Rapid Transformational Therapy (RTT): An Emerging Non-invasive Therapeutic Modality

Abstract

We write to highlight an emerging non-invasive therapeutic option that can be potentially used for various medical ailments. RTT is Rapid Transformational Therapy, a hybrid therapy developed by Marisa Peer in England, UK.1 It combines the best principles of hypnotherapy, cognitive behavioural therapy (CBT), Neuro- Linguistic Programming that offers fast effective results for a range of psychological, psychiatric and physical conditions. As opposed to traditional therapies, RTT is a solution-focussed treatment offering rapid, effective and long-lasting change usually within one (or within three maximum) session. RTT embraces the positive aspects of all the above techniques that are known to produce a transformative effect on the clients. Hypnotherapy uses trance, regression and hypnotic conditioning. RTT goes beyond this process, Marisa identified that regardless of their issue, in sessions clients benefitted from her applying a particular set of techniques over and over again. These insights provided the foundations for RTT to emerge as a distinctive approach.

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BEMS Reports. 2021; 7(2): 13-14.
A Multifaceted Peer Reviewed Journal in the eld of Biology, Medicine, Engineering and Science
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Short Report
BEMS Reports, Vol 7, Issue 2, Jul-Dec, 2021 13
Savitha Raveendran1,
Chandrasekaran
Kaliaperumal2,*
1Department of Psychiatry, Royal
Edinburgh Hospital, Edinburgh, UK.
2Department of Clinical
Neuroscience, Royal Inrmary of
Edinburgh, Edinburgh, UK.
Correspondence
Mr. Chandrasekaran Kaliaperumal
FRCSEd (Neuro.Surg)
Department of Clinical Neuroscience,
Royal Inrmary of Edinburgh, Edinburgh,
UK.
Phone no: +44 1315361000;
E-mail: ckaliaperumal@gmail.com
History
• Submission Date: 02-07-2021;
• Review completed: 04-08-2021;
• Accepted Date: 15-08-2021.
DOI : 10.5530/bems.7.2.6
Article Available online
http://www.bemsreports.org
Copyright
© 2021 Phcog.Net. This is an open-
access article distributed under the terms
of the Creative Commons Attribution 4.0
International license.
Cite this article : Raveendran S, Kaliaperumal C. Rapid Transformational Therapy (RTT): An Emerging Non-invasive
Therapeutic Modality. BEMS Reports. 2021;7(2):13-4.
We write to highlight an emerging non-invasive
therapeutic option that can be potentially used
for various medical ailments. RTT is Rapid
Transformational erapy, a hybrid therapy
developed by Marisa Peer in England, UK.1 It
combines the best principles of hypnotherapy,
cognitive behavioural therapy (CBT), Neuro-
Linguistic Programming that oers fast eective results
for a range of psychological, psychiatric and physical
conditions. As opposed to traditional therapies, RTT
is a solution-focussed treatment oering rapid, eective
and long-lasting change usually within one (or within
three maximum) session. RTT embraces the positive
aspects of all the above techniques that are known
to produce a transformative eect on the clients.
Hypnotherapy uses trance, regression and hypnotic
conditioning. RTT goes beyond this process, Marisa
identied that regardless of their issue, in sessions
clients benetted from her applying a particular set
of techniques over and over again. ese insights
provided the foundations for RTT to emerge as a
distinctive approach.
Why RTT? How is it dierent?
It is well known that patients are time starved and
seek medical and psychological help when they go
through pain; emotional or physical. RTT delivers
rapid results – usually within one session and in certain
conditions up to three sessions. e other dierence
with RTT is that it works by empowering the clients.
By using a tool RFPI (role, function, purpose, intention),
it honours and values the signicance the client
attaches to their issues/problems and then oers a
powerful emotional release for them. RTT draws out
the so called ‘unnished business’ within client’s issue
using various tools within the scope of this therapy
and eectively addresses the trauma that clients
have been holding onto for many years. “Dialogue
with the hurter” for example one of the tools of this
therapy oers a therapeutic space for dialogue and
communication with signicant others. e client/
patient collaborates with the therapist in uncovering
the meaning and interpretation of signicant life-
events and then changing them. is oen leads to
powerful shi and permanent change.
Neurophysiological basis of RTT
Hypnotic and posthypnotic suggestions are frequently
and successfully implemented in behavioural,
neurocognitive, and clinical investigations and
interventions. Despite abundant reports about the
eectiveness of suggestions in altering behaviour,
perception, cognition, and subjective sense of agency
(SoA), there is no consensus about the neurocognitive
mechanisms driving these changes. Zahedi and
Sommer propose a novel theory of hypnosis,
accounting for empirical evidence and synthesizing
concepts from hypnosis and neurocognitive theories.2
e proposed simulation-adaption theory of hypnosis
(SATH) is founded on three elements: cognitive-
simulation, top-down sensory-adaptation, and
mental training. SATH mechanistically explains
dierent hypnotic phenomena, such as alterations in
the SoA, positive and negative hallucinations, motor
suggestions, and eects of suggestions on executive
functions and memory.2 Besides this Neuroplasticity
and brain conditioning play an important role to
support this therapeutic modality. Daniel Collerton
in his review describe Cognitive Behavioural
erapy (CBT), and probably other psychotherapies,
altering the consciousness in personally important,
lasting, and measurable ways.3 Looking at functional
changes in the brain suggests that consciousness
changes in response to plasticity in the linked
systems of the frontal, cingulate, and limbic cortices.
However, we do not know how modulations in those
areas link to dierent states of consciousness. e
ultimate goal of any psychotherapy is to induce
neural plasticity in a manner that restores the full
original function and potential of the aected part
of the brain. Usciscinka et al. describe how evidence-
based treatments achieves their therapeutic eects
on the level of cerebral reorganisation across a host
of psychiatric disorders.4 ey focus on the posited
mechanism of neuroplasticity on neural-systems
level for each treatment modality.
Marion Solomon and Daniel Seigel5 in their book
have elaborated a unique compilation of techniques
aimed at using the client-therapist alliance to support
emotional change. eir compilation succinctly gather
new perspectives on how to approach the process of
change in therapy and have discussed neural circuitry
and the potential for therapeutic neuroplasticity, the
psychobiological eects of productive communication
and internal reection including working with
children, couples, and groups. ese theories along
Rapid Transformational Therapy (RTT): An Emerging
Non-invasive Therapeutic Modality
Savitha Raveendran1, Chandrasekaran Kaliaperumal2,*

