Information Guide for Child / Adolescent

The hypnosis sessions are designed to help you with problems in your life that you are having difficulty coping successfully with.

Our initial meeting will provide you with the opportunity to discuss your problems without judgement.

As your hypnotist I may need to gather further background information in order to decide on the best way of helping you to move forward in your life.

It is important that you feel comfortable with talking to me and that we develop a relationship based on mutual trust and respect.

During the hypnosis session you may want to discuss certain issues that you would not talk to your parents or caregiver about.

As a general rule, any information you share with me will be private and confidential.

Exceptions to this rule could apply if:

• I believe that as a result of your disclosure, you are putting yourself or others in danger of serious harm.
• You have given your permission for me to discuss personal information with your parent, guardian or another professional who is in a position to offer protection for you or the person in danger.  
• You tell me you are being abused, either physically, sexually or emotionally or that you have been abused in the past.
• You are involved in a court case and a request is made for information about your hypnosis session(s).
• If this happens, I will not disclose information without your written agreement unless the court requires me to.
• I will do all I can within the law to protect your confidentiality, and if I am required to disclose information to the court, I will inform you that this is happening.

Communicating with your parent(s) or guardian(s)

If in my professional judgement, you tell me anything that I believe your parents, guardian, GP or school should know, in order to help your situation then I may encourage you to talk to them and will help you find the best way to tell them.

 

Adolscent Consent Form

&

Parent Agreement to Respect Privacy

 

Adolescent Hypnosis Client:

Please sign below to confirm that you have understood the information detailed above and the limits to confidentiality.

If you have any questions as we progress with hypnosis, you can ask your hypnotist at any time.

Parent/Guardian:

By signing this agreement you agree to the following while respecting your adolescent's privacy:

I will refrain from requesting detailed information about the individual therapy sessions with my child and understand that I will be provided with periodic updates about my child's general progress, and/or may be asked to participate in the sessions if/as requested.

Although I am legally entitled to request written records/session notes since my child is a minor, I agree NOT to request these records unless I am duly concerned in order to respect my child's confidentiality.

I understand that I will be kept informed about any situations that could endanger my child or other/s. I understand that this decision to breach confidentiality under exceptional circumstances is up to the hypnotist's professional judgment and may sometimes be made in confidential consultation with their supervisor or regulating body.