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Hypnotherapy for Children and Teens: Why Parents Need to Go First

Updated: Oct 12



Photo of Teens having a relaxed time together


When Parents Seek Help for Their Children & Teens


A parent calls about bringing their 10-year-old for hypnotherapy. The child has anxiety that's interfering with school. Or maybe it's behavioral issues that traditional approaches haven't resolved. Perhaps it's sleep problems, or trouble focusing, or physical symptoms with no medical cause.


The parent has done research. They know hypnotherapy works well for children. They're ready to book the first appointment. And then I say something unexpected: "Before we work with your child, I'd like to work with you first."


This isn't what they expected to hear. They called about their child's problem, not their own. But here's what decades of research and clinical experience consistently demonstrate: the most effective way to help your child heal and change is for you to go first.


Let me explain why.


What the Research Shows About Hypnotherapy and Children


First, let's establish something important. Hypnotherapy is remarkably effective for children and adolescents. In fact, children often respond even better than adults.


A comprehensive review of meta-analyses examining hypnosis effectiveness over 20 years found that "the largest effects were found when hypnosis was used with child/adolescent patient populations." The vast majority of outcomes (99.2%) demonstrated positive effects, with over half showing at least medium effect sizes.


Why do children respond so well? Research spanning back to the 1800s has consistently shown that children between ages 10 and 14 demonstrate peak hypnotic responsiveness. A recent pediatric review notes that "children below the age of 14 are (almost) never refractory to hypnotic techniques."


Children are naturally more in touch with imagery processes than adults. They move fluidly between imagination and reality. They engage readily with metaphor and story. Their nervous systems haven't yet developed the same rigid patterns of resistance that adults often carry.


Studies show hypnotherapy helps children with an impressive range of conditions: anxiety disorders, chronic pain, headaches, medical procedure distress, habit disorders, sleep problems, and behavioral issues. The evidence is strong and consistent.


So yes, hypnotherapy works beautifully for children. That's not the question.


The question is: what creates the conditions where that work can be most effective and lasting?


How Children Actually Learn


Here's the fundamental reality that shapes everything we do: children learn how to feel, perceive, and respond to the world around them based on the beliefs, perceptions, feelings, emotions, and behaviors of the parents, family, and others around them.


This isn't theory. It's backed by substantial research.


Studies on parental modeling of anxiety show that parents directly impact the development of anxious behaviors in children through modeling. When parents model anxious behaviors and cognitions (worry, catastrophic thinking, avoidance), children adopt similar patterns. The research is clear: "children may adopt the anxious behaviors and cognitions of their caregivers via modeling, vicarious learning, and information transmission."


Research on parental emotion regulation demonstrates that how parents manage their own emotions has longitudinal effects on children's mental health, mediated by parenting stress and sensitive parenting. Both adaptive and maladaptive emotion regulation strategies in parents predict children's psychological functioning years later.


The relationship is bidirectional and transactional. Parent stress contributes to child behavior problems, and child behavior problems contribute to parent stress, creating escalating cycles over time. Studies tracking families from early childhood through adolescence consistently find these reciprocal patterns.


Here's what this means practically: your child's nervous system is learning how to respond to stress by watching your nervous system respond to stress. Your child's beliefs about safety, capability, and the world are being shaped by your beliefs. Your child's emotional regulation patterns are developing based on how they see you regulate (or dysregulate) emotions.


This isn't about blame. It's simply how human development works. We're wired to learn from our primary caregivers. That's the fundamental mechanism of attachment and development.


The Missing Piece in Child-Focused Treatment


When parents bring a child for hypnotherapy (or any therapeutic intervention) without first addressing their own patterns, we're missing the most influential factor in that child's environment.


Think about it this way: imagine your child does beautiful work in hypnotherapy sessions. They learn to calm their anxiety, regulate their emotions, shift their beliefs. Then they go home to a household where the primary adults are still modeling the very patterns the child is trying to change.


What happens? The child's environment is constantly re-teaching the old patterns. The modeling they receive daily is more powerful than anything that happens in a weekly therapy session.


