AGREEMENT FOR HYPNOTHERAPY SERVICES
The following information is provided to clients who are seeking Hypnotherapy. It is an addendum to the Disclosure of Information, Policies, and Client Agreement for patients wanting to utilize hypnosis. Please read this document carefully and in its entirety and seek clarification before signing this document.
General: Hypnosis works to change patterns in the subconscious mind (autonomic nervous system) to change habitual patterns of behavior. Hypnosis is a powerful tool for accessing the subconscious mind and creating improvement in our lives. While hypnosis may be an effective technique for many purposes, the effectiveness may vary from individual to individual, and no specific results or progress can be promised or guaranteed.
Expectation: During hypnotherapy sessions, clients remain completely aware of everything that is going on. In fact, many people experience a hyper-awareness where sensations are perceived enriched and vivid. The ability to visualize or imagine is often enhanced. Deep relaxation is common. Many describe the hypnotic state as a complete and total escape from physical tension and emotional stress, while remaining completely alert.
Memories: The use of hypnosis or remembering techniques in general could elicit memories of past events which may or may not be literally true. It is possible that events under hypnosis will be distorted or misconstrued. Memories or images evoked under hypnosis are not necessarily accurate and may be a construction or composite of multiple memories. Without corroborating information, it is not possible to determine whether a specific memory is true or false, even if it seems true to the client.
Use of Touch: Hypnosis is often facilitated and enhanced by the use of light and brief touch to the forehead, shoulder, arm, wrist, hand, or fingers. Some interventions may involve a brief holding of your arm at the elbow or wrist. If you have any questions or concerns regarding the use of touch in hypnotherapy please bring this to my attention.
Method/Training/Certifications: I have been trained in Kappassinian Hypnotherapy based on the therapeutic work of the late Dr. John Kappas and the Hypnosis Motivation Institute (HMI) based in Tarzana, California. HMI can be found online at www.hypnosis.edu. I am registered to use hypnotherapy with clients with the Washington State Department of Health.