Rapid Transformational Therapy

1. Introduction

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 commercial method, and its full training manual, induction and "transformation" scripts are proprietary and are not drawn on here [uncertain]. The guide below therefore gives the publicly stated session structure. Where the clinical detail a licensed clinician needs is missing, it is filled in as [synthesis] and labelled.

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 at the time. The client then reviews that meaning from an adult perspective and replaces it with new beliefs. Practitioners deliver new beliefs through direct suggestion and then through a personalised audio recording that the client listens to daily for 21 to 30 days. The school says the method draws on hypnotherapy, CBT, solution-focused, gestalt and emotion-focused therapy, and mindfulness [source: rtt.com What is RTT®; rtt.com prospectus].

Core idea of change (as the developer states it). Peer holds that most presenting problems rest on beliefs, often formed in childhood, that sit outside awareness. She holds that a problem cannot be fixed until its origin and its "Role, Function and Purpose" are understood, and that new beliefs reinforced by repetition then rewire behaviour, which the school calls "practical neuroplasticity" [source: rtt.com What is RTT®]. These are the developer's claims, not established findings. The school's marketing also claims benefits for physical illness, infertility and healing "at a cellular level". Clinicians should not adopt or repeat these claims, and should not use RTT as a treatment for any physical disease [source: rtt.com What is RTT®; synthesis].

Essential safeguard for clinicians. RTT's regression-to-cause step must not be treated as recovering accurate memories. Scenes that arise under hypnosis are the client's present-day experience and reconstruction, which suggestion and expectation can shape. They are material for working on meaning, not evidence of what happened. For the full harm account of hypnotic regression and memory, see guide 110. Every regression instruction in this guide is written to that standard [synthesis].

2. Framework

Format. RTT is delivered one-to-one, in person or online via video [source: marisapeer.com 10 things; Kingsbridge]. The main session lasts about 1.5 to 2 hours, and later sessions take up to about 1.5 hours [source: Kingsbridge; hypnotherapy-directory; mayraleen review; changecourse1].

Session count. The developer states that clients "generally" need 1 to 3 sessions per issue, against her stated 6 to 10 for standard hypnotherapy [source: rtt.com What is RTT®]. Some practitioners now advise starting with three sessions and say the earlier one-session framing no longer reflects practice [source: everydaymindset]. Packaged programmes typically combine an evaluation call, three sessions, three recordings, email check-ins and an end-of-programme review [source: Kingsbridge].

Phase sequence within a session. The published descriptions give this order. The labels are a composite of the developer's and practitioners' wording:

Pre-session consultation and agreement. Purpose: clarify the issue and the desired outcome, check suitability, and agree terms. Some practitioners use a consultation form, signed conditions and a short free discovery call [source: Kingsbridge; everydaymindset; mayraleen].
Induction and deepening. Purpose: produce a relaxed, focused state in which the client stays aware and in control. No specific induction is named publicly [source: rtt.com; Kingsbridge; mayraleen] [uncertain].
Regression to scenes. Purpose: identify earlier experiences the client links to the problem. One trainee review reports regressing to "at least 3 scenes" [source: mayraleen review] [uncertain: single secondary source].
Interpretation and cause. Purpose: name the meaning the client formed at the time, the resulting belief, and the problem's role, function and purpose [source: rtt.com].
Reframe from the adult perspective. Purpose: review those meanings from the client's current adult viewpoint [source: rtt.com; everydaymindset].
Transformation (installing new beliefs). Purpose: give direct suggestions for new beliefs and responses. One reviewer refers to seven proprietary transformation techniques that are not publicly described [source: rtt.com; mayraleen] [uncertain].
Personalised recording, listening period and follow-up. Purpose: reinforce the suggestions through a 15 to 20 minute audio heard daily for at least 21 days, with check-ins by message or email during that time [source: rtt.com; Kingsbridge; changecourse1; help.marisapeer.com].

Criteria for moving between phases (developer criteria are not published) [uncertain]. For licensed clinicians, use these [synthesis]:

Move from consultation to induction only after screening is clear, informed consent covers regression and the memory caveat, and a specific outcome is agreed.
Move from induction to regression only once the client shows settled hypnotic responsiveness and can use a pre-agreed stop signal.
Move from a scene to interpretation only when affect is within the window of tolerance.
Begin transformation only after the client states, in their own words, a belief they recognise and want to change.
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.