Research on family systems and child anxiety bears this out. Studies consistently find that when children have anxiety disorders and parents also have anxiety, family-based interventions that include parents are more effective than child-only interventions. Why? Because parental behaviors (modeling of anxious cognitions, accommodation of avoidance, overprotection) actively maintain child anxiety.


The emotional climate of the family, reflected in parenting styles, the parent-child relationship, and family emotionality, shapes children's emotion regulation development and mental health outcomes. You can't change a child's internal world without addressing the external world they're developing within.


Our Approach: Parents First


At Toronto Hypnotherapy, we take what research and clinical experience have shown us and apply it directly: for children under 14, it's essential that parents become clients first.

This isn't a suggestion. It's a requirement based on what actually creates lasting change.


Here's why this approach works:


1. You Address the Root System, Not Just the Symptoms

Your child's challenges don't exist in isolation. They're developing within a family system, shaped by family patterns of stress management, belief systems about safety and capability, and emotional regulation strategies. When you do your own healing work, you change the system itself.


2. You Model What You Want to See

Children learn more from what they observe than what they're told. When you develop skills for managing your own thoughts, feelings, and behaviors, your child naturally absorbs those patterns. You become the demonstration of what's possible.


3. You Create a Different Emotional Climate

When you reduce your own stress and anxiety, the entire household nervous system shifts. Children are extraordinarily attuned to their parents' emotional states. Your regulation creates space for their regulation.


4. You Understand the Process from the Inside

When you've experienced hypnotherapy yourself, you understand what you're asking of your child. You can speak to it authentically. You can reinforce the work at home because you know how it actually functions.


5. Your Changes Transfer Directly

Research on parent-child relationships shows remarkably high correlations between parent and child emotional patterns. When you change, your child often changes as a natural consequence, even without direct intervention.


What About Teenagers?


The dynamics shift somewhat with teenagers, though parental influence remains profound.


Hypnotherapy can work beautifully for teens who meet certain criteria:


Good self-awareness. They can reflect on their own thoughts and feelings with some objectivity.

Reasonable comfort talking about feelings. They don't have to be naturally expressive, but they need basic willingness to discuss internal experiences.

Good ability to focus. They can sustain attention for 45-60 minute sessions and engage meaningfully with guided processes.

Openness to the idea. They're not being forced by parents but have their own interest in hypnotherapy.

Positive expectations. They believe it has potential to help, even if they're somewhat skeptical.


When teens meet these criteria, direct work can be very effective. The research on hypnotherapy for adolescent anxiety, depression, pain, and habit disorders shows strong outcomes.


However, here's what we still strongly recommend: parents doing their own hypnotherapy work first, even when working with teens.


Why? Because the way young people learn to interact with the world and manage stress is largely based on modeling from parents and the people around them. This remains true through adolescence and even into the early twenties. The brain doesn't finish developing until the mid-20s, and parental influence on stress response patterns continues throughout this period.


A holistic view must take these inputs into consideration. As parents considering hypnotherapy for your teen, you must examine whether you, as the parent, can make positive changes and do your own healing work personally, to be able to show up better as a guide and role model.


This isn't about blaming parents for their teen's struggles. It's about recognizing that you remain your teen's primary teacher about how to navigate life's challenges. Even if they're pushing against you developmentally (which is healthy and normal), they're still learning from you.


How Parental Patterns Create Child Patterns


Let me be specific about how this transmission happens, because understanding the mechanism helps you see why your work matters so much.


In childhood, we take in what's going on around us. Different situations arise, and we observe how the people around us interpret and respond to those situations. All responses are rooted in the beliefs people hold about themselves, other people, the world, and their place in the world. Those beliefs color the feelings people experience and the behaviors they choose.


A child doesn't just inherit your genetics. They inherit your interpretive framework for life.

If you believe the world is fundamentally unsafe, your child learns to scan for danger constantly, just like you do. If you believe you're not capable of handling difficult things, your child absorbs that and applies it to themselves. If you manage stress through avoidance, control, or numbing, your child learns those strategies as the "right" way to cope.


