Before, during and after your appointment
What to expect from a hypnotherapy session
Wondering what actually happens in a hypnotherapy session? Worried you'll lose control, fall asleep or have to talk about your past? Unsure whether hypnosis will even work on you? Here's what happens before, during and after a session, so you know exactly what to expect.
With Susannah Saunders · City of London, near Liverpool Street · Online via Zoom
01
Before your appointment
Booking a session
You can book your initial consultation by calling me on 07973 896907 or through my contact page. My prices page lists my fees.
Before your first session
Before your first session, have a think about what you'd like to be different, and how you'd like to feel. Some people jot down a few notes, but a rough idea is all you need.
What to wear
Wear something comfortable, so you can settle easily, and loosen anything tight, like a tie or belt. If you're joining online from home, a blanket can help too, because your body can cool down as you relax.
Eating and drinking beforehand
Yes, have a light meal and a drink of water beforehand, so you're comfortable and clear-headed. It's best to go easy on caffeine and skip alcohol on the day, so you can relax and focus.
What to tell me
It helps to tell me what you'd like help with, how long it's been going on and how it affects your life. You decide how much you share, and everything you tell me is confidential.
London and online appointments
Sessions take place in the City of London, near Liverpool Street, and online by secure, encrypted Zoom. Online sessions follow the same approach, and many people like being able to relax at home. My online hypnotherapy page has more detail.
02
Your first session
Your initial consultation
Your initial consultation is your first session, and it includes hypnosis, so you get to experience it straight away. We talk about what you'd like to change, I explain what's going on in your brain, and then you relax into hypnosis. You leave with the personalised recording, so you can carry on at home.
The questions I ask
I ask what you'd like to be different, and what you'd notice if things were better, like how you'd feel waking up. I also ask you to rate where you are from 0 to 10, so we can spot your progress from session to session. These come from solution-focused therapy, and they keep our focus on what you want.
Understanding how the brain works
I explain how the brain works because understanding why you feel the way you do makes change feel possible. I talk about your intellectual brain, the calm, thinking part, and your primitive brain, the part that's all about survival. It also explains why stress makes anxiety, poor sleep and old habits worse.
The stress bucket
Stress builds up in what I call the stress bucket, and when it overflows, your primitive brain takes over. That's when anxiety, low mood, poor sleep and old habits tend to show up. REM sleep, the dreaming part of your sleep, helps empty the bucket overnight, and hypnosis can help too.
Hypnosis in your first session
Yes, your first session includes hypnosis, so by the end you'll know exactly what it feels like. The hypnosis usually comes towards the end, once we've talked things through.
Session length
A hypnotherapy session lasts about 50 minutes. That gives us time to talk about how things are going, and plenty of time in hypnosis.
Talking about the past
You share as much as you're comfortable with, and most of our time goes on how you'd like things to be. If looking back would help, we talk about it together first, and you decide.
03
During hypnosis
During hypnosis
During hypnosis, you sit back or lie down, close your eyes and listen while I guide you into a very relaxed state. Then I talk you through positive suggestions and techniques chosen for you. At the end, I count you back up, and you open your eyes feeling relaxed and alert.
The techniques I use
I choose techniques to suit you and what you'd like help with, like positive suggestion, metaphors, anchoring, the rewind technique or EFT. Where helpful, we finish with mental rehearsal, picturing things going well. My about hypnotherapy page explains each one.
Relaxing and listening
All you have to do is relax and listen, and it's fine if your mind wanders. Everyone experiences hypnosis in their own way, and however it feels for you is right.
Awareness during hypnosis
Yes, you'll be aware of what's going on, and you can hear my voice throughout. Most people say they feel heavy, warm and very relaxed, a bit like daydreaming. Others feel light, as if they're floating.
Staying in control
Yes, you stay in control the entire time, and you can open your eyes and talk whenever you want. You'll only accept suggestions that feel right for you.
A private therapeutic session
Hypnotherapy is private and focused on helping you, so the only thing I'll ask you to do is relax. The clucking like a chicken you see on stage is entertainment, with volunteers who are happy to perform.
Moving and getting comfortable
Go ahead and cough, move or scratch an itch whenever you need to, and you can settle straight back into it. Getting comfortable helps you relax, so shift position as often as you like.
Taking a break
Just open your eyes and go, and we'll carry on when you're back. It's a good idea to go before we start, so you can relax for the hypnosis.
