Information and consent form
The process of therapy Mindful Psychology practices a range of evidence-based approaches such as Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT) and Mindfulness-based Cognitive Therapy (MBCT) and uses Neuro-linguistic programming (NLP) and Rapid Transformational Therapy (RTT) to achieve specific goals.
By uniting traditional methods with new therapy developments, Mindful Psychology offers a unique therapy that is tailored to your individual situation, needs and goals. It is a pioneering approach based on neuroscience that has the potential to offer fast, effective results through combining the most beneficial principles of CBT (Cognitive Behavioural Therapy), Psychotherapy, NLP (Neuro Linguistic Programming), Hypnotherapy and Regression Therapy and it is called Rapid Transformational Therapy® (RTT). RTT can deliver extraordinary change from physical, emotional, and psychological pain by reframing our core beliefs, values, habits, and emotions deep in the subconscious to creating profound and long-lasting changes to achieve a healthy, full, and meaningful life. By rapidly rewiring the brain’s neural pathways, RTT® replaces our outdated belief systems and negative behaviour patterns. New life-affirming beliefs are formed, and the transformational process begins, improving and enriching the quality of our personal and professional life, and allowing us to be the best version of ourselves.
Payments, outstanding balances and insurance reimbursement Clients are expected to pay the standard fees unless other arrangements have been made, as reduced fees are offered depending on the financial circumstances of the client. The fee always includes personalised recordings, materials, audios, questionnaires and worksheets. Fees can be received as bank transfers or paid in cash at the end of each session.
50-minute individual session - 95€ (VAT included)
75-minute couples/family session – 145€ (VAT included)
RTT 30 day Life Transformation Program – 495€ (VAT included)
The 30-day Rapid Transformation Therapy® program includes:
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1 Introductory coaching session to map out the transformation you are looking for - 50 min
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1 Evaluation questionnaire
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1 RTT session –2 hours
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1 Custom made hypnosis recording rewire redundant, limiting beliefs and solidify new empowering ones
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1 Follow-up and evaluation email 1 week after the RTT session
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1 Follow-up and evaluation session at the end of the program- 30 min
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Email support for 30 days
RTT 60 day Life Transformation Program – 990€ (VAT included)
The 60-day Rapid Transformation Therapy® program includes:
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1 Introductory coaching session to map out the transformation you are looking for - 50 min
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1 Evaluation questionnaire
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2 RTT sessions focused on areas of your choice– 2 hours each
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1 Custom made Therapy session – 1 hour
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2 Custom made hypnosis recordings to rewire redundant, limiting beliefs and solidify new empowering ones
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1 Follow-up and evaluation email 1 week after the first RTT session
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1 Follow- up and evaluation session at the end of the program - 30 min
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Email support for 60 days
RTT 90 day Life Transformation Program – 1.595€ (VAT included)
The 90-day Rapid Transformation Therapy® program includes:
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1 Introductory coaching session to map out the transformation you are looking for - 50 min
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1 Evaluation questionnaire 3 RTT sessions focused on areas of your choice– 2 hours each
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2 Custom made Therapy sessions – 1 hour each
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3 Custom made hypnosis recordings to rewire redundant, limiting beliefs and solidify new empowering ones
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1 Follow-up and evaluation email 1 week after the first RTT session
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1 Follow- up and evaluation session at the end of the program - 30 min
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Email support for 90 days
Please notify me if any problem arises regarding your ability to make timely payments. It is possible to make some adjustments depending on your personal circumstances if you have difficulties with the payment. After 60 days, if payment has not been made in full or a satisfactory payment schedule has not been arranged, the account may be turned over to a collections agency. You may be liable for all legal fees and collection fees, in addition to the monies owed.
Upon your request, I will provide you with invoices at the end of each month, which you can then submit to your insurance company for reimbursement if you so choose. The Dutch health insurance system is complex and each insurer and package has different criteria for reimbursement. Please be aware that it cannot be guaranteed whether you will succeed in claiming back fees via your health insurance company. International and European health insurances often reimburse fees partially or fully. As I hold the title “Psycholoog NIP”, a personal AGB-code and a code of good practice, the costs of the sessions are partly or fully covered by some additional Dutch health insurance packages.
Cancellation policy
Since the scheduling of an appointment involves the reservation of a room and a time specifically for you, a minimum of 48 hours' notice is required for rescheduling or cancelling an appointment. Unless a different agreement is reached, the full fee will be charged for sessions missed without such notification.
Confidentiality
All information disclosed in the sessions as well as written records belonging to these sessions is treated as confidential, in accordance with the professional code of ethics. The only circumstance in which confidentiality could be breached is if I believe an individual poses a significant risk or danger to themselves or others. In this case, I would be obliged to inform the appropriate agencies to ensure safety. However, it is unlikely that such circumstances will ever arise and in the case that they did, I would discuss this with you first.
Liability
I release Carmen Sánchez Iglesias from any responsibility or claim related to my mental and/or physical well-being during or after the treatment that has been described and agreed upon by completing this mutual consent form.
People with epilepsy or who have been diagnosed with a psychotic illness should not enter hypnosis. I hereby confirm that by signing this form I do not suffer from these disorders. At no time during the care intervention will any type of clinical diagnosis be made or any treatment of any "mental illness" be carried out. I understand that, if I am under medical advisement for ANY condition, I should not make any adjustments to the prescribed medications without the approval of my doctor or qualified professional.
Participation
I hereby give Carmen Sánchez Iglesias full permission to hypnotize me and use Rapid® Transformation Therapy and confirm that I do so of my free choice, knowing that by fully participating in the process and listening to my personalized recording for 21 days, I play an important role in my overall success. During hypnosis, clients may experience some release of emotions such as crying, yawning, laughing, etc., which is perfectly normal and is the body's way of releasing. During an RTT session, we try to discover the cause/root of your problem or discomfort, and then the client and the therapist work together using different tools to gain an understanding of where the belief/behaviour originated, in order to modify it.
Audio recordings
I authorize Carmen Sánchez Iglesias to record specific audio for me and that on some occasions this may include my voice. I understand that if a recording (or recordings) is made during or after my session, Carmen Sánchez Iglesias has the copyright to any material that may be produced and distributed.
Deepening
Process I hereby authorize Carmen Sánchez Iglesias to respectfully raise my arm, touch my shoulder, or move my head during my Rapid Transformation Therapy® session(s) to help facilitate the deepening process.
Guarantee
There are three types of change from Rapid Transformational Therapy as every person is different, and you also may experience a combination of the three:
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Immediate: You feel a massive shift right away – immediate changes in your physiology, thoughts and behaviours right in the session.
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Incremental: You see consistent shifts every day or overtime.
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Retroactive: You don’t see the shifts right away and then one day you suddenly look back and see all of the things that are different in your life.
I accept that while RTT has an incredibly high success rate, Carmen Sánchez Iglesias cannot and does not guarantee results as my own personal success depends on many factors over which Carmen Sánchez Iglesias has no control, including my own commitment, will and desire to create the changes within me. I undertake therapy with the understanding that it is a collaborative process, and that progress depends in part on my own motivation and participation.