The answer//

Guided imagery is a mind-body therapy where individuals are led to visualize calming, positive images (such as a peaceful beach or forest) with the goal of achieving psychological and physiological benefits. It is commonly used in chronic disease management to help reduce pain perception and improve overall well-being. Scientific Mechanisms of Pain Reduction through Guided Imagery: 1. Modulation of Pain Perception: Guided imagery engages brain regions involved in pain processing—such as the anterior cingulate cortex and prefrontal cortex. This can alter how pain signals are interpreted, making them feel less intense. 2. Activation of the Parasympathetic Nervous System: Guided imagery promotes relaxation, which activates the parasympathetic ("rest and digest") system. This leads to reduced levels of stress hormones (like cortisol and adrenaline), which in turn lowers pain sensitivity. 3. Release of Natural Painkillers (Endorphins): Engaging in guided imagery can stimulate the brain to release endorphins, which are the body’s natural opioids, helping to relieve pain similarly to medications like morphine. 4. Distraction from Pain: By focusing on soothing mental images, the brain diverts attention away from painful sensations, thereby reducing the subjective experience of pain. 5. Improved Mood and Reduced Anxiety: Chronic pain is often worsened by emotional distress. Guided imagery can help reduce anxiety and depression, which are known to amplify the perception of pain.

Dear Doctor Do you have any personal experience with this method or similar techniques?

Thank you for your question. I have not had personal or clinical experience with guided imagery so far. However, while preparing for this topic, I reviewed several scientific sources that explain its potential benefits in managing chronic pain. This has increased my interest in learning more about how mind-body techniques can support patient care in the future.