If you've been looking into therapy options and come across Solution Focused Hypnotherapy (SFH), you might be wondering what it actually involves — and whether it's right for you. This guide covers everything you need to know, from the science behind it to what a real session looks like.
So, what exactly is Solution Focused Hypnotherapy?
Solution Focused Hypnotherapy is a modern, evidence-based therapy that blends two powerful approaches: Solution Focused Brief Therapy (SFBT) and clinical hypnosis. Unlike traditional therapy — which often asks you to revisit painful memories or analyse why you feel the way you do — SFH focuses entirely on where you want to be, and helps your mind get there.
The "solution focused" part means sessions are forward-looking. You talk about what a better future looks like for you, not the problems you've faced. The hypnosis part uses a deep state of relaxation to help your subconscious mind absorb those positive changes more effectively.
Is it like stage hypnosis?
No — and this is one of the biggest misconceptions. Stage hypnosis is entertainment. Clinical hypnotherapy is therapy. You will never cluck like a chicken, lose control, or say or do anything you wouldn't want to.
In a hypnotherapy session, you remain fully aware and in control throughout. The "trance" state is simply a deeply relaxed mental state — similar to how you feel just before you drift off to sleep, or when you're so absorbed in a book that you lose track of time. Your therapist uses this state to help your mind focus on positive goals.
What does the science say?
SFH is grounded in neuroscience. During periods of stress and anxiety, the primitive part of our brain — the amygdala — can take over, triggering the fight-or-flight response and making it hard to think clearly. SFH works by calming this response and helping strengthen the connections to the rational, positive-thinking prefrontal cortex.
Multiple studies have shown hypnotherapy to be effective for anxiety, IBS, phobias, and chronic pain. Hypnotherapy for IBS is recommended by the National Institute for Health and Care Excellence (NICE) in the UK.
What can Solution Focused Hypnotherapy help with?
SFH can help with a wide range of issues, including:
- Anxiety and panic attacks
- Stress and burnout
- Low confidence and self-esteem
- Sleep problems and insomnia
- Depression and low mood
- Phobias (flying, needles, heights, spiders, and more)
- OCD and intrusive thoughts
- Grief and bereavement
- Exam nerves and performance anxiety
- Weight management
- Stopping smoking
What happens in a session?
A typical session at First Step Therapy — based at Hatfield Heath, near Bishop's Stortford in Hertfordshire — lasts around 50–60 minutes and has two distinct parts.
The talking part (around 20–30 minutes) is a structured, positive conversation focused on where you want to be. You won't be asked to dwell on your problems. Instead, you'll explore what's already working, what small steps you could take, and what a better version of your life looks like to you.
The hypnosis part (around 20–25 minutes) involves sitting or lying comfortably while your therapist guides you into a deeply relaxed state using a process called progressive relaxation. You'll hear gentle suggestions and imagery designed to reinforce the positive focus of your session.
How many sessions does it take?
Most people notice positive changes within the first three or four sessions. A typical course of treatment is between 6 and 12 sessions, depending on the issue and the individual. Some clients feel significantly better after just a few sessions; others prefer to continue longer to consolidate their progress.
At First Step Therapy, sessions are available individually (£80 each) or as a 6-session package (£450, saving £30). There is also a free initial consultation — a no-obligation conversation with Vikki where you can ask any questions and decide if it feels right for you.
Is it right for me?
SFH is suitable for most adults. It is gentle, non-invasive, and doesn't require you to talk about distressing events in detail. Many people find it a welcome alternative to traditional talking therapies because sessions are focused on the positive — on your goals, your strengths, and your future.
If you're in Hertfordshire or Essex — including Bishop's Stortford, Harlow, Sawbridgeworth, Saffron Walden, or the surrounding area — and you're curious about whether hypnotherapy could help you, the best first step is a free initial consultation with Vikki at First Step Therapy.