Integrating Pediatric Hypnosis with Complementary Modalities: Clinical Perspectives on Personalized Treatment

Abstract

While pediatric integrative medicine (PIM) emphasizes an “evidence-based practice using multiple therapeutic modalities”; paradoxically, literature reviews examining the prevalence and/or efficacy of such mind–body approaches often address PIM modalities separately. Such contributions are relevant, yet documentation of how to deliver combined complementary approaches in children and youth are scarce. Nevertheless, integrative practitioners in clinical practice routinely mix approaches to meet the individual needs of each patient. Best practices are flexible, and include blending and augmenting services within the same session, and/or connecting modalities sequentially for an incremental effect, and/or referring to outside resources for additional interventions. Resonating with integrative medicine’s definition, this article’s goal is to demonstrate paradigms that “bring together complementary approaches in a coordinated way within clinical practice” by linking clinical hypnosis, the trail-blazer modality in PIM’s history, with mindfulness, biofeedback, acupuncture, and yoga. Following the consideration of the overlap of guided imagery with hypnosis and an abridged literature report, this clinical perspective considers the selection of modalities within a collaborative relationship with the child/teen and parents, emphasizing goodness-of-fit with patients’ contexts, e.g., symptoms, resources, interests, goals, and developmental stage. Case vignettes illustrate practical strategies for mixing approaches.

Conscious Sedation in Dentistry

“…The methods of administration and the sedative drugs could be different. Moreover, it is necessary to at least mention that some schools of thought practice non-pharmacological techniques such as hypnosis [5,6].…”

“…Today, as an alternative to deep sedation and narcosis, it could be used on an outpatient basis for children who should undergo modest procedures, with rectal diazepam. This consists of rectal administration of a short-lived benzodiazepine [4][5][6][7][8][9][10].…”