Related pathway. The school also teaches a separate "Peer Hypnosis Method" with modules titled Identify, Induction, Investigate (parts therapy steps 1–4), Interrupt (steps 5–8), Install (suggestion therapy steps 9–10) and Teaching Clients Self-hypnosis. Only the module titles are public, so the steps are not described here [source: rtt.com prospectus] [uncertain].

3. Guiding principles

The principles below are Peer's, attributed to her. Each has a practical meaning for a licensed clinician; where that meaning is the guide's own reading, it is marked [synthesis].

Root cause before reinforcement. Peer holds that suggestion works best after the origin of a problem is understood, which she says sets RTT apart from NLP and pure suggestion hypnotherapy [source: rtt.com]. Practical meaning: build a shared, client-owned explanation of the problem before giving suggestions, and treat that explanation as a working formulation, not a historical finding [synthesis].
"You cannot fix what you don't understand"; role, function and purpose. Peer holds that every problem serves a purpose [source: rtt.com]. Practical meaning: ask what the symptom does for the client, such as protection, attention or avoidance, much as a functional analysis would.
Beliefs are learned, not innate. Peer holds that negative beliefs and habits are acquired and can therefore be changed [source: bgi.uk]. Practical meaning: frame the problem as something learned, which supports the client's sense of agency.
Common core beliefs. Practitioners report that RTT trainees are taught that many problems reduce to "not enough", "different", or "I can't have what I want" [source: mayraleen review] [uncertain: secondary]. Practical meaning: use these as hypotheses to test with the client, never as conclusions to impose.
Pictures and words drive feelings. Peer holds that emotional states follow the images a person makes and the words they say to themselves, and that the body responds whether or not those are accurate [source: TEDx transcript; Thrive Global]. Practical meaning: direct attention to the client's self-talk and imagery, and phrase suggestions vividly and positively.
The mind does what it thinks you want. Peer holds that the mind acts on the literal meaning of habitual language [source: TEDx transcript]. Practical meaning: identify the client's complaint language and rephrase it as choice.
The mind loves the familiar. Peer holds that people repeat what is familiar, so change requires making old patterns unfamiliar and new ones familiar [source: TEDx transcript; Thrive Global]. Practical meaning: this is the rationale for daily repetition of the recording.
Pleasure and pain. Peer holds that the mind moves toward pleasure and away from pain, and that these links can be reassigned [source: TEDx transcript]. Practical meaning: in suggestion, link the goal behaviour with benefit and the old habit with cost, without humiliating imagery [synthesis].
Repetition installs change. The school recommends daily listening for 21 to 30 days [source: rtt.com; help.marisapeer.com]. Practical meaning: plan and monitor adherence to the recording as you would homework.
Client remains aware and in control. Practitioners state that the client is relaxed, aware and able to stop at any point [source: everydaymindset; Kingsbridge; rtt.com prospectus]. Practical meaning: agree a stop signal and honour it; there is no covert induction.
Do not force a dramatic memory. One RTT-trained practitioner advises against forcing a dramatic memory or a predetermined explanation, and says emerging material should be explored rather than treated as verified fact [source: everydaymindset]. Practical meaning: this is the standard this guide adopts for all regression work (see guide 110).
Scope. The school advises trainees to check local licensing, and one practitioner states that RTT is not a substitute for medical care [source: rtt.com prospectus; everydaymindset]. Practical meaning: use RTT only within your own licence and competence, and as an adjunct after medical assessment where physical symptoms are involved [synthesis].

4. Intervention inventory

The RTT® scripts, the named induction and the "seven transformation techniques" are proprietary and were not available in any source opened [uncertain]. Each item below gives the publicly described element plus a clinical-hypnosis structure for carrying it out safely. All example wording is illustrative paraphrase, not Peer's script.

