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CLINICAL HYPNOTHERAPY | Performance Hypnotherapy

Sports Hypnotherapy and Mental Rehearsal: From Coaching to
Better Performance

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By Michael Greaves, Cognitive Behavioural Hypnotherapist, 1You, Caulfield North.

Mental rehearsal under hypnosis lets an athlete practise the exact movement a coach has taught, in a state of deep focus, between physical sessions. It adds repetitions of the right movement to your training, and it works alongside coaching, never in place of it. Studies of hypnosis in sport report improved performance, including in motor skill learning. This article explains how the approach works, what the research supports, and how to build a rehearsal plan for your own sport. For how I work with athletes in Melbourne, see sports hypnotherapy in Melbourne.

Is there a perfect technique in sport?

Elite athletes performing the same skill often move differently, and a technique that suits one athlete may not suit another. Technique is shaped by anatomy, strength, mobility, coordination, experience and the demands of the sport. Runners have different strides, tennis players have different service actions, and golfers develop swings that reflect their own build and habits. Roger Federer and Rafael Nadal hit forehands with markedly different grips and swings, and both won at the highest level. The analyst John Yandell (2006) made the same observation, noting that the two share some features, including a straight hitting arm.

Successful technique is individual, which is why the aim of coaching is to improve your own movement, not to copy somebody else's. Coaches lead that process, drawing on informed observation, technical knowledge and feedback. Physiotherapists and other qualified professionals contribute when movement, injury or rehabilitation is involved. My part begins where theirs leaves off: once your coach has decided what to change, I help you rehearse it.

Why does practice alone not guarantee improvement?

Repetition strengthens whatever pattern is being repeated, whether or not it is effective. Practice makes permanent, so it is better to practise perfect. A golf coach might change the sequencing of a swing. A running coach might recommend a change to cadence or posture. A physiotherapist might prescribe a movement as part of a rehabilitation programme. In each case you practise the instruction, assess the result and adjust. The quality of the guidance decides what you are learning, which is why every rehearsal I build starts with your coach. If repetition is not producing a visible or measurable change, look at the instruction and the feedback before adding more repetitions.

What is mental rehearsal of a movement?

Athletes often visualise winning or crossing the finish line. Mental rehearsal goes further. It works on the movement that produces the result, and it adds hypnosis to the picture. You imagine the movement from your own perspective, attending to sequence, timing, rhythm, balance and bodily sensations. A tennis player rehearses the preparation, toss, rotation and follow-through of a serve. A runner rehearses a controlled rhythm, and a golfer the sequence and tempo of a swing. The imagery comes straight from the instruction your coach has given you, so the rehearsal reinforces exactly what your coach wants.

The meta-analysis by Driskell, Copper and Moran (1994) found a positive effect of mental practice on performance, with the size of the effect depending on the task and the length of practice. Alongside physical practice, it gives you more repetitions of the right movement between sessions, when you would otherwise be waiting for your next lesson.

Where does the idea come from?

Rehearsal under trance is not a new protocol. It adapts a principle found across the Chinese martial arts, including Tai Chi and kung fu, in which fast, precise movements are practised slowly, with attention on the breath and on what the tradition calls the flow of chi. Lau Gar kung fu sifu Shan Lau, author of Kung Fu, The Theory of Force, describes this slow, focused repetition as the way a movement becomes embedded. Trance applies the same logic to the sports skill, with the added step of rehearsing the adjustments your coach has identified.

What does hypnosis add?

Hypnosis gives you a state of deep focus in which imagery becomes vivid and easy to hold. Away from the distractions of training, you work through the movement repeatedly, with your attention on its key components, and I adjust the rehearsal each time your coach gives new feedback.

This matters most when you are replacing a familiar habit with a new movement. The old pattern feels natural because you have practised it for years, and the new one feels unfamiliar. In trance, we rehearse the new movement slowly and in detail until it stops feeling foreign. Then you take it back to your coach and test it in training.

In a session, we start from what your coach has asked for and agree how the movement will be described. I then rehearse it with you in trance, often tying a simple cue to one point in the movement. One tennis player who kept double faulting on match points used the image of a green light at the peak of the toss as his cue to release the serve. His results improved over eight weeks of sessions, and he reported that his serving had improved. I also work on thoughts that interfere, replacing a warning such as do not fault with an action such as swing free.

What does the research show?

Mental practice improves performance. Driskell, Copper and Moran (1994) found a positive and significant effect, and the review by Schuster and colleagues (2011) found motor imagery beneficial when combined with physical practice. A meta-analysis of 17 studies found that imagery and hypnosis based mental preparation improved both performance and flow.

