  7. 7
    The Effectiveness of Group and Self-Help Hypnotherapy for Irritable Bowel Syndrome and the Implications for Improving Patients' Choice and Access to Treatment. Gillan C. Alimentary Pharmacology & Therapeutics. 2021;54(11–12):1389–1404. doi:10.1111/apt.16623
  8. 8
    The Efficacy, Safety and Applications of Medical Hypnosis. Häuser W, Hagl M, Schmierer A, Hansen E. Deutsches Arzteblatt International. 2016;113(17):289–296. doi:10.3238/arztebl.2016.0289
  9. 9
    Hypnosis and Relaxation Interventions for Chronic Pain Management in Cancer Survivors: A Randomized Controlled Trial. Eaton LH, Jang MK, Jensen MP, et al. Supportive Care in Cancer. 2022;31(1):50. doi:10.1007/s00520-022-07498-1
  10. 10
    Behavioral Medicine Methods in Treatment of Somatic Conditions. Białkowska J, Juranek J, Wojtkiewicz J. BioMed Research International. 2020;2020:5076516. doi:10.1155/2020/5076516
  11. 11
    Hypnosis for Unplanned Procedural Pain in the Intensive Care Unit: The HYPIC Randomized Clinical Trial. Maamar A, Faleur C, Pedrono K, et al. Critical Care. 2025;29(1):312. doi:10.1186/s13054-025-05563-9
Schedule a Session

Ready to explore what your mind can do?

Schedule a consultation with Deb to discuss your goals, ask questions, and find out whether clinical hypnosis is right for you. Sessions are available in South Windsor.

South Windsor: 1300 Sullivan Ave, South Windsor, CT 06074
Email: hello@4elementsMD.com