4.1 Pre-session consultation, screening and informed consent

Purpose: decide whether RTT-style hypnotic work is suitable, and set terms. Practitioners describe a free short discovery call, a consultation form, emailed conditions to sign, and a pre-session discussion of concerns, history and desired outcome [source: Kingsbridge; everydaymindset].
Steps:
1. Take a full clinical history: current diagnosis and treatment, medication, risk, substance use, dissociation, trauma history, and any memory-related legal matters [synthesis].
2. Apply exclusions. One RTT practice published in a hospital setting lists RTT as "not recommended" for people with seizures or epilepsy, bipolar disorder, schizophrenia, borderline personality disorder, or current hallucinations or delusions [source: Kingsbridge]. Add these [synthesis]:
  - Do not use regression with untreated PTSD, severe or dissociative disorders, or active suicidality or recent self-harm until the client is stabilised. Offer phase-based trauma care instead.
  - Do not use hypnotic regression with anyone who is, or may become, a witness or party in proceedings about the remembered events. Hypnosis can contaminate testimony; see guide 110.
  - Exclude or defer clients who are intoxicated or acutely unwell. For eating disorders, refer to specialist care; do not use RTT's weight-management framing.
  - Require medical assessment first for any physical complaint.
  - Ask about hypnosis experience and fears.
3. Obtain written consent covering: what hypnosis is and is not; that the client stays aware and can stop; that regression produces reconstructions which may be inaccurate; that the session will be long; the recording and its use; data protection for the recording; and that results are not guaranteed [synthesis; scope modules in source: rtt.com prospectus].
4. Agree a non-verbal stop signal, such as raising a hand [synthesis].
Example language (illustrative): "Part of this session involves going back to earlier memories. What comes up is useful for understanding what you concluded back then, but memory under hypnosis can blend and fill in. We will treat it as your experience, not as a record of facts."
Watch for: a client seeking hypnosis to find out whether something happened (decline regression and explain why; guide 110); unrealistic one-session cure expectations; and pressure from the RTT marketing claims the client has read.

4.2 Defining the desired outcome

Purpose: RTT training stresses getting clients to identify clearly what they want [source: mayraleen review]. Practitioners ask what a meaningful outcome would look like [source: everydaymindset].
Steps:
1. Narrow the work to one issue per session; one practitioner notes that separate aspects may need separate sessions [source: changecourse1].
2. Phrase the outcome positively and behaviourally.
3. Gather the client's own words about the problem. Under Peer's "words and pictures" principle these are the language to reverse later [source: TEDx transcript; synthesis].
Example language (illustrative): "If this session worked, what would you notice yourself doing differently next week?"
Watch for: vague or multiple goals; goals that depend on other people changing; goals that are really medical or weight targets (redirect these, and set no numeric weight targets).

4.3 Suggestibility check and hypnosis education

Purpose: one RTT practitioner says she always checks suggestibility before formal sessions [source: Kingsbridge]. In her TEDx talk, Peer demonstrates the effect of instructions with an imagined-lemon exercise and an arm-stretch exercise [source: TEDx transcript]. The exact RTT suggestibility tests were not found [uncertain].
Steps (clinical structure) [synthesis]:
1. Explain hypnosis as focused, relaxed attention in which the client keeps control.
2. Run a brief ideomotor or imagery demonstration that the client can fail at without loss of face, such as imagining biting a lemon and noticing salivation.
3. Use the response to calibrate the induction, and normalise any outcome.
Example language (illustrative): "Just imagine a fresh lemon, cut it in half in your mind, and bring it toward your mouth. Notice whatever your body does. There is no right answer."
Watch for: performance anxiety, and fear of losing control (reassure and slow down).

4.4 Induction and deepening

Purpose: produce the "deeply relaxed state" in which the client can focus on past events [source: rtt.com]. Trainees are taught to induce and deepen [source: mayraleen review]. The specific RTT induction is not public [uncertain].
Steps (clinical structure; paraphrase, not an RTT script) [synthesis]:
1. Seat or recline the client with arms and legs uncrossed.
2. Give an eye-fixation or breath-focused progressive relaxation induction.
3. Deepen with a count-down or descending-stairs image, paced to the client's breathing.
4. Check responsiveness with a small ideomotor signal, such as a finger lift for "yes".
5. Remind the client of the stop signal.
6. For online sessions, confirm the client is alone, uninterrupted, with phone silenced, and agree what happens if the connection drops [source on setting: Kingsbridge; help.marisapeer.com; contingency: synthesis].
Example language (illustrative): "Let your eyes rest on one point… and as your breathing slows, let your eyelids grow heavy and close when they're ready. With each number I count down from ten, let yourself settle a little more comfortably, staying aware of my voice and free to open your eyes whenever you need."
Watch for: abreaction before any regression, spontaneous age regression, signs of dissociation (glazed unresponsiveness, loss of contact), and seizure history (excluded at 4.1).

