HYPNOTHERAPY/ TIME LINE THERAPY DISCLOSURE  Logo
  • Hypnosis and hypnotic techniques may be used by individuals not licensed to practice psychology or medicine under two sets of circumstances: (1) upon referral from a person licensed to practice medicine, dentistry or psychology, or (2) where the person using the hypnotic techniques offers avocational, vocational or self-improvement. (Business and Professions Code Section 4996.14; Business and Professions Code Section 2908.)


    Sharon Jackson is a Certified Clinical Master Hypnotherapist with additional certificates in regression therapy and smoking cessation in addition, to her two Master Degrees in Counseling Psychology and Metaphysical Science, and a Ph.D in Counseling Psychology.


    Sexual, social or business relationships between patients and Hypnotherapists are unethical, and are strictly forbidden. If a Hypnotherapist makes any sexual advance or overture towards you, you should refuse to comply and report the individual immediately.


    The uses of hypnosis may at times elicit memories of past events which may or may not be literally true. TLT detaches emotions using a method of Time Line Therapy, NLP and hypnosis. It is possible that events under hypnosis will be distorted or misconstrued. Memories that are recovered under hypnosis
    are not necessarily accurate and may be a reconstruction or composite of memories. Without corroborating information, it’s not possible to determine whether a specific memory is true or false, even if the patient feels confident the memory is true.


    While hypnosis may be an effective technique for many purposes, the effectiveness may vary from individual to individual, and no specific result can be promised or guaranteed. While it is the practice of Hypnotherapists to keep information confidential, information revealed in hypnotherapy is not subject to the psychotherapist-patient privilege, unless the hypnotherapist is also licensed as a psychotherapist. A court may require disclosure of information learned in hypnotherapy. POWER OF THE MIND® practices patient privacy and will not disclose any client information or records unless court ordered or a written release is provided by client.


    I have reviewed this disclosure form and understand the contents and limitations of hypnosis, as explained above and have read the frequently asked question about hypnosis.

  • HYPNOTHERAPY/ TIME LINE THERAPY DISCLOSURE

  •  - -
  • Clear
  • Should be Empty: