Hypnosis therapy for lasting change

Did you know that a small area of your brain, the dorsal anterior cingulate cortex (dACC), plays a critical role in how you think, feel, and act? Located in the medial prefrontal area of your frontal lobe, the dACC is responsible for regulating much of your cognitive and behavioural responses. This remarkable part of your brain helps you adapt to challenges, navigate uncertainty, and make complex decisions.

However, when this area becomes overactive, it can lead to issues such as anxiety, chronic pain, and obsessive behaviours. Hypnotherapy has been shown to calm this overactivity, offering a powerful tool for personal transformation and healing.

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Understanding the role of the dACC

The dACC is a multitasker, managing a wide range of cognitive and emotional functions, including:

  • Conflict monitoring: It detects cognitive dissonance – the mismatch between expectations and reality.
  • Monitors performance and detects errors: The dACC helps you evaluate your actions. It signals when you need to make an adjustment to improve an outcome.
  • Cognitive control: During challenging tasks, your dACC regulates your attention and effort to allocate mental resources appropriately.
  • Decision-making: When a situation is uncertain or risky, the dACC will help guide your decisions. It does this by interpreting the balance of actions and integrating information about rewards, punishments, and effort required.
  • Pain processing: Your dACC converts physical and emotional pain into the language of the brain. It helps you feel motivated to change something to alleviate discomfort.
  • Motivation and reward: When you engage in a task, your dACC tracks the effort you put in and the reward you get back. It helps you persist towards your goals, even when things feel difficult.

When the dACC overactivates

While the dACC is essential for mental and emotional regulation, excessive activity in this region can disrupt your well-being, contributing to:

  • Anxiety: When the overactive dACC continuously signals conflict or error, it can lead to an unnecessary increase in worry or obsessive behaviours. This constant stress becomes anxiety.
  • Chronic pain: The dACC is in control of coding pain. When it is overactive, you’ll experience a heightened perception of pain, even when no physical cause is present.
  • Brain fog and impulsivity: A hyperactive dACC makes it difficult to maintain focus and can cause impulsive behaviours.
  • Obsessive compulsive behaviours: When your dACC over-activates, you may experience obsessive thought patterns due to the dysfunction in conflict monitoring and error signalling.

How hypnosis therapy helps 

When someone is in the state of hypnosis, there is a reduction in activity in the dorsal anterior cingulate cortex. Researchers detected this when exploring functional changes in brain activity using hypnosis, and it is one of the key things that makes hypnotherapy effective.

1. Decreased conflict monitoring

The reduction in activity of the dACC during hypnosis means your brain focuses less on monitoring and resolving conflicts between reality and imagination. This decreased dACC activity will help you experience heightened absorption, suggestibility, and openness to new perspectives. Any suggestions bypass the brain's typical critical or analytical resistance.

2. Enhanced emotional regulation

The reduction in dACC activity helps you find a state of focused attention. This makes it easier to concentrate on the therapy, making it more effective than without the hypnotic state.

3. Breaking negative patterns

When your dACC activity reduces, any interaction with emotional centres (like the amygdala) also reduces. This may decrease feelings of self-criticism, fear, or hyper-awareness of emotional conflicts. You can find a calm state to process emotions without overwhelming anxiety or stress.

4. Heightened focus

Less dACC activity reduces habitual thought patterns. This makes it easier to think differently, so you can reframe negative beliefs, or disconnect from unhelpful habitual behaviours, like addiction or anxiety responses.


Hypnosis helps you move your mind away from the external noise of life to a mindset where you feel in control and able to focus. The reduction in dACC activity during hypnosis is partly responsible for this flow state. Hypnosis creates a mental environment where you can bypass your usual critical defences, focus deeply on your goals, and positively adapt your beliefs or behaviours. This science underpins why hypnotherapy is so effective at supporting transformation.

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The views expressed in this article are those of the author. All articles published on Hypnotherapy Directory are reviewed by our editorial team.

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Farnham, Surrey, GU9
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Written by Juliet Hollingsworth
MSc
location_on Farnham, Surrey, GU9
Juliet is a trauma-informed therapist. Her passion is helping people reach their potential through a combination of hypnotherapy, psychotherapy and transpersonal psychology. Juliet works online and face to face with clients across the world. (DHP Cli...
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