Raveendran and Kaliaperumal.: Rapid Transformational erapy (RTT)
14 BEMS Reports, Vol 7, Issue 2, Jul-Dec, 2021
with hypnotic conditioning6 support the neurophysiological basis of
RT T.
What conditions can this be used for?
Table 1 and 2 highlight some of the areas where RTT is used and going
forward will prove benecial for the wider public.
Who this NOT for?
RTT uses among its process, a segment of regression which is unsuitable
for anyone diagnosed with Schizophrenia, other psychotic disorders,
epilepsy and any condition that may precipitate dissociation. RTT is
prescribed aer a careful evaluation in which the therapist conducts a
‘discovery call’ accompanied by review of an Intake form which consists
of all preliminary medical, biopsychosocial background information.
As part of this therapy, the client has the responsibility to listen to their
bespoke audio recording for 10-21 days to cement the change that the
session initiates. It is therefore essential to ascertain the level of
motivation and commitment each client/patient presents with. During
the initial assessment the therapist ascertains the level of motivation the
client presents with and takes on the client when all essential criteria are
satised.
CONCLUSION
Rendering this therapy is by trained therapists in RTT. ere are
Licensed RTT therapists across the globe currently practising this
technique. If this therapy gains more scientic ground, it can be a part
of holistic medical management for patients aiming to address a range
of ailments. We acknowledge the fact that there is paucity of evidence
to prove the benets of RTT apart from its subjective eectiveness. A
proposal has been submitted to the NHS Lincolnshire Trust in England
to see how this can benet healthcare workers’ mental health during the
COVID-19 pandemic. RTT may prove to be a cost eective therapeutic
modality especially in chronic pain clinics and migraine clinics for
example. e fact that this can be delivered more than once safely without
any side eects will be an added advantage both in paediatric and adult
population. Perhaps a prospective randomised study comparing RTT to
other therapy may prove benecial to prove its ecacy in the long term.
CONFLICT OF INTEREST
e authors declare no conict of interest.
REFERENCES
1. Available from: https://rtt.com/whatisrtt/ [cited 11/8/2021].
2. Zahedi A, Sommer W. How hypnotic suggestions work – critical review of
prominent theories and a novel synthesis; 2021, January 27. doi: 10.31234/osf.
io/mp9bs.
3. Collerton Daniel. Psychotherapy and brain plasticity. Front Psychol.
September 06 2013;4:548. doi: 10.3389/fpsyg.2013.00548, PMID 24046752.
4. Uscinska Maria, Mattiot Andrea Polla, Bellino Silvio. Treatment-induced brain
plasticity in psychiatric disorders. Submitted: November 15th 2018 Reviewed:
February 25; August 1 2019. p. 2019 Published. doi: 10.5772/intechopen.85448.
5. Solomon Marion F, Siegel Daniel J. How people change: relationships and
neuroplasticity in psychotherapy (Norton series on interpersonal neurobiology.
Psychology. 2017:320.
6. Clarence Leuba (1955) Conditioning during hypnosis, Journal of Clinical and Ex-
perimental Hypnosis, 3:4, 256-259, DOI: 10.1080/00207145508410160
Table 1: Conditions that respond to RTT
Addictions Anxiety Mood Disorders
Smoking Stress Depressive disorder
Alcohol Phobias Motivation
Recreational drugs Panic attacks Procrastination
Gambling Generalised anxiety
disorder
Self-esteem and
condence
Compulsive behaviour Nail biting Sleep issues
OCD Sexual issues
Insomnia and sleep
disorders
Relationship issues
Table 2: Other conditions where RTT is benecial
Career Physical issues Others
Interview skills Chronic pain, Migraines Childhood issues
Public speaking Skin, hair issues Sports performance
Exams Mobility Memory issues
Achieving goals Food and weight issues Life purpose
Cite this article : Raveendran S, Kaliaperumal C. Rapid Transformational Therapy (RTT): An Emerging Non-invasive Therapeutic Modality. BEMS Reports.
2021;7(2):13-4.