guided imagery

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Guided Imagery



Guided imagery is the use of relaxation and mental visualization to improve mood and/or physical well-being.


The connection between the mind and physical health has been well documented and extensively studied. Positive mental imagery can promote relaxation and reduce stress, improve mood, control high blood pressure, alleviate pain, boost the immune system, and lower cholesterol and blood sugar levels. Through guided imagery techniques, patients can learn to control functions normally controlled by the autonomic nervous system, such as heart rate, blood pressure, respiratory rate, and body temperature.
One of the biggest benefits of using guided imagery as a therapeutic tool is its availability. Imagery can be used virtually anywhere, anytime. It is also an equal opportunity therapy. Although some initial training in the technique may be required, guided imagery is accessible to virtually everyone regardless of economic status, education, or geographical location.
Guided imagery also gives individuals a sense of empowerment, or control. The technique is induced by a therapist who guides the patient. The resulting mental imagery used is solely a product of the individual's imagination. Some individuals have difficulty imagining. They may not get actual clear images but perhaps vague feelings about the guided journey. However these individuals' brains and nervous systems responses seem to be the same as those with more detailed imaginings.
Patients who feel uncomfortable "opening up" in a traditional therapist-patient session may feel more at ease with a self-directed therapy like guided imagery.


Guided imagery is simply the use of one's imagination to promote mental and physical health. It can be self-directed, where the individual puts himself into a relaxed state and creates his own images, or directed by others. When directed by others, an individual listens to a therapist, video, or audiotaped exercise that leads him through a relaxation and imagery exercise. Some therapists also use guided imagery in group settings.
Guided imagery is a two-part process. The first component involves reaching a state of deep relaxation through breathing and muscle relaxation techniques. During the relaxation phase, the person closes her eyes and focuses on the slow, in and out sensation of breathing. Or, she might focus on releasing the feelings of tension from her muscles, starting with the toes and working up to the top of the head. Relaxation tapes often feature soft music or tranquil, natural sounds such as rolling waves and chirping birds in order to promote feelings of relaxation.
Once complete relaxation is achieved, the second component of the exercise is the imagery, or visualization, itself. There are a number of different types of guided imagery techniques, limited only by the imagination. Some commonly used types include relaxation imagery, healing imagery, pain control imagery, and mental rehearsal.

Relaxation imagery

Relaxation imagery involves conjuring up pleasant, relaxing images that rest the mind and body. These may be experiences that have already happened, or new situations.

Healing imagery

Patients coping with diseases and injuries can imagine cancer cells dying, wounds healing, and the body mending itself. Or, patients may picture themselves healthy, happy, and symptom-free. Another healing imagery technique is based on the idea of qi, or energy flow, an idea borrowed from traditional Chinese medicine. Chinese medicine practitioners believe that illness is the result of a blockage or slowing of energy flow in the body. Individuals may use guided imagery to imagine energy moving freely throughout the body as a metaphor for good health.

Pain control imagery

Individuals can control pain through several imagery techniques. One method is to produce a mental image of the pain and then transform that image into something less frightening and more manageable. Another is to imagine the pain disappearing, and the patient as completely pain-free. Or, one may imagine the pain as something over which he has complete control. For example, patients with back problems may imagine their pain as a high voltage electric current surging through their spine. As they use guided imagery techniques, they can picture themselves reaching for an electrical switch and turning down the power on the current to alleviate the pain.

Mental rehearsal

Mental rehearsal involves imagining a situation or scenario and its ideal outcome. It can be used to reduce anxiety about an upcoming situation, such as labor and delivery, surgery, or even a critical life event such as an important competition or a job interview. Individuals picture themselves going through each step of the anxiety-producing event and then successfully completing it.


For a successful guided imagery session, individuals should select a quiet, relaxing location where there is a comfortable place to sit or recline. If the guided imagery session is to be prompted with an audiotape or videotape, a stereo, VCR, or portable tape player should be available. Some people find that quiet background music improves their imagery sessions.
The session, which can last anywhere from a few minutes to an hour, should be uninterrupted. Taking the phone off the hook and asking family members for solitude can ensure a more successful and relaxing session.
Imagery combined with other relaxation techniques such as yoga, massage, or aromatherapy can greatly enhance the effects of these therapies. It can be done virtually anywhere.


Because of the state of extreme relaxation involved in guided imagery, individuals should never attempt to use guided imagery while driving or operating heavy machinery.

Side effects

Guided imagery can induce sleepiness, and some individuals may fall asleep during a session. Other than this, there are no known adverse side effects to guided imagery.

