For Online (Remote) Sessions
Healing and Hypnotherapy Online
Last updated: August 2026
Practitioner: Taeko Yamada / Healing and Hypnotherapy Online
Qualifications: Master of Social Work (MSW, Monash University, Australia); Graduate Diploma in Family Therapy (Australia); Certified Public Psychologist (CPP, Japan); Certified Hypnotherapist (National Guild of Hypnotists, United States); Certified Trainer (American Board of Hypnotherapy, United States)
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Hypnotherapy is a complementary approach that uses a relaxed, focused state to support your own awareness and change.
The practitioner does not "control" you. Throughout the session you remain able to choose your own actions, and you may open your eyes or stop at any time.
Hypnotherapy is not a medical service, a form of psychotherapy, or psychiatric treatment. It does not involve diagnosis or changes to medication, and does not replace existing medical or psychological care.
This form applies to the following hypnotherapy sessions.
| Format | Duration |
|---|---|
| Short Hypnotherapy Session | 50 minutes |
| Long Hypnotherapy Session | Up to 3 hours |
Approaches used in sessions may include:
Where sessions involve trauma or significant anxiety, please understand that although the practitioner is a Certified Public Psychologist, hypnotherapy as a method has limits to what it can address. Should your symptoms worsen through the course of sessions, you agree to accept referral to appropriate medical services.
Psychological counselling (ACT, CBT, EMDR and similar) is covered separately.
Please discuss with the practitioner and your treating physician in advance if any of the following apply. Sessions may be declined, or medical approval may be required.
☐ None of the above apply to me.
☐ Some of the above apply, and I consent following separate discussion with the practitioner.
Sessions are not recorded.
Where, in the course of the work, the practitioner judges that a recording would be of benefit, it may be suggested — for instance, where listening back at home to the suggestions given in a session seems likely to help.
Any recording requires your consent on that occasion. Declining has no effect whatsoever on the content or quality of your sessions.
Where a recording is made, it is held by the practitioner in a password-protected environment and deleted within one month. Where it is judged necessary to retain it for ongoing work, it will in no case be held beyond six months. It will be deleted promptly at any time on your request.
☐ I have read and understood the above
Given the nature of remote sessions, the practitioner cannot physically guarantee your bodily safety during a session. You are responsible for ensuring your environment is safe (for example, free from the risk of falling), and for providing an emergency contact below.
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Where medical or psychiatric concerns arise during a session that fall outside the practitioner's scope, the session may be paused and you may be advised to consult a doctor, psychiatrist, or other specialist.
Please understand that this is done with your safety as the first priority.
The content of sessions and your personal information will not be disclosed to third parties, except where disclosure is required by law (for example, where there is risk of harm to yourself or others).
As clients come from a range of countries, data is handled in a manner consistent with the intent of relevant data protection legislation (for example, the EU General Data Protection Regulation, GDPR).
Retention periods
| Type | Held for |
|---|---|
| Session records (case notes) | Five years from your final session, then securely destroyed |
| Audio or video recordings | Within one month as a rule; six months at the outside (see 5.2) |
In either case, records will be deleted promptly on your request, unless retention is required by law.
Cancellation and refund provisions are as set out in Section 5 of the Terms of Use.
You may withdraw consent and ask for a session to stop at any time, before or during a session, for any reason.
Optional: any medical history, current medication, or other matters the practitioner should be aware of
I have read and understood this consent form and the Terms of Use, and agree to all of the above.
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This form should be reviewed by a legal professional in the relevant jurisdiction before use.