This happens beneath the level of conscious instruction. You're not teaching it explicitly. It's transmitted through:


Your emotional responses. How you react when things go wrong. Whether you move toward challenges or avoid them. How you handle disappointment, frustration, fear.

Your self-talk that they overhear. The way you speak about yourself, other people, situations. The explanations you offer for why things happen.

Your nervous system states. Children are neuroreception experts. They read your nervous system constantly and attune their own to match.

Your behavioral patterns. What you do when stressed, overwhelmed, uncertain. Whether you seek support or isolate. Whether you self-soothe or self-destruct.

The emotional climate you create. Whether home feels safe or tense. Whether emotions are allowed or suppressed. Whether vulnerability is okay or dangerous.

None of this is conscious. It's how we all learned. It's how every human who ever lived learned the basics of being human. Your parents did it to you, their parents did it to them, going back generations.


This isn't blame. It's mechanics.


And here's the hopeful part: because this is mechanics, you can change it. When you change your beliefs, your emotional regulation, your stress responses, your behavioral patterns, the entire transmission changes. Your child begins learning different lessons, absorbing different patterns.


What Parent Work Looks Like


When parents come to work with me before bringing in their child, here's what we focus on:


1. Identifying Your Own Patterns

What beliefs do you hold about yourself, other people, the world? What were you taught about emotions, stress, capability? How do you typically respond when overwhelmed? What patterns are you inadvertently modeling?


2. Healing Your Own Anxiety/Stress Responses

We use hypnotherapy to address your nervous system dysregulation, update old beliefs formed in your own childhood, develop genuine regulation skills rather than just coping mechanisms. You can start learning more about Anxiety here.


3. Learning Practical Tools

You develop real skills for managing your thoughts, feelings, and behaviors. Not just understanding them intellectually, but actually being able to shift them in real-time.


4. Changing the Family System

As you change, family dynamics naturally shift. You respond differently to your child's behaviors. Your child experiences a different emotional climate. The system rebalances around your new patterns.


5. Preparing for Your Child's Work

If direct work with your child eventually makes sense, you'll understand hypnotherapy from the inside. You'll be able to reinforce the work effectively. You'll have created a home environment that supports rather than undermines therapeutic gains.


Many parents find that by the time they've done their own substantial work, their child's symptoms have already improved dramatically. Sometimes we never need to work directly with the child because addressing the family system was sufficient.


Other times, we do eventually bring the child in, but now they're working within a changed system that supports their growth rather than pulling them back into old patterns.


The Research on What Works


The research supporting this approach is substantial. Studies on parent-child emotion regulation find that parental emotion regulation capacities directly shape children's regulatory development. When parents improve their own regulation, children's regulation improves correspondingly.


Research on family-based interventions for child anxiety shows that including parents in treatment produces better outcomes than child-only treatment. The mechanism is clear: changing parental modeling, parental responses to child emotions, and the overall emotional climate of the family.


Longitudinal studies tracking families over years demonstrate that parental stress predicts child behavior problems, which in turn predict parental stress, creating escalating cycles. Interventions that break this cycle by addressing parental patterns prove more effective than those targeting only the child.


The research on parental modeling of anxiety is particularly compelling. Studies show that parental modeling directly impacts not just children's anxious behaviors but their anxious cognitions and their actual physiological arousal patterns. You're not just teaching your child to act anxious. You're teaching them to think anxiously and even to experience anxious physiology.


But here's the encouraging finding: when parents change their own patterns, children's patterns shift correspondingly, often without direct intervention with the child.


Special Considerations for Children vs. Teens


For Children Under 14:

We require parent work before considering any direct work with the child. The research is clear that children in this age range are still forming their basic regulatory capacities, belief systems, and stress response patterns. Parental influence is primary.

Parents typically work with us for a minimum of 5-8 sessions before we'd consider bringing the child in. Many parents continue working on their own growth indefinitely, finding it valuable for their own lives beyond parenting.

If we do eventually work with the child, parents typically remain in the therapy room for younger children, modeling the process and learning how to reinforce the work at home.


For Teens (14-20):

We assess whether the teen meets criteria for direct work (self-awareness, comfort with emotions, focus capacity, openness, positive expectations). If they do, we can begin working with them.

However, we still strongly recommend parallel parent work. Ideally, parents are already clients before their teen begins. This ensures the home environment supports the teen's growth rather than maintaining old patterns.

For teens working on their own, we often bring parents in for periodic sessions to address family dynamics and ensure parents understand how to support the work rather than inadvertently undermining it.


For Young Adults (20+):

Direct work with the young adult is certainly appropriate. However, if the young adult is still living at home or has frequent contact with parents, parental patterns continue to influence their stress responses and coping strategies. Parent work often remains valuable.


But What If My Child Has Been Diagnosed with ADHD?


Here's something that might surprise you: the symptoms of ADHD look identical to the symptoms of anxiety, stress, and a nervous system stuck in activation. Difficulty focusing, restlessness, emotional dysregulation, impulsivity—these are exactly what happens when someone's system is chronically anxious or carrying unresolved emotional experiences. Research shows that up to 50% of people with ADHD also have anxiety, and that association comes primarily from the attention problems component.


What if the scattered focus, the difficulty sitting still, and the emotional intensity aren't a fixed brain disorder but your child's nervous system responding to anxiety, stress, or experiences they haven't processed? When we address the underlying anxiety, help children develop emotional regulation skills, process old experiences, and support their nervous system through lifestyle and nutrition, attention and focus often improve naturally. This isn't about managing ADHD symptoms—it's about addressing what's creating those symptoms in the first place.


Read our full article on understanding ADHD through a holistic lens to learn more about this approach and why it creates lasting change rather than just symptom management.


Common Questions Parents Ask


"But my child is the one struggling. Why do I need therapy?"

Because your child is developing within the family system you're creating. That system includes your stress levels, emotional regulation, belief systems, and behavioral patterns. Your child's struggles are symptoms of system dynamics, not isolated individual pathology. To change the symptoms sustainably, we address the system.


"I'm doing fine. I don't have anxiety or major issues."

Almost nobody is "doing fine" in the sense of having perfect emotional regulation and zero unhelpful patterns. We all absorbed beliefs and patterns from our own childhoods that shape how we parent. The work isn't about fixing what's broken. It's about examining what you're modeling and whether it's what you want your child to learn.


"Won't this delay helping my child?"

Actually, it's the fastest path to sustainable change. Working with your child while the family system remains unchanged often produces temporary improvements that don't last. Starting with parent work creates systemic change that often resolves the child's symptoms more quickly and completely than direct child work would.


"I'm already a good parent. This feels like you're blaming me."

This isn't about good or bad parenting. Every parent does their best with the tools and awareness they have. This is about recognizing that children learn primarily through modeling and that we can only teach what we ourselves know. Doing your own growth work isn't an admission of failure. It's the most loving thing you can do for your child.


"My partner won't do this. Can I do it alone?"

Yes. If even one parent does substantial personal work, the family system shifts. Obviously having both parents engaged is ideal, but one parent's change creates ripple effects throughout the family.


Frequently Asked Questions


At what age can my child start hypnotherapy?

Children as young as 10-12 may benefit from hypnotherapy, though it looks different than work with older children or adults. This also can depend on many factors we can discuss in a consultation. However, regardless of the child's age, we require parent work first. The younger the child, the more essential parent work becomes.

How long do I need to work on myself before my child can come in?

There's no fixed timeline. Some parents work on their own growth for months before we bring the child in. Others find their child's symptoms resolve during their own work and direct child intervention becomes unnecessary. Typically, we're looking for significant shifts in your own patterns before considering child work.

What if my child needs immediate help?

If your child is in crisis, appropriate crisis intervention takes priority. However, for ongoing therapeutic work, the parent-first approach remains most effective. Even in urgent situations, having at least a few parent sessions before beginning child work dramatically improves outcomes.

Will insurance cover parent sessions if I'm bringing my child for treatment?

Hypnotherapy sessions are not covered by OHIP or any private insurance providers in Canada. They are strictly an out-of-pocket expense.

What if my child is resistant to the idea of hypnotherapy?

If your child is resistant, that's often a sign that parent work needs to happen first. Children resist when they don't feel safe or don't understand what's being asked of them. After you've done your own work, you can explain hypnotherapy from personal experience, and your child can see the positive changes in you. Resistance often dissolves naturally.

Can my child still see their regular therapist while I'm doing hypnotherapy?

Absolutely. Hypnotherapy for parents can complement whatever else your child is receiving. In fact, many therapists appreciate when parents are doing their own growth work because it supports the child's therapy.

Can I, or my teen, really be hypnotized?

Everybody can experience hypnosis. You can read more about that here.


Moving Forward: A Different Path to Helping Your Child


If you're a parent in Toronto considering hypnotherapy for your child or teen, I invite you to consider this different path: start with yourself.


Do your own healing work. Address your own stress, anxiety, and patterns. Learn the skills you want your child to have. Update the beliefs you're inadvertently passing down. Change the family system your child is developing within.


This isn't a detour from helping your child. It's the most direct route.


The research is clear. Clinical experience is consistent. Children learn from their parents' modeling more powerfully than from any other source. When you change how you manage stress, your child absorbs those new patterns. When you develop emotional regulation skills, your child learns them through observation. When you create a calmer emotional climate in your home, your child's nervous system naturally regulates.


You can't give your child what you don't have yourself. But you can develop it. And in developing it, you transform not just your own life but your child's developmental environment.


That's the real work. That's what creates lasting change.


Ready to Begin?


Ready to help your child by doing your own growth work first, I invite you to start with a free 15-minute consultation call.


During this call, we'll discuss your child's challenges and your family dynamics. We'll explore what your own healing work might look like. We'll talk about a preliminary plan for how parent work can create the changes you're hoping to see in your child.


This isn't about blaming you for your child's struggles. It's about recognizing the profound influence you have and choosing to use it consciously for healing and growth.



Book your free consultation call here.



References & Research Citations


  1. Landry & Gruzelier (2024). "Meta-analytic evidence on the efficacy of hypnosis for mental and somatic health issues: a 20-year perspective." Frontiers in Psychology. PMC: 10807512

  2. Kohen & Kaiser (2016). "Clinical Hypnosis with Children and Adolescents: What? Why? How?" Children, 3(4):19. PMC: 4928724

  3. Vlieger et al. (2023). "A whole new world of healing: exploring medical hypnotherapy for pediatric patients." European Journal of Pediatrics, 182(5):1979-2000. PMC: 10160735

  4. Thompson-Hollands & Blakey (2023). "Hypnosis with depressed children and teens: Building skills, creating connection." American Journal of Clinical Hypnosis, 65(4):315-330. PubMed: 37205748

  5. Accardi & Milling (2009). "The effectiveness of hypnosis for reducing procedure-related pain in children and adolescents: a comprehensive methodological review." Journal of Behavioral Medicine, 32(4):328-339. PubMed: 19255840

  6. Micco & Ehrenreich (2009). "The Effect of Parental Modeling of Anxious Behaviors and Cognitions in School-Aged Children: An Experimental Pilot Study." Depression and Anxiety, 26(6):506-515. PMC: 2871979

  7. Neece et al. (2012). "Parenting Stress and Child Behavior Problems: A Transactional Relationship Across Time." American Journal on Intellectual and Developmental Disabilities, 117(1):48-66. PMC: 4861150

  8. Morris et al. (2021). "Conceptualizing Emotion Regulation and Coregulation as Family-Level Phenomena." Clinical Child and Family Psychology Review, 24(4):638-658. PMC: 8801237

  9. Zimmer-Gembeck et al. (2022). "Parental emotion regulation and children's mental health: Longitudinal mediation by parenting stress and sensitive challenging parenting." Personality and Individual Differences, 187:111394.

  10. Baker et al. (2010). "Parent-Child Interaction Therapy and Parent Training for Children with Developmental Disabilities." Evidence-Based Parent Training Programs. PMC: 4425632


 
 
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