Feeling emotional
Feeling emotional during a session is normal, and it's fine to have a cry. Relaxing can bring feelings to the surface, and many people feel lighter afterwards. We go at your pace, and you're in charge throughout.
A wandering mind
A wandering mind is very normal in hypnosis, and it's fine to drift in and out. Your subconscious keeps listening, even when your thoughts go elsewhere. The personalised recording gives you plenty more practice at home.
Drifting off
Yes, nodding off is fine, and it usually means you're very relaxed. My voice brings you back at the end, and you have the personalised recording to listen to again at home.
The brain during hypnosis
During hypnosis, the way different areas of your brain work together changes, and it shows up on brain scans. Researchers at Stanford University found a stronger connection between areas that help the brain control what's going on in the body.
04
After your session
How you might feel afterwards
After a session, most people feel calm and relaxed, and some feel a little sleepy for a while. You might notice you sleep better that night.
Driving after your appointment
Yes, you can drive after hypnotherapy, because you'll be wide awake and alert by the end of the session. I make sure you're fully alert before we finish.
Returning to work
Yes, you can go straight back to work, and you might feel calmer and more focused for the rest of the day. Online sessions make this easy, as you can join from home or a private room at work.
Your personalised recording
You get the personalised recording after each session, so you can listen to it at home. It's the audio of your hypnosis, so each new recording builds on the last.
Listening to your recording
Listen to the personalised recording every day if you can, ideally in bed as you drift off to sleep. The more you listen, the more familiar that calm feeling becomes. Only listen when it's safe to close your eyes, so keep it for bed or the sofa.
Between appointments
Between sessions, listen to the personalised recording and notice the small things that go well. Positive activity, positive interaction and positive thinking all help lower stress, like a walk or a chat with a friend. We talk about what went well at the start of your next session.
05
Follow-up appointments
Follow-up sessions
Later sessions start with a chat about what's gone well since we last met, then move into hypnosis. Focusing on the positives helps lower stress and build new neural pathways, so new habits get easier. We also check your scale from 0 to 10, so you can see how far you've come.
Noticing changes
You might notice small changes early on, like sleeping better or feeling calmer, and these can build session by session. Scaling helps you spot them, because small steps are easy to miss.
The number of sessions
It varies from person to person, depending on what you'd like help with. We talk it through at your initial consultation, so you know what to expect.
How often we meet
We agree how often to meet at your initial consultation, to suit you and what you'd like help with. Listening to the personalised recording between sessions keeps things moving.
06
Joining online
An online appointment
An online hypnotherapy session works in the same way as one in person, by secure, encrypted Zoom from your own home. We talk first, then you sit back or lie down, close your eyes and relax into hypnosis. You get the personalised recording afterwards, and my online hypnotherapy page has more detail.
Your online setup
For an online session, you need a private, comfortable room, a laptop or tablet with a camera, and headphones. A comfy chair, a sofa or your bed all work well, as long as you can see the screen at the start. Put your phone on silent and pop a note on the door, so you can switch off.
If the connection drops
If your connection drops, just rejoin the Zoom call, and we'll pick up where we left off. If it happens during hypnosis, you'll come out of it naturally, like waking from a nap.
Online and in-person appointments
Online hypnotherapy follows the same approach as in person, with the same techniques and the personalised recording. Many people find it easier to relax in their own home, and it saves on travel.
07
Practical details
Confidentiality
Yes, everything you tell me is confidential, in line with my professional code of conduct. I'm registered with the Information Commissioner's Office, number ZB654528, and your details are kept secure under data protection law.
Changing or cancelling an appointment
If you need to change or cancel an appointment, please give me at least 24 hours' notice. That way, I can offer the time to someone else.
Fees
My fees are listed on my prices page, and I'm happy to answer any questions before you book.
Questions before booking
Yes, you're welcome to call or message me with any questions before you book. Feeling comfortable with your hypnotherapist makes it easier to relax.
Who you will see
You'll be seeing me, Susannah Saunders, a clinical hypnotherapist with over 20 years' experience. I founded City Hypnotherapy Centre in 2003, after two years as an assistant clinical psychologist in the NHS. Every session is with me, from the initial consultation onwards.
My qualifications
I hold the SQHP and HPD qualifications and have been practising as a clinical hypnotherapist since 2003. I'm registered with the General Hypnotherapy Register, and you can check any hypnotherapist using the Professional Standards Authority's hypnotherapy safety checklist.
Further practical questions
More about preparing for your session
Additional questions about getting comfortable, online appointments, recordings and keeping track of your progress.
