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Clinical Hypnotherapy · Telehealth · CA & WA Licensed

Clinical Hypnotherapy for Lasting Change

Delivered by Francesca Licciardi, a licensed mental health clinician, clinical hypnotherapy reaches the parts of the mind that talk therapy can't always access — the emotional patterns, implicit beliefs, and subconscious responses that drive behavior long after we understand them intellectually.

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What Hypnotherapy Actually Is

Not What You've Seen on Television

Clinical hypnotherapy has almost nothing in common with what you've seen on stage or screen. No swinging watches. No commands. No one making you quack like a duck.

Clinical hypnotherapy is a structured, evidence-informed intervention in which a trained therapist guides a client into a state of focused attention and heightened receptivity — often called a trance state, though the experience is closer to the deep absorption you might feel reading a compelling novel or moving through a familiar drive on autopilot. In this state, the analytical, self-monitoring part of the mind quiets, and the emotional and associative layers become more accessible.

This is not unconsciousness, and it is not loss of control. You remain aware throughout. You can hear everything. You can end the session at any time. What changes is the psychological distance between your conscious awareness and the deeper material driving your patterns — and that reduced distance is where therapeutic work becomes possible.

The Evidence Base

Hypnotherapy has been endorsed by the British Psychological Society, the American Psychological Association (Division 30), and the American Medical Association as a legitimate clinical intervention. Randomized controlled trials support its efficacy for irritable bowel syndrome, chronic pain, anxiety, PTSD, phobias, and smoking cessation, among others. It is not fringe — it is underused.

What Clinical Hypnotherapy Can Address

Hypnotherapy is particularly effective for concerns where conscious understanding has not produced change — where you know exactly what the problem is, and yet the pattern persists.

Trauma & PTSD

Traumatic memory is stored differently than ordinary narrative memory — it lives in the body and the emotional brain in ways that talk alone doesn't fully reach. Hypnotherapy, often combined with trauma-focused frameworks, allows clients to process traumatic material at a more regulated distance.

Anxiety & Phobias

Anxiety often operates through automatic, pre-conscious threat appraisals — the nervous system responds before the rational mind has time to evaluate. Hypnotherapy can retrain these response patterns, helping clients develop a more spacious relationship with fear and uncertainty. Specific phobias (flying, heights, medical procedures, social situations) respond particularly well.

Subconscious Patterns

Chronic self-sabotage, relationship patterns that repeat across partners, emotional reactivity that doesn't match the situation — these often point to implicit beliefs formed early and operating outside awareness. Hypnotherapy offers direct access to these belief structures in a way that cognitive approaches often cannot.

Sleep Disturbance

Hypnotherapy is one of the most consistently effective non-pharmacological interventions for insomnia and sleep disruption. It works by reducing the hyperarousal and anticipatory anxiety that keep the nervous system alert at bedtime — and by reinforcing the association between bed and rest at a somatic level.

Smoking Cessation

Hypnotherapy approaches smoking cessation not as a willpower problem but as a habit loop with emotional roots — often tied to stress management, identity, or oral fixation. By addressing the underlying function of smoking, hypnotherapy achieves outcomes that willpower and nicotine replacement alone often don't.

Pain Management

Hypnotherapy has a well-documented record in pain management, particularly for chronic pain conditions, procedural anxiety, and pain where psychological amplification plays a role. It works by modulating the brain's pain perception pathways — not eliminating sensation, but changing the mind's relationship to it.

What to Expect

Inside a Hypnotherapy Session

A clinical hypnotherapy session with Francesca has a clear structure — it is not mysterious, and you will never be asked to do anything that feels unsafe.

Sessions begin with a check-in and brief discussion of what you're working on and what arose since the last session. Francesca then guides you through an induction — typically a progressive relaxation, a visualization, or a breath-focused process — that gradually shifts your awareness into a more receptive state. This takes roughly 5 to 10 minutes.

Once in the hypnotic state, Francesca works with targeted suggestions, imagery, and sometimes direct engagement with emotional material depending on the therapeutic goal. The approach is always collaborative — you are not passive. If something arises that feels too intense, you can signal Francesca and the pace adjusts.

Sessions typically close with a grounding sequence and reflection time. Most clients emerge from a session feeling noticeably calmer than when they arrived, with a clearer sense of what shifted. Some notice change quickly; for others, the shift becomes apparent over days.

Hypnotherapy sessions are typically 60 or 75 minutes. They may be integrated into your regular therapy schedule or scheduled as a standalone series depending on your goals.

Does Hypnotherapy Work Remotely?

This is the most common question Francesca receives. The short answer: yes, and the evidence supports it.

Hypnotherapy does not require physical proximity to work. The mechanism — guiding attentional focus and reducing analytical interference — operates through voice, pacing, and language, all of which transmit fully over a secure video connection. Several published studies directly comparing in-person and telehealth hypnotherapy have found equivalent outcomes.

What telehealth hypnotherapy requires from you: a quiet, private space where you won't be interrupted, a reliable internet connection, a comfortable position (chair or lying down), and headphones if possible. Sessions run through SimplePractice, a HIPAA-compliant platform accessible through any browser.

Francesca has delivered clinical hypnotherapy exclusively via telehealth and has adapted her induction and therapeutic language specifically for the remote format. She works with clients across California and Washington.

Scope Notice

Clinical hypnotherapy at Helios is provided by Francesca Licciardi in her capacity as a licensed mental health clinician (LMHC, LPCC). It is appropriate for diagnosed conditions, trauma processing, clinical anxiety, and medically-adjacent goals. If you are interested in hypnotherapy for performance, habits, and non-clinical mindset goals, see Coaching Hypnotherapy — a separate offering through Helios Coaching.

Frequently Asked Questions
No. Stage hypnosis is entertainment — it selects highly suggestible volunteers for comedic effect and has no relationship to clinical practice. In clinical hypnotherapy, you remain fully aware and in control at all times. You cannot be made to do anything against your will, and you can end the session whenever you choose. The goal is to help you access states of mind where therapeutic change becomes possible — not to override your agency.
Yes. Research and clinical experience both confirm that hypnotherapy is as effective via telehealth as in person. The core mechanism — guiding focused attention and receptivity — operates through voice and language, which transmit fully over video. What matters is good audio, a quiet private environment on your end, and a therapist experienced in the remote format. Francesca delivers hypnotherapy exclusively via telehealth and has adapted her approach specifically for it.
It depends on what you're working on. Discrete concerns — a specific phobia, smoking cessation, a single performance block — can show real change in 4 to 8 sessions. Deeper work, like trauma processing or long-standing anxiety patterns, typically integrates into ongoing therapy over a longer arc. Francesca will give you an honest sense of what to expect during your initial consultation.
Clinical hypnotherapy at Helios is delivered by Francesca Licciardi, a licensed mental health clinician, and is appropriate for diagnosed conditions, trauma, phobias, clinical anxiety, and medically-adjacent goals like pain management. Coaching hypnotherapy — offered separately through Helios Coaching — addresses performance, habits, and non-clinical mindset work. When in doubt, clinical is the appropriate starting point. We will help you understand which track fits your situation during the free consultation.
Possibly, and this is a question worth taking seriously. Some patterns are encoded below the level of conscious narrative — talking about them doesn't always move them because the problem isn't conceptual. Hypnotherapy works at a different register: it engages emotional memory and implicit belief systems more directly. Clients who have made limited progress with talk therapy alone sometimes find hypnotherapy opens genuinely new ground. It isn't a guarantee, but it is a different avenue.

Ready to Work at a Deeper Level?

Schedule your complimentary 15-minute consultation to explore whether clinical hypnotherapy is right for you.

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