The evidence for hypnosis in sport is building. Miró and colleagues reviewed 13 studies and found hypnosis associated with better athletic performance, better injury recovery and lower psychological distress. Franquelo and colleagues (2022) reviewed 45 studies, and most reported positive effects of hypnosis compared with other techniques. Pelka and colleagues (2016) reviewed 21 randomised trials and found hypnosis among the most effective techniques across a range of performance measures.

The individual trials are specific. In a randomised study of 59 collegiate soccer players, three sessions of hypnosis improved wall-volley performance and confidence, and the difference was still there four weeks later (Barker, Jones and Greenlees, 2010). A single 10-minute hypnotic session focused on the target improved overhand throwing accuracy, and the gain was still present five to eight days later while a control group stayed at their pre-test level (Jalene and Wulf, 2014). In a randomised study of 20 university basketball players, the hypnosis group improved free throw percentage significantly more than the control group, with a large effect size (Muñoz-Avendaño and colleagues, 2024).

Combining cognitive methods with hypnosis is how I work, and two controlled studies support that combination. Howard and Reardon (1986) randomly assigned 32 male weightlifters to four conditions over four weeks, and the cognitive-hypnotic-imagery approach beat every other condition, including hypnosis alone. In a trial of 30 players aged 14, eight sessions of group cognitive behavioural therapy with hypnosis and positive imagery produced better performance than a control group on shooting to a target, fixed passing and moving passing (Hormozgan Medical Journal, 2018).

How do small gains add up?

A marathon repeats the same movement tens of thousands of times. A runner finishing in about three hours and forty five minutes, at about 175 steps a minute, takes roughly 39,000 steps. An elite runner finishing in about two hours and five minutes, at about 185 steps a minute, takes closer to 23,000. Every one of those steps is a chance to run better.

Take a round figure of 40,000 steps. Saving one hundredth of a second on every step saves 400 seconds, which is six minutes and forty seconds. That is a personal best hiding inside your stride, and it is why small improvements in foot placement, cadence and running form are worth chasing. A genuine biomechanical improvement of even 2% in the effectiveness of your stride, repeated across many thousands of footfalls, pays off in running time and in energy retention, and it can support injury prevention.

Small margins matter in other sports too. Roger Federer told Dartmouth graduates that he won almost 80% of the matches he played while winning only 54% of the points. A margin that thin built one of the great careers in sport. Small improvements make for large gains, and the capacity to leave failures in the past and focus on the point at hand, combined with talent and training, produces significant success.

When your running coach identifies an adjustment for you, you practise it physically, take the feedback and see what it does. Mental rehearsal adds repetitions of the instructed rhythm and movement sequence between sessions, until the pattern feels like your own. Research on choking under pressure, including the well-known study of golf putting by Beilock and Carr (2001), shows that well-learned skills run best when you are not monitoring each component of the movement. Rehearsal does the work in preparation, so on race day the movement runs automatically and your attention stays on the race.

Is sports hypnosis only about confidence?

Sports hypnosis is often used for confidence, relaxation, motivation and performance anxiety, and it can also support mental rehearsal of a specific movement. The two uses address different problems, and most athletes gain from both.

Take a tennis player who tightens up on the important points. I help that player build ways to manage pressure, keep attention on the task and recover quickly after a mistake. This is work on the mental side of performance, and it holds whatever your technique looks like. Calm, focused attention on the big points is a skill, and it can be trained.

Now take the same player working with a coach to refine a serve. The coach sets the target: a particular sequence, rhythm or body position. You rehearse that instructed movement in trance, on its own or alongside the work on pressure, and every time your coach adjusts the instruction, I adjust the rehearsal. The movement your coach wants becomes the movement you own.

If you perform well in training and lose it in competition, we start with anxiety and attention. If you are steady in competition and working on a technical change, we start with rehearsal. Your first sessions show us the right order. Before your first appointment, try this: for one week, note each time your performance drops, whether in training or in competition, and what you were thinking just before. The record shows us straight away where to start.

How do you build a mental rehearsal plan?

The plan has six steps, and it repeats as new information arrives.

First, agree on one technical objective with your coach or other relevant professional. Choose one movement, or one part of your technique, that you are working to improve, specific enough to rehearse and to see. It might be the sequence of a golf swing, the rhythm of a tennis serve or one element of a swimming stroke. Your coach decides what to work on, and I build the rehearsal around it. I do not prescribe technical changes and I do not interfere with rehabilitation advice.

Second, define the intended movement. You and I establish exactly what your coach wants practised, including the sequence, timing, rhythm and the bodily sensations that go with it. If any part of the instruction needs sharpening, we take it back to your coach first, so the rehearsal starts from a clear picture. A useful question for your coach is whether the change can be described in one sentence you can repeat to yourself. That sentence becomes the heart of your rehearsal.