4.5 Regression to scenes (memory-safe version)

Purpose: the developer uses hypnosis to take the client to past events linked to the issue, to learn "how, where and when" the belief formed [source: rtt.com]. A trainee reports at least three scenes per session [source: mayraleen] [uncertain]. In this guide the scenes are used only to explore the meanings the client took from experience. They are not used to recover or verify memories (full harm account in guide 110).
Readiness criteria [synthesis]:
- Screening is clear (4.1).
- The client can return to calm on cue, for example by using a safe-place image taught before regression.
- No current crisis.
- The client has consented to the memory caveat.
Steps [structure from sources; wording and safeguards synthesis]:
1. Install a safe-place image and a stop signal first.
2. Use an open, non-leading bridge, such as following the feeling back to whatever earlier time comes to mind. Never name or suggest the content, abuse or otherwise, and never press with "What else happened?"
3. Have the client view the scene as an observer, "reviewing rather than reliving" [source: Kingsbridge]. Ask what they notice and what they decided about themselves.
4. Limit each scene to a few minutes, and move on or stop when affect rises past tolerance.
5. Accept vague, imagined or symbolic material without probing for detail.
6. Return to the safe place between scenes.
7. Close regression with grounding before any interpretation.
Example language (illustrative): "Notice that feeling… and let your mind drift to any earlier time it connects with. It doesn't matter whether it is a clear memory, a sense, or just an image. You are watching from a safe distance. What do you notice? What did that younger you conclude?"
Watch for:
- New "memories" of abuse or trauma emerging under hypnosis. Do not confirm, interpret or elaborate them. Respond as in 5.6.
- Signs of overwhelm, such as shaking, crying that escalates, or loss of contact.
- Any sign the client is becoming more certain of new details because of the session.
- Signs it is working: the client names, calmly, a self-belief they recognise.

4.6 Interpretation: meaning, belief and role, function and purpose

Purpose: to uncover "the meaning and interpretation" the client gave events at the time, and the beliefs formed from them [source: rtt.com]. Peer also asks about the problem's role, function and purpose [source: rtt.com]. Trainees are reported to look for themes such as "not enough", "different", or not being able to have what one wants [source: mayraleen] [uncertain].
Steps:
1. Still in light hypnosis or just after regression, ask the client what each scene led them to believe about themselves, others and the world [source: rtt.com; wording: synthesis].
2. Link the scenes by their common theme, stated in the client's own words. Offer a theme only tentatively, and only if the client cannot find one [synthesis].
3. Ask what the current problem does for the client: what it protects them from, what it gets them, and what would be risked without it.
4. Write the belief down exactly as the client says it, for use in the transformation and the recording.
Example language (illustrative): "Looking at those moments together, what did you decide about yourself back then?" and "If that habit has been trying to help you in some way, what has it been doing for you?"
Watch for: the therapist supplying a belief the client merely agrees to; self-blame ("it was my fault"), which needs compassionate reframing (4.7); and blame directed at family as fact. Keep it framed as the meaning the child made [synthesis].

4.7 Adult-perspective reframe

Purpose: the client reviews the past "from your adult perspective today" and reconsiders outdated beliefs [source: rtt.com; everydaymindset].
Steps [structure from sources; detail synthesis]:
1. Invite the client's adult self to look at the younger self in the scene.
2. Ask what the adult knows now that the child could not know, for example about the adults' own limits, or that a child cannot cause a parent's behaviour.
3. Have the adult say what the child needed to hear. The client should supply the words.
4. Invite the client to state the updated conclusion.
5. Check the client believes it (ask for a rough rating) rather than just accepting it.
Example language (illustrative): "As the adult you are now, looking at that child, what do you understand about that situation that they couldn't? What would you want them to know?"
Watch for: reframes that excuse harm done to the client (the reframe concerns the child's conclusion about themselves, not whether the harm was acceptable); flat intellectual agreement with no felt shift; and intense grief, which should be allowed and then grounded.

