AbstractThe client was a 37‐year‐old married woman with two young daughters working as a community psychiatric nurse who requested assistance with driving difficulties following a number of accidents, and maintained by avoidance behaviour. Assessment indicated that she was currently avoiding driving on any unfamiliar routes and avoiding motorway travel altogether. This avoidance was affecting her professional and personal life and she was keen to see whether the use of hypnotic procedures in conjunction with a behavioural driving programme could help her. Four sessions were undertaken and, although she retained some anxiety, sufficient progress was established for her to make a long distance trip that she has been avoiding for a number of years. Reviewing progress a year later, she reported that residual anxiety had diminished and that progress had continued. Copyright © 2005 British Society of Experimental and Clinical Hypnosis