Third, rehearse under hypnosis. In a guided session, you imagine the movement repeatedly with deep focus, from a first-person perspective, attending to the sequence and sensations that matter for the task. You practise the instructed process as well as the successful result. Schuster and colleagues (2011) found that the successful imagery interventions in their review were typically added after physical practice, so the best time to rehearse is after a physical session, building on what you have just done.

Fourth, return to physical practice. Take the movement back to training. Your coach watches, gives feedback and confirms that the change is taking hold, and what you see and feel in practice shapes the next rehearsal.

Fifth, review and refine. Each rehearsal builds on the last. When your coach adjusts the instruction, the rehearsal updates with it, and when something is working, we do more of it.

Sixth, measure your progress. Where you can, you and your coach choose a measure in advance, such as consistency, accuracy, timing or another outcome for your sport. Numbers give you proof of progress, and they show you where to push next.

What does one cycle look like?

A tennis player's coach asks for a more forward toss on the serve. The coach demonstrates the change, and the player practises it on court. After the session, the player and I rehearse the toss and the movement that follows it, using the coach's description. At the next lesson the coach reviews the serve, notes the more consistent toss and refines the instruction, and the rehearsal updates to match. The measure agreed beforehand, perhaps the proportion of first serves landing in, is recorded before and after each cycle.

The cycle runs from instruction to physical practice, feedback, mental rehearsal, physical testing and refinement. Every adjustment earns its place against your actual performance, so you keep what works, build on it and move on to the next improvement. For a running change, time the same route in similar conditions before and after, and repeat it several times, because weather, sleep, pacing and fatigue all move a single run. Your times across the repeats show the gain.

Will my performance improve?

If you do the work, and I have the right instruction from your coach, I will give you your money back if it does not.

What should I ask a sports hypnotherapist?

Ask what instruction the rehearsal is built on, who gave it and what measure will show the result. At 1You the answers are your coach's instruction, your coach, and a measure we agree before the first session.

Where to start

One movement, one adjustment and one measure. Rehearsal works alongside your training, coaching and recovery, and adds a layer of preparation to each. Bring your coach's instruction to a first session and we will build your rehearsal from it. To find out how this works for your sport, or to book, see sports hypnotherapy in Melbourne.


Research and Further Reading

Barker, J., Jones, M. and Greenlees, I. (2010). Assessing the immediate and maintained effects of hypnosis on self-efficacy and soccer wall-volley performance. Journal of Sport and Exercise Psychology, 32(2), 243 to 252.

Beilock, S.L. and Carr, T.H. (2001). On the fragility of skilled performance: What governs choking under pressure? Journal of Experimental Psychology: General.

Driskell, J.E., Copper, C. and Moran, A. (1994). Does mental practice enhance performance? Journal of Applied Psychology, 79(4), 481 to 492.

Franquelo, M.A., Hernández-Mendo, A. and Capafons, A. (2022). Eficacia de la hipnosis en psicología del deporte: una revisión sistemática. Cuadernos de Psicología del Deporte, 22(1), 81 to 99. doi:10.6018/cpd.481041

Howard, W.L. and Reardon, J.P. (1986). Changes in the self concept and athletic performance of weight lifters through a cognitive-hypnotic approach: an empirical study. American Journal of Clinical Hypnosis, 28(4), 248 to 257.

Efficacy of cognitive behavior therapy with positive imagination of success during hypnotism on athletic performance. Hormozgan Medical Journal (2018), 22(4). doi:10.5812/hmj.86481

Jalene, S. and Wulf, G. (2014). Brief hypnotic intervention increases throwing accuracy. International Journal of Sports Science and Coaching, 9(1), 199 to 206.

Metaanálisis: efectos de técnicas de preparación mental basadas en imaginería e hipnosis sobre flow y rendimiento deportivo. Pensar en Movimiento (2020), 18(1). doi:10.15517/pensarmov.v18i1.39287

Miró, A., Mesperuza, M., Jensen, M.P., Day, M.A., García, F. and Miró, J. Therapeutic hypnosis and sports performance: a systematic review. International Review of Sport and Exercise Psychology.

Muñoz-Avendaño, M. et al. (2024). Efecto de la hipnosis y mindfulness sobre el rendimiento deportivo en baloncesto. Cuadernos de Psicología del Deporte, 24(3), 145 to 161. doi:10.6018/cpd.584861

Pelka, M., Heidari, J., Ferrauti, A., Meyer, T., Pfeiffer, M. and Kellmann, M. (2016). Relaxation techniques in sports: a systematic review on acute effects on performance. Performance Enhancement and Health, 5(2). doi:10.1016/j.peh.2016.05.003

Schuster, C. et al. (2011). Best practice for motor imagery: a systematic literature review on motor imagery training elements in five different disciplines. BMC Medicine, 9, 75. doi:10.1186/1741-7015-9-75

Yandell, J. (2006). Rafael Nadal's Forehand. TennisPlayer


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