Do I need a clearly worded goal before contacting you?
No. You can start with what feels difficult or what you wish were easier. We can talk about the changes you'd like to notice in everyday life. You don't need to know which technique you want or have the perfect explanation ready.
Is it useful to write down questions before we meet?
Yes, if that helps you feel prepared. A few notes about what you'd like help with, questions you'd like answered and what you hope will change can be useful. You don't need to write a detailed account or read from notes during hypnosis.
Do I need to send my whole personal history with my first enquiry?
A brief outline of what you'd like help with is a useful starting point. You can ask about the appointment and how I work before deciding what else to share. There is time to discuss relevant background when we meet.
What can I ask before deciding to book?
You can ask about my approach, qualifications, fees, appointment format and how progress is reviewed. If there's something about hypnosis that worries you, tell me. The About Hypnotherapy page also explains the different approaches and techniques I draw on.
What is the address for an in-person appointment?
My practice is at Longcroft House, 2–8 Victoria Avenue, London EC2M 4NS, near Liverpool Street. Contact me to discuss an appointment in London. If travelling doesn't suit you, I also offer online sessions via Zoom.
Should I check access arrangements before coming to the practice?
Please ask before booking if you have particular access or comfort requirements. That gives us the opportunity to discuss the arrangements you need. Online appointments are another option to talk through if attending the London practice would be difficult.
Do I need to read about hypnosis before my first appointment?
You don't need to study beforehand. Reading the About Hypnotherapy page can help if you want an introduction, but you can bring your questions to the appointment. We talk about what you're hoping for and I explain the work as we go.
What if I can't easily put my difficulty into words?
Start with an example of when you notice it, or something you would like to feel easier. It might be a meeting, bedtime or a familiar habit. You don't need a clinical label or a polished explanation for us to begin a conversation.
Can I tell you if I prefer a straightforward explanation?
Yes. Let me know if you prefer clear, practical language or if an example hasn't made sense to you. You can ask me to explain something differently. Understanding how you like to communicate helps me tailor the session.
Do I have to choose a hypnotherapy technique myself?
No. Tell me what you'd like help with and I can explain the approaches and techniques that could fit. I draw on a variety of methods. You can ask what a technique involves or tell me if something doesn't appeal to you.
Can we discuss several concerns at the first appointment?
Tell me about the concerns that matter to you and which feel most pressing. We can talk about where to begin and what you'd like to focus on. That conversation helps us make the session relevant to your own circumstances.
What if the thing I want help with changes between booking and the appointment?
Tell me when we meet. You might have thought of something else that's important, or a recent situation may have made your priorities clearer. We can talk about what you'd like to focus on rather than rely only on your original enquiry.
Can I ask you to explain an exercise before trying it?
Yes. You can ask what an exercise involves and why I'm suggesting it. If you don't understand a word or an instruction, say so. Asking questions helps make the work a conversation rather than something you feel you must simply follow.
Will every appointment use exactly the same techniques?
Not necessarily. I choose techniques to suit you and what you'd like help with. We also talk about how you're getting on. What we focus on can develop as the work progresses and you notice what is helpful in everyday life.
Do I need to take notes while you're guiding hypnosis?
No. During hypnosis you can settle and listen. If there's something from our conversation you'd like to remember, we can talk about it before or afterwards. Your personalised recording also gives you a way to listen again at home.
Can I tell you if a particular word or image doesn't suit me?
Yes. Tell me if you would prefer different wording, an explanation or another way of approaching an exercise. You don't need to keep a preference to yourself. Knowing what feels useful to you helps me tailor the work.
Do I need to visualise detailed pictures during hypnosis?
You can tell me if you find picturing things difficult. Imagery can also involve sounds, sensations or simply a sense of what something would be like. There are other techniques too, so you don't need to produce a perfect picture in your mind.
Is there a right way to describe how hypnosis felt?
Describe it in your own words. You might notice relaxation, a change in your sense of time, or something more ordinary than you expected. Your experience gives us something to talk about; it isn't a test with a correct description to memorise.
What if I think of a question after the session?
Make a note of it so we can discuss it. If you need to ask something before your next appointment, you can contact me. You don't have to remember every question during the session itself.
What is useful to notice after my first appointment?
Notice small, everyday examples of how you're feeling and responding: what felt easier, what went well and what you'd like more help with. Those details can be useful when we review your progress, alongside how the appointment itself felt.
Do I have to feel dramatically different straight away?
