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When Does Hypnotherapy Not Work? When hypnotherapy doesn't work

  • Writer: George Whitaker
    George Whitaker
  • Nov 19, 2025
  • 3 min read


Prefer to watch? See the Youtube video version below:




The truth is that just like any type of therapy, hypnotherapy does not always work for everyone or in every situation. Contrary to what some people may believe, it is not a panacea or magic wand - I wish it was!


While everyone can achieve positive results in some form from hypnotherapy, there are clear factors that can enhance, or limit, it's success. In this post, we're going to have a look at each of these, and in knowing them, you'll have the highest chance of success if you do ever have sessions.



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It's important to know when hypnotherapy is and isn't a good option, depending on the various factors.


Factor One - Lack of commitment or not really wanting to change


This is probably the number one reason that hypnotherapy fails. Hypnotherapy is a partnership, not something done to you. I've spoken to people in the past who expect to be instantly fixed while not committing to the process. Unfortunately, it just doesn't work like that! Hypnotherapy requires active participation and clients must be committed to making the changes. This can include:

  • Listening to the hypnotherapy soundtracks at home.

  • Being open to the positive suggestions, not fighting them.

  • Taking responsibility by recognising that hypnotherapy is a tool, not a miracle cure.



Factor Two - The problem is severe or unstable


Sometimes, hypnotherapy will not be the right option. For example, in the cases of:


  • Undiagnosed Conditions: If a client's challenges are symptoms of a severe, underlying, and unmanaged psychiatric or neurological condition (e.g. severe psychosis, bipolar disorder, schizophrenia), hypnotherapy is often not the best option. People who have these symptoms may need to seek a diagnosis or clinical clearance from their GP or specialist before commencing hypnotherapy.


  • Acute Crisis: If a client is in the middle of a major emotional or psychological crisis (e.g. severe suicidal ideation, addiction withdrawal), their primary need is immediate psychiatric or clinical stabilisation. They should immediately contact their GP, seek help at their nearest A&E, or call a specialist crisis helpline like the Samaritans (116 123) or the NHS (111). This prioritises immediate safety and medical support above all else.



Factor Three - When the client's environment is unsupportive


Change is incredibly difficult when the environment around you is constantly pulling you back to old patterns. For example, in the cases of:


  • Active Conflict: If a client is in an abusive relationship or an intensely toxic work situation that they are unwilling or unable to leave, the constant stress and trauma will undermine the positive work done during hypnotherapy.


  • Unrealistic Expectations: Hypnotherapy can help you manage your reaction to a situation, but it cannot change other people or external realities. If a client expects hypnotherapy to fix their abusive boss or put right a failing marriage (that requires both people's input), they will be disappointed. Hypnotherapy empowers you to change, not the world around you.



Factor Four - A poor therapeutic relationship


While both online and in-person sessions can be highly effective, the connection between therapist and client is vital. This is known as the 'therapeutic relationship'. Barriers to a healthy therapeutic relationship can include:


  • Lack of Trust: Hypnotherapy relies on trust and rapport. If you, for any reason, do not feel comfortable, safe, or trusting of your hypnotherapist—whether due to personality, approach, or perceived experience—the process will unlikely be effective for you.


  • How to check the therapeutic relationship: Use the free initial consultation to assess the fit - this is the very reason why they are so useful and necessary. If you leave the consultation feeling uneasy or unsure, there is no obligation to continue.



Conclusion: When hypnotherapy doesn't work


So, we've looked at when hypnotherapy is less likely to work.


Here are the top 3 things that make hypnotherapy most effective:


  1. The client is highly motivated to change and willing to do the work.

  2. The client is ready to let go of the problem and the old pattern.

  3. The therapist and client have a strong, healthy, therapeutic relationship.


If you believe these three conditions are met, then hypnotherapy can be one of the most powerful and effective tools for creating the change you desire.



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