Research and general acceptance

Use of guided imagery is a widely accepted practice among mental healthcare providers and is gaining acceptance as a powerful pain control tool across a number of medical disciplines. Results of a study conducted at The Cleveland Clinic Foundation and published in 1999 found that cardiac surgery patients who used a guided imagery tape prior to surgery experienced less pain and anxiety. These patients also left the hospital earlier following surgery than patients who used pain medication only.
Another study conducted by Harvard Medical School researchers found that for more than 200 patients undergoing invasive vascular or renal surgery, guided imagery controlled pain and anxiety more effectively than medication alone.

Key terms

Aromatherapy — The therapeutic use of plant-derived, aromatic essential oils to promote physical and psychological well-being.
Autonomic nervous system — The part of the nervous system that controls so-called involuntary functions such as heart rate, salivary gland secretion, respiratory function, and pupil dilation.



Battino, Rubin. Guided Imagery and Other Approaches to Healing. Carmarthen, United Kingdom: Crown House Publishing, 2000.


Lang, Elvira, et al. "Adjunctive non-pharmacological analgesia for invasive medical procedures: a randomized trial." The Lancet. 355, no. 9214, (April 2000): 1486-1490.


The Academy for Guided Imagery. P.O. Box 2070, Mill Valley, CA 94942. (800) 726-2070.


Brennan, Patricia. "Stress First Aid Kit." (Guided imagery audiotape set.) Available from Inside Out Publishing at (888) 727-3296 or
Gale Encyclopedia of Medicine. Copyright 2008 The Gale Group, Inc. All rights reserved.


Alternative medicine
A therapeutic format in which the power of the mind is used to evoke a positive physical response so as to reduce stress, slow the heart rate, stimulate the immune system and reduce pain. Imagery consists of the creation of positive thoughts and images and communicating them with the body as a means of healing a diseased organ or tissue; it is believed to act on the psychoneuroimmune system by placing the power of the mind over physical ailment.

Anecdotal reports suggest that imaging may be effective for allergies, cancer, chronic pain, control of habits, dysmenorrhoea, headaches, hypertension, enhancing the immune system, performance anxiety (stage fright), premenstrual syndrome, stress-related GI symptoms, recuperation from surgery and urinary incontinence.
Segen's Medical Dictionary. © 2012 Farlex, Inc. All rights reserved.

guid·ed im·a·gery

(gī'dĕd im'ăj-rē)
Theoretic therapy that posits the power of the mind to affect physiology directly; used in a variety of medical settings to reduce stress, calm the mind, decrease pain, stimulate the immune system, and slow the heart rate.
Medical Dictionary for the Health Professions and Nursing © Farlex 2012
References in periodicals archive ?
Guided imagery reduces stress, anxiety, and pain, and improves a person's overall sense of well-being (Carlson & Bultz, 2008; Running & Seright, 2012; Wood & Patricolo, 2013).
Although some literature supports guided imagery in career counseling, we aim to reinvigorate the use of the technique in this context.
The current study was conducted aiming at investigating guided imagery on depression in patients with Type 2 diabetes.
A randomized control trial: the effect of guided imagery with tape and perceived happy memory on chronic tension type headache.
As noted, guided imagery is typically categorized as a CBT technique.
Here's an excerpt from one of Naparstek's guided imagery scripts.
A review of 9 RCTs of guided imagery for decreasing musculoskeletal pain involving 201 patients found 8 studies reported positive results, though the methodological quality of the studies was low.
These suggestions presented as presumptions are important in the wording of guided imagery or hypnotic facilitation.
Rosemarie Eisenberg CHT has moved her office for hypnosis and guided imagery to the Eighth and Olive Building at 115 W.
Therapeutic Games and Guided Imagery; Volume 2: Tools for Professionals Working With Children and Adolescents With Specific Needs and in Multicultural Settings
Psychiatrists and mental health professionals who treat pregnant women with anxiety issues would do best using cognitive-behavioral therapy (CBT) and relaxation techniques coupled with guided imagery thus avoiding medications.
This case report covers the history, treatment plan, administration and outcome of hypnotherapy and psychological interventions (self-hypnosis, meditation, guided imagery, music therapy, neuro- linguistic-programming, breath-control, thought distraction, unconditional acceptance, Ericksonian metaphors, cognitive challenging of the idealized self-image, assertiveness training, inner-child work, and Gestalt therapy) for a client diagnosed with Candida albicans overgrowth who was not responding to medical treatment.

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