A hypnotized person does not sleep, on the contrary she can be more aware of what is happening in the world around her than in a normal state of mind, as the senses usually work better.
But - and this is the important thing - as long as everything is normal and commonplace around her, she doesn't care about the surrounding world, she simply does not have the energy to care about it.
No, trance is not sleep, but some people get so relaxed they might fall asleep if they are already tired.
This is no problem though, because some parts of consciousness keep listening to the therapist's voice.
Even in a state of trance a sleeping client can follow instructions like moving a finger, take deep breath or wake up when they are told to.
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