4.8 Transformation: suggesting new beliefs

Purpose: after reframing, the practitioner helps the client create new beliefs, which are reinforced through suggestion [source: rtt.com]. Trainees learn seven transformation techniques that are not publicly described [source: mayraleen] [uncertain: not described here]. Positive suggestions are delivered to override the old belief [source: mayraleen].
Steps (clinical suggestion structure; paraphrase) [synthesis]:
1. Deepen briefly.
2. Turn the reframe from 4.7 into 3 to 6 short, present-tense, positively worded suggestions in the client's own vocabulary, reversing the complaint language collected in 4.2. This draws on Peer's principle that the mind acts on words and pictures [source: TEDx transcript].
3. Pair each suggestion with a vivid image of the client acting on it in a specific upcoming situation (future rehearsal).
4. Link the new behaviour with its benefits and the old pattern with its costs, in a pleasure–pain framing [source: TEDx transcript], without disgust or shame imagery.
5. Repeat the core suggestions two or three times.
6. Add an ego-strengthening suggestion of competence and worth.
Example language (illustrative): "You are learning that you are acceptable as you are. Next Monday, walking into that meeting, you notice your shoulders settle and you speak calmly, because what others think no longer decides your worth."
Watch for: suggestions promising physical cures or guaranteed outcomes (never give these); suggestions that override the client's values; and the client's ideomotor or verbal agreement ("yes" signals) as a sign of acceptance.

4.9 Re-alerting and debrief

Purpose: to end hypnosis cleanly and consolidate. Sources mention time to talk before and after the session [source: changecourse1; everydaymindset]. The re-alerting procedure itself is not described [uncertain].
Steps [synthesis]:
1. Remove any temporary suggestions given during the session.
2. Count up from one to five with suggestions of alertness, normal body sensation and comfort.
3. Check orientation by asking for the date and place.
4. Debrief: what the client noticed, what stands out, and the belief they are taking away.
5. Normalise after-effects, such as tiredness, vivid dreams or emotion over the following days.
6. Restate that any memories that surfaced are working material, not confirmed history.
7. Do not let the client drive until they are fully alert.
Example language (illustrative): "In a moment I'll count from one to five, and by five you'll be fully alert, clear-headed and comfortable… How are you feeling now? What will you take with you from today?"
Watch for: residual drowsiness, disorientation, or distress that persists after re-alerting. If you see any of these, re-ground before the client leaves and arrange a check-in call.

4.10 Personalised recording

Purpose: RTT's core take-home element. A personalised audio, described by practitioners as 15 to 20 minutes long, reinforces the new beliefs [source: rtt.com; changecourse1; Kingsbridge]. Peer has a library of recording scripts, which is not drawn on here [source: rtt.com prospectus] [uncertain].
Steps [structure from sources; content synthesis]:
1. Record during or just after the session, either part of the transformation phase or a separate recording.
2. Structure it as: a short induction; the client's own new-belief suggestions from 4.8; future rehearsal; and either re-alerting or a version that allows sleep.
3. Include no regression content and no suggestions about the past or memories.
4. Agree secure storage and file handling (data protection).
Example language (illustrative): "As you listen each day, these ideas become more and more familiar… you are enough, and you show it in small ways every day."
Watch for: recordings that include regression prompts (leave them out); recordings the client finds distressing (stop and review them); and dependence on the recording beyond the planned period.

4.11 Listening protocol (self-hypnosis practice)

Purpose: to repeat the suggestions until they become familiar, which the developer recommends for 21 to 30 days [source: rtt.com; help.marisapeer.com].
Steps (from the developer's help-centre advice):
1. Listen daily for 21 days, at night or on waking.
2. Sit or lie on the back with limbs uncrossed.
3. Silence the phone and avoid interruptions.
4. Set a daily reminder.
5. Falling asleep is acceptable.
6. Never listen while driving.
7. Work on one recording at a time, two at most. [source: help.marisapeer.com]
Example language (illustrative): "Make it a fixed part of your day, like brushing your teeth. If you drift off, that's fine."
Watch for: missed days (see 5.4); and sleep-onset use in clients with sleep disorders [synthesis]. Monitor progress with a simple daily rating of the target behaviour [synthesis].

