Rapid Transformational Therapy

Domain VI · Brief, integrative, trauma, hypnosis & coaching · Marisa Peer · UK

What it is

RTT is a hybrid hypnotherapy method delivered in a long session, about 90 to 120 minutes. The client is guided into a relaxed hypnotic state, and the practitioner regresses them to earlier remembered scenes. Together they identify the meaning the client took from those scenes and the belief formed…

Format

• Format. RTT is delivered one-to-one, in person or online via video. The main session lasts about 1.5 to 2 hours, and later sessions take up to about 1.5 hours.
• Session count. The developer states that clients "generally" need 1 to 3 sessions per issue, against her stated 6 to 10 for standard hypnotherapy. Some practitioners now advise starting with three sessions and say the earlier one-session framing no longer reflects practice. Packaged programmes…

Who practises it, and how they are trained or regulated

• Criteria for moving between phases (developer criteria are not published). For licensed clinicians, use these:
• Version followed: Rapid Transformational Therapy (RTT®) as Marisa Peer's school describes it publicly on rtt.com (the current "What is RTT®" page, the older version of that page, and the 2025–26 training prospectus), plus RTT practitioners' published session descriptions. The founder's name is sometimes given as "Peck". The developer is Marisa Peer, a British hypnotherapist and author. RTT® is a trademarked…

Evidence status, as the guide reports it

• Offer a second session if the recording has been used for 21 or more days and the agreed outcome has only partly shifted. If two sessions have produced no change, or if the work uncovers trauma, mood disorder or risk, switch to a standard, evidence-based plan.

Questions to explore with your client

• What drew you to it, and what are you hoping it will change?
• Does it involve any substance, plant preparation, remedy or supplement? Has your doctor or prescriber been told, especially about any medication you take?
• Does it involve intense or unusual breathing? Have you been told about the medical conditions for which that is not advised?
• How do you and the practitioner understand what is happening, in spiritual or cultural terms? Is that a source of comfort, worry, or both?
• Does it use a device, heat, cold, water or a physical procedure? Has a medical professional checked that it is safe for you?
• Who runs it, and what training or registration do they hold?
• What actually happens in a session or meeting, and how often?
• What does it cost, and is there pressure to commit to more?
• How do you feel afterwards, in the hours and days that follow?
• Does it fit with, or clash with, the work we do here?

What practitioners of it watch for

• performance anxiety, and fear of losing control (reassure and slow down).
• use of the technique to suppress valid distress (pair it with validation); and toxic positivity.
• strong rejection of the phrase, which may signal shame or depression needing standard treatment.
• new memories or distress reported between sessions. Arrange contact promptly and do not interpret the material (5.6).
• missed days (see 5.4); and sleep-onset use in clients with sleep disorders. Monitor progress with a simple daily rating of the target behaviour.

Problems the guide addresses

• Client does not enter hypnosis or "nothing comes up" in regression
• Resistance and "yes, but" to new beliefs
• Overwhelm, abreaction or dissociation during regression
• Non-adherence to the recording
• No change after 1 to 3 sessions
• New memories of abuse or trauma emerge in or after a session
• Rupture over expectations or the marketing
• Physical-health and weight requests
• Scope and training

When to involve someone else

• New or worsening physical symptoms, or advice to stop or change prescribed medication: involve the client's doctor or prescriber.
• Signs of coercion, isolation from family and friends, escalating costs or secrecy: discuss openly and consider safeguarding.
• A crisis or thoughts of suicide: follow your crisis protocol. In the US, call or text 988; in the UK and Ireland, Samaritans on 116 123.

Drawn automatically from the guide's own sections. Stay curious: neither endorse nor dismiss what the client values, and check anything that matters against the full guide and its sources. Not medical advice.