Rewind Therapy Contract

Rewind Birth Trauma Therapy Contract

Purpose of This Agreement

This contract outlines the nature of Rewind Birth Trauma Therapy, the responsibilities of both therapist and client, and the practical arrangements for this work. It is intended to ensure clarity, safety, and informed consent.

What Is Rewind Birth Trauma Therapy?

Rewind Birth Trauma Therapy is a structured, trauma-informed therapeutic technique designed to help reduce distressing symptoms such as intrusive memories, flashbacks, nightmares, or emotional overwhelm related to traumatic experiences, including birth trauma.

Rewind:

• does      not require you to talk through traumatic events in detail
• is      usually offered over one or two longer sessions and one shorter, ending      session
• focuses      on symptom reduction rather than detailed narrative processing

Rewind is not hypnosis and you remain fully aware and in control throughout.

Suitability & Assessment

Rewind Birth Trauma Therapy is offered following an initial assessment to ensure it is appropriate and safe for you.

Rewind may not be suitable if:

• you      are experiencing acute mental health crisis
• you      are currently using substances in a way that would interfere with the work
• additional      stabilisation or alternative therapeutic support is recommended

If Rewind is not suitable, this will be discussed with you and alternative options explored.

Session Structure & Fees

Rewind Birth Trauma Therapy

• Two      longer sessions & one shorter session
• Follow      up phone call/text 6 weeks after the end of the therapy
• Each      longer session lasts 1–2 hours and the ending session lasts     15-30 minutes 
• Fee:      £180, which includes assessment, therapy, follow up and specially curated      candle

Sessions are offered online via Zoom or in person(where applicable).

Payment arrangements will be agreed in advance.

Emotional Safety & Consent

Rewind therapy is conducted in a trauma-informed and collaborative way.

• You      are free to pause, stop, or ask questions at any point
• You      will not be asked to relive or describe traumatic events in detail
• You      remain in control throughout the session

Your consent is ongoing and may be withdrawn at any time.

Confidentiality

All Rewind Birth Trauma Therapy sessions are confidential and managed in accordance with:

• UK      GDPR
• The      Data Protection Act 2018
• The      BACP Ethical Framework for the Counselling Professions

Confidentiality may only be broken in rare circumstances, including:

• risk      of serious harm to yourself or others
• safeguarding      concerns involving children or vulnerable adults
• legal      or court requirements

These limits will be explained clearly.

Online Sessions

If sessions take place online:

• You      are responsible for ensuring a private, safe space
• A      stable internet connection is required
• While      reasonable steps are taken to protect privacy, no online platform can be      guaranteed to be completely secure

Cancellations

Cancellations or rescheduling should be communicated as soon as possible.
Specific cancellation terms will be discussed prior to booking.

Therapist Responsibilities

I commit to:

• practising      within my training and competence
• working      in a trauma-informed, ethical manner
• maintaining      appropriate professional boundaries
• engaging      in regular clinical supervision

Client Responsibilities

You agree to:

• engage      with the process as openly as feels safe
• communicate      any concerns during sessions
• attend      sessions in a sober and emotionally stable state
• inform      me of any significant changes in mental health or medication

Important Notes

Rewind Birth Trauma Therapy:

• is      not a replacement for medical or psychiatric care
• does      not guarantee specific outcomes
• may      bring emotional responses that settle over time

Support and grounding strategies will be discussed where appropriate.

Agreement

By proceeding with Rewind Birth Trauma Therapy, you confirm that:

• you      have read and understood this contract
• you      have had the opportunity to ask questions
• you      consent to participate in Rewind Birth Trauma Therapy

Therapist: Samantha Phillis
Contact: counsellor@therapistmidwife.co.uk

Client Name:__________________________

 Date: __________________________