4.12 Language and imagery self-practice

Purpose: Peer teaches clients to change the words and pictures they use, because she holds that feelings follow them [source: TEDx transcript; Thrive Global (third-party application)].
Steps:
1. Have the client list their habitual complaint phrases.
2. Rewrite each as a statement of choice or a temporary state. Peer's example is replacing complaints with "I have chosen this" [source: TEDx transcript].
3. Replace catastrophic images with neutral or practical ones. One third-party application swaps a fear-laden name for a neutral word that makes no picture [source: Thrive Global].
4. Make old habits unfamiliar and new ones routine, by changing cues and building daily rituals [source: TEDx transcript].
Example language (illustrative): "When you hear yourself say 'I can't stand this', try 'I'm choosing to get through this, and it's temporary'."
Watch for: use of the technique to suppress valid distress (pair it with validation [synthesis]); and toxic positivity.

4.13 "I am enough" affirmation

Purpose: Peer's best-known suggestion, the subject of her book I Am Enough: Mark Your Mirror and Change Your Life [source: lucciagray (book title)]. The book's instructions are not drawn on here [uncertain]. The title implies writing the phrase where it will be seen.
Steps [synthesis; not attributed to Peer]:
1. Introduce it only when it fits the client's formulation from 4.6.
2. Have the client write the phrase somewhere they will see it daily and repeat it with attention.
3. Ask the client to notice and record any inner "yes, but" objections, and bring those back to the next session as material.
Example language (illustrative): "Let's see what happens inside when you read that line each morning, including any part of you that argues with it."
Watch for: strong rejection of the phrase, which may signal shame or depression needing standard treatment.

4.14 Check-ins and further sessions

Purpose: support during the listening period. Practitioners describe weekly check-ins by message or email during the 21 days, and an end-of-programme review [source: Kingsbridge].
Steps:
1. Send a brief weekly check-in covering adherence, changes and any distress.
2. Review at about 3 to 4 weeks against the agreed outcome.
3. Decide on a further session for a remaining aspect, a step-down, or a switch to a different treatment [synthesis].
Example language (illustrative): "How many days did you listen this week, and what have you noticed in the situations we worked on?"
Watch for: new memories or distress reported between sessions. Arrange contact promptly and do not interpret the material (5.6).

4.15 Elements a licensed clinician should not adopt

Claims of physical healing: these include the school's claims of success with physical illness and infertility, and of healing at a "cellular level" [source: rtt.com]. "Command Cell" work, an optional add-on that some practitioners use and present as working on the mind–body connection, belongs in the same category [source: hypnotherapy-directory]. Do not present any of these as treatment for physical disease. Use hypnosis for physical symptoms, such as IBS, pain or procedural anxiety, only as an adjunct within medical care, using established clinical hypnosis protocols [synthesis].
Using regression to establish what happened: see guide 110.

5. Handling problems

RTT's public sources say almost nothing about problem handling beyond "results may vary" and stay-in-control reassurances [source: rtt.com; changecourse1]. Everything below is [synthesis] unless a source is tagged.

5.1 Client does not enter hypnosis or "nothing comes up" in regression

Reassure the client that light trance is enough for the work.
Switch to an imagery or eyes-open approach.
Do not push for scenes, and never offer candidate memories.
Work with present-day examples of the belief instead: when it shows up now and what it says. This keeps the same interpretation, reframe and suggestion sequence without regression.
If the client is anxious about losing control, give the control back explicitly, for example by letting them choose when to close their eyes.

5.2 Resistance and "yes, but" to new beliefs

Treat the objection as information about the problem's role, function and purpose (4.6) [principle source: rtt.com].
Ask what would be risked if the new belief were true.
Soften the suggestion to a graded version, such as "I am learning that…".
Never escalate to more forceful or authoritarian suggestion against stated objection, and never use techniques designed to bypass the client's consent.

