TRE Client Waiver and Disclaimer Form

Disclaimer

 

I, Lara Noel Pistolesi, am not a licensed doctor, therapist, or other health care professional and am not claiming to diagnose, treat, cure, or prevent any disease or psychological disorder myself or through the use of any of the modalities I offer. The modalities I offer are not intended to be a substitute for medical or psychological treatment and they do not replace the services of health care professionals.

 

Contraindications

***It is NOT within my scope of practice to teach TRE to people who have been diagnosed with the following psychiatric conditions: Manic/Depression, Bi-Polar conditions, Schizophrenia, Severe Depression, Psychosis, Borderline, Dissociative Disorders. If you would like to try TRE and have one of these conditions, please find a licensed mental health therapist who is also a Certified TRE provider to work with. I can also work with you in conjunction with your licensed therapist. If you have had a current/recent traumatic experience and are not under the care of a licensed mental health professional, please contact me first before signing up for a course or session with me.

Other conditions that are contraindicated or need to be cautious using TRE are:

Irregular Blood Pressure, Irregular Heart Conditions (surgery, pacemakers, arrhythmia)

Physical Limitations (broken bones, strained, sprains, chronic aches)

Operations,

Hypo or hyperglycemia (on medications)

Epilepsy

Pregnancy (Use TRE only with professional in the maternal medical field)

 

Outcome Expectation/Risks & Benefits

 

Although clients report positive outcomes in using TRE, we don’t know how you will personally respond to it. Therefore, please understand it is impossible to guarantee any specific results regarding your goals or expectations in using TRE. However, we will work together to achieve the best possible results for you.  

 

In using any of the modalities I offer it is possible to experience an adverse reaction, some emotional distress, spontaneous tremoring, and/or physical discomfort, during or after the session that can be perceived as negative. Unresolved memories may also surface and emotional material may continue to surface after a session and give indication of other issues or incidents that may need to be addressed.  

You may also experience positive benefits including increased calm, less worry and anxiety, greater emotional resiliency, more energy, healing of old injuries, increased social engagement.

 

Regardless of our work together, you agree to take full responsibility for your self-care in the emotional, mental, physical, and spiritual dimensions of your life.

 

You agree to promptly inform me if you experience an adverse reaction or any emotional distress and/or physical discomfort during or between our sessions together so we can decide on a plan of action which may include suggesting you contact your licensed health care practitioner or I may refer you to another appropriate professional health care provider for further assistance.

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