The ethical gastric band
4 modules
Session plan
Toolkit for your clients
The ethical gastric band
THE COURSE
●This course will teach you how to use this powerful technique safely and ethically.
●I will take about 8 hours work. It is divided into 4 modules and you can
dip in an out at your own convenience
●It is suitable for qualified hypnotherapists or those in the later stages of
training
On completion and after submitting the completion form you will receive
an e-certificate stating you have completed the course
THE CONTENT
You will learn:
How the physical gastric band works and how to use this knowledge with your clients
NOW GO TO MODULE ONE
Module 1
1.1 What is the gastric band?
1.2 The gastric band procedure
1.3 Dangers of the physical gastric band
1.4 The physical gastric band and lifestyle
1.5 Using the information to plan your 1st session
1.6 Questions answered
Module 1: Introduction video
1.1 What is the gastric band?
I f you are going to offer clients a course of treatment involving the imagining or
conceiving of a gastric band it is important that you understand how it works and
explain it in clear terms to you client. Clear written and visual information for the client
will help them to participate fully in the treatment.
Begin with a good, simple and clear description.
This is how BUPA describes the working of the gastric band
“A gastric band works by creating a small pouch from the upper part of your stomach.
This can only hold a little food, which means that you eat less because you feel full
more quickly. And eating less means you should lose weight. However, to get good
results it’s important to make sure that you’re eating healthily, and exercising
regularly.
A gastric band is a tube-like balloon that goes around the upper part of your stomach.
Your surgeon can inflate and adjust it by injecting liquid into a tube that's placed just
under your skin. This creates a pouch of stomach above the band. When you eat, the
pouch fills up quickly and the band slows down the movement of food into the lower
1.1 What is the gastric band?
part of your stomach. Food then
travels normally through the
rest of your digestive system.
Studies show that people
usually lose between half and
two thirds of their excess weight
in the first two years after a
gastric band operation.
Although you can have a gastric
band taken out if you need to,
it’s designed to stay inside your
body long term. Removing the band may cause you to put weight back on.Food
enters the small pouch at the top of the stomach. When that pouch is full the stomach
sends a signal to the brain saying ‘full’. The patient then does not want to eat any more.
The food then slowly enters the main part of the stomach and then into the rest of the
digestive system. “
(Reference: http://www.bupa.co.uk/health-information/directory/g/gastric-band, accessed 11/11/2015)
A gastric band in place: (this illustration is also in the toolkit)
Some clients (those with strong stomachs!) may want to watch a gastric band
procedure. You may want to watch so you can be very clear about how the procedure
works when you begin working with clients.
You will find a good example here:
http://www.youtube.com/watch?v=V2oiFepoqxI
For those who are more squeamish then a verbal description will suffice. Take one
from the experts, it will carry the authority you need to make your work with the
clients successful.
The doctors say:
“The surgeon will make the incisions in your abdomen and then insert an instrument
known as a laparo scope through one of the incisions. A laparoscope is a small flexible
tube that contains a light source and a camera. The camera relays images of the inside
of your abdomen to a television monitor.
Other small instruments are placed through the incisions to place the band around
your stomach, effectively dividing your stomach into two, leaving a small pouch at the
1.2 The gastric band procedure
top of the stomach.
It will take less food to fill the pouch, so it will take less food to make you feel full. The
band contains an access port through which saline (sterile salt water) can be passed to
inflate the band. This allows the band and the size of the pouch to be adjusted as
required after surgery.
The surgery usually takes around an hour to complete.”
(Reference NHS UK)
1.2 The gastric band procedure
1.3 The downside of the physical gastric band
There is a myth that a physical gastric band is a trouble-free magical solution for
obesity. This is not the view of the medical profession and it is important to explain
this to clients to get them in the right frame of mind for the work you will do together,
Evidence of the dangers
A study followed up on 82 patients, 12 years after their gastric band surgery. It found:
Half the people in the study no longer had their gastric band. Some had it removed
because it was causing problems, some because they no longer wanted it, and others
because it didn’t work well enough.
Four in 10 people had serious complications, including damage to the stomach where
the band rubbed against the stomach tissue. This happened on average four years
after the operation.
Six in 10 people needed a follow-up operation of some type, such as to reposition the
band or because the port had slipped out of place.
(Reference: Belgian study reported on the BMJ website http://besthealth.bmj.com/x/news/560878/news-item.html)
Whenever you are using hypnotherapy to help clients it is important to stress the
client needs to play an active part to get the most out of the treatment.
This is especially important when you are offering the hypnotic gastric band. Some
clients will come expecting you will ‘put them to sleep’ they will wake up and not
want to overeat any more
A good place to start is to explain how a physical gastric band actually works and that
it involves the recipient pursuing a healthier lifestyle.
Don’t take my word for it. Here are the experts:
Life after weight loss surgery
Weight loss surgery can achieve often impressive results in the amount of weight lost,
but it should not be seen as a magic cure for obesity.
People who have had weight loss surgery will need to stick to a rigorous and lifelong
plan afterwards to avoid putting weight back on or long-term complications.
This plan will include:
• a carefully controlled diet
• regular exercise
1.4 The physical gastric band and lifestyle
The rapid weight loss that can occur after weight loss surgery may cause relationship
problems, for example with a partner who is also obese, and it may result in unwanted
loose folds of skin, which may require further surgery to correct.
Also, many people with mental health problems, such as depression or anxiety, find
that these problems do not automatically improve because they have lost weight.
It is important to have realistic expectations about what life after weight loss surgery
will be like.
(NHS UK)
1.4 The physical gastric band and lifestyle

1.5 Using the information to plan your 1st session
Listen to
Audio 1
To plan your session
Before you go . . .
1) Describe how the gastric band works to a friend or colleague
Module 2
2.1 Meeting your client for the first time
2.2 Preparation, healthy eating and exercise
2.3 Changing the client’s mindset: the 1st script
Can a gastric band work for everyone?
No, I have found it works for people who eat too much. But this is not the only cause of overweight,
eating badly, bingeing on sweets and cakes eating too many highly calorific foods or drinking a lot
of
alcohol can also cause significant weight gain. In these cases other approaches are better.
Can you guarantee it will work for me?
No, I can guarantee to help you if you are committed to changing your behaviour to lose weight.
There is
no magic solution, it take willpower and application and being willing to change old habits. You may
have
to confront friends and family who want you to stay the same. You will have to radically change the
way
you eat. Then the hypno gastric band can help you. It will enable you to harness the power of your
own
mind to alter your perception of food and hunger.
Does it involve any surgery?
No, none at all. It involves your mind instead. The most powerful organ in your body. I can help you
retrain your mind to break with old beliefs and patterns of behaviour around food and hunger.
Will I feel any pain?
2.1 What your clients will ask
No you will feel no pain at all. You may be aware of the actual procedure, but it will feel like
something at
a distance. In fact you will find the whole process relaxing and interesting as you gain insight into
your
own beliefs and attitudes around hunger and food.
Could I end up starving myself?
No. The procedure is designed to put you in better contact with your real need to eat. You will eat as
much as you need and not more.
Will I need to take supplements?
No, you will find it easier to eat a healthy diet and that should be enough unless you have special
health
needs.
Is it permanent?
The procedure is designed to change you beliefs and behaviour around food, hunger and eating. As
you
change your habits it becomes easier to keep to a different way of doing things. If you commit to the
programme and accept you need o change then that change can be permanent.
2.1 What your clients will ask




What the gastric band looks like