5.3 Overwhelm, abreaction or dissociation during regression

Stop the scene immediately.
Move the client to observer distance, then to the safe place.
Ground them: feet on the floor, describing the room, naming five things they can hear, slowing breath.
If contact is not restored, re-alert fully and continue grounding with eyes open.
Do not resume regression in that session.
Before ending, check risk and orientation, and agree a check-in within 24 to 48 hours.
Reconsider suitability. A client who dissociates under regression needs stabilisation-first trauma care (for example, phase-based PTSD treatment), not further RTT [screening source: Kingsbridge exclusions; synthesis].
Online sessions: before starting, have the client's location and an emergency contact on record.

5.4 Non-adherence to the recording

Find the barrier: time, privacy, falling asleep, distress, or doubt.
Pin listening to an existing routine and a phone reminder, as the developer advises [source: help.marisapeer.com].
Shorten the recording if needed.
If the client finds the recording distressing, stop it and re-record without the triggering content.
Don't treat missed days as failure; start the 21 days again in a non-punitive way.

5.5 No change after 1 to 3 sessions

The developer's framing of 1 to 3 sessions can lead the client, or the clinician, to blame the client [source: rtt.com].
Name this openly, review the formulation, and move to a standard evidence-based treatment for the presenting problem.
Do not keep adding regression sessions in search of a "deeper root cause". Repeated searching increases the risk of suggestion shaping memory (guide 110).

5.6 New memories of abuse or trauma emerge in or after a session

This is the key RTT-specific risk.

Respond with care and validation of the client's distress.
Neither confirm nor dismiss the content.
Explain that material arising under hypnosis cannot establish what happened, and that further hypnotic exploration would make it less reliable.
Stop all regression work.
Assess safety, including any current safeguarding concerns that do need action under local law.
Offer non-hypnotic trauma-informed support.
If legal action is being considered, advise the client to seek legal advice. Record that hypnosis was used, as a forensic interviewer will need to know.
Full guidance: guide 110.

5.7 Rupture over expectations or the marketing

Clients may arrive expecting a one-session "cure" or physical healing, based on the school's claims [source: rtt.com; everydaymindset notes one-session framing is outdated].
At consent, correct expectations without disparaging the client's hopes.
If disappointment arises, acknowledge the gap, take responsibility for the plan, and renegotiate goals.

5.8 Physical-health and weight requests

Require medical assessment first.
Position hypnosis strictly as an adjunct within medical care, using established clinical-hypnosis protocols, for example for IBS or procedural anxiety.
For weight, work on eating-related habits and self-worth beliefs without numeric targets.
Screen for eating disorders and refer to specialist care if indicated.
Never suggest that beliefs caused, or can cure, an illness. Doing so invites self-blame.

5.9 Scope and training

RTT certification itself requires no prior clinical qualification [source: marisapeer.com 10 things]. A licensed clinician using RTT elements remains bound by their own professional code and competence in hypnosis. The school advises checking local licensing and holding insurance [source: rtt.com prospectus].
Obtain recognised clinical-hypnosis training and supervision before using regression.
Do not describe yourself as an RTT® practitioner without the trademark-holder's certification.

Sources

Sources:

What is RTT®? – Rapid Transformational Therapy (developer)
What is RTT? (older version) (developer)
Prospectus – RTT® (career guide) (developer: curriculum, modules, scope)
How does Hypnosis work? – Marisa Peer help centre (developer: listening instructions)
10 things to know about Marisa Peer's RTT training (developer)
To reach beyond your limits by training your mind – Marisa Peer TEDxKCS transcript (founder's talk, third-party transcript)
Apply these two rules of the mind to replace anxiety with hope – Thrive Global (secondary application)
Rapid Transformational Therapy (Hypnotherapy) – Kingsbridge Private Hospital (practitioner: format, exclusions)
An Honest Review: Marisa Peer's RTT Training (trainee review: session steps)
What Is Rapid Transformational Therapy? – Everyday Mindset (practitioner)
Rapid Transformational Therapy® – Hypnotherapy Directory (secondary)
More about RTT – Change Course (practitioner)
Rapid Transformational Therapy™ – BGi (insurer description)
I am enough: Mark your mirror – Luccia Gray blog (book reference only)