Your experience may be more gradual than that. Small changes can build session by session. Tell me what you notice, including anything that hasn't changed, so we can have a useful conversation about how you're getting on.
Can I ask for time to settle before leaving?
Yes. Tell me how you're feeling before we finish, especially if you feel sleepy or need a moment. It's useful to allow yourself time to get comfortable and gather your thoughts rather than feel you must rush away.
Do I have to listen to the recording at exactly the same time each day?
You can choose a time that fits your routine, when it's safe to relax with your eyes closed. Many people listen in bed. A routine that you can comfortably keep is more useful than worrying about finding a perfect time on the clock.
Can I listen to my recording while driving or doing something that needs attention?
No. Keep it for a time when you can safely relax with your eyes closed, such as resting on the sofa or in bed. Don't use it while driving, operating machinery or doing anything that needs your full attention.
What volume should I use for a hypnosis recording?
Choose a comfortable volume where you can hear my voice clearly without straining. Settle somewhere you can relax safely. If you have difficulty hearing the recording, let me know so we can discuss it.
Do I need to remember the recording word for word?
No. Listening isn't a memory test. Settle comfortably and listen without trying to memorise every phrase. If something you hear raises a question about the work we're doing, make a note and bring it to our next conversation.
What if I find it difficult to make time for the recording?
Tell me. We can talk about your routine and where listening could fit comfortably. It is useful for me to know what you're finding practical between appointments, so our conversation reflects your actual week.
Would it help to keep a short progress note between sessions?
You can if you find it useful. A few everyday examples of what went well, what felt easier and what you'd like to discuss can help you remember things. You don't need to keep a detailed diary or make it another pressure on your time.
What if I miss a day of listening?
You can return to your routine when you have a comfortable, safe opportunity. Bring up any difficulty fitting it in when we next talk. The recording is there to support the work between appointments, rather than become something you worry about getting perfect.
What if I haven't noticed a change by the next appointment?
Tell me honestly. We can discuss what the week has been like, look at your goals and review the work. You don't need to find something positive to say just because you think that's what I want to hear.
Can we change the focus of a follow-up session?
We can talk about what's become important since we last met and what you'd like help with now. Sessions are tailored to you. Bringing an example from your week can help explain why you'd like to shift the focus.
Should I mention an important change in my circumstances?
Yes. Tell me about changes that are relevant to the work we're doing, such as a new pressure or a different goal. That helps keep the conversation and the session connected to what is happening in your life now.
How can we make progress goals more specific?
Think about what you would notice in an ordinary situation: settling at bedtime, speaking in a meeting or responding differently to a trigger. We can use those examples alongside scaling questions, so progress has a meaning that is personal to you.
Can I discuss switching between London and online appointments?
Yes, you can ask about the options and availability that suit you. I offer appointments in London and online via Zoom. Let me know your preference when arranging a session so we can discuss the practical details.
What should I check on my device before an online session?
Check that your camera, microphone, headphones and internet connection are working and that your device has enough power. Choose a comfortable position where you can see the screen for our conversation. Preparing those practical details can help you settle without rushing.
Can I ask about using a phone if I don't have a laptop or tablet?
Please discuss your device with me before the appointment. A laptop or tablet with a camera and headphones is the setup described in this guide. Letting me know what you have gives us time to talk through a workable arrangement.
How can I reduce interruptions during an online appointment?
Choose a private room, silence notifications and let anyone nearby know that you need some uninterrupted time. Have what you need within reach before we start. If an interruption does happen, tell me so we can pause and settle again.
Can I join an online session from a private room at work?
A private room at work can be an option if you can talk freely, get comfortable and avoid interruptions. Think about whether other people could hear you and whether you have enough time before the room is needed again. Discuss your setup with me if you're unsure.
What if I need to check confidentiality before sharing something personal?
Ask me before sharing the details. You can discuss how confidentiality works, its limits and how your information is handled. Feeling able to ask those questions is part of deciding whether you're comfortable working with me.
Where can I read more about the methods used in a session?
My About Hypnotherapy page explains hypnosis and the different approaches and techniques I draw on. This page focuses on the practical experience of an appointment. You're welcome to contact me with questions about either before deciding to book.
Sources
Page reviewed by Susannah Saunders, clinical hypnotherapist (SQHP, HPD), November 2026.
Ask me about an appointment
You're welcome to get in touch with questions about seeing me in London or online. You can read my prices page for fees and my About Hypnotherapy page for the approaches and techniques I use.
