John R. Tkach, M.D.
300 North Willson, Suite 203B
Bozeman, MT 59715
(406) 587-5442

Rapid Reintegration Procedure (RRP) Trial Studies

General Information

In addition to his primary services as a dermatologist, Dr. Tkach also provides assistance to his patients through the Rapid Reintegration Procedure.


RRP is a profound new form of psychotherapy that is gentle, non-threatening, and effective. RRP offers you great hope for relief from symptoms (symptom list).

RRP is symptom oriented. It runs on feelings. Buried within the symptom is the path to cure of that symptom. What I do is to guide you gently to uncover and resolve troublesome conflicts that arose at those past critical events. It was at that point that a part of you lost your smile. You will know RRP worked when you get your smile back.

Your experience with RRP is likely to be wonderful, profound and very beneficial.

History of RRP

Dr. John Tkach and Dr. Edgar Barnett

Canadian medical doctor Edgar Barnett invented RRP in 2003. Dr. Barnett was born and raised in England. He went to Medical School in England. Initially a family doctor, he observed that many problems were not helped by medicines alone because they were also psychological. He has been doing psychotherapy for over 40 years. He has written two books on psychotherapy: 1. Analytical Hypnotherapy 2. Unlock Your Mind. His RRP evolved after 40 years of his experiences treating patients with psychological problems. Dr. Barnett started training me in RRP in April 2004. We have written a book about RRP.

What is RRP?

At first we thought it was a type of hypnosis or "waking hypnosis," and it may very well be. Dr. Barnett thinks it is a special form of hypnosis. For me, the problem with that is that hypnosis traditionally requires a procedure called induction, induction of a hypnotic trance. To you, it will seem like daydreaming.

The reason traditional psychotherapies sometimes fail is that they require people to reveal their innermost, private, personal, embarrassing, threatening, or frightening secrets and the details of those secrets. There is none of that with RRP. It is okay to tell me personal things, but I won't require it of you.

The procedure is between you and yourself. I, as therapist, guide you, and I am there with you so you do not need to go through it alone. Where you are about to go in the RRP state, I have been many times. I know the way in. I know the way out. I will be there with you every step of the way.

The Goal of the RRP Therapy Session

The goal of your Rapid Reintegration Procedure (RRP) session with me is to free you up from some sort of unwanted symptom that pesters you. A symptom can be any one of a large number of problems such as overeating, phobias (fears of specific things), smoking, anxiety, stage fright, test anxiety, nightmares, panic, anorexia, and so on. (Symptom list)

The first step is for you to decide what symptom you want help with. What unwanted behavior or problem do you want to get rid of or get help for? There is a feeling that goes with that symptom. Try to identify what the feeling is that you experience when you have the urge to do the unwanted behavior or experience the symptom.

What Will You Experience In RRP?

You sit in a chair with your eyes close, and I guide you through recalling feelings and finding old memories. It is very simple, it occurs very easily. It is like daydreaming. If you can daydream, you can do RRP.

You do not need to suffer in RRP. You do not need to relive traumatic events. You can recall them without reliving them. During RRP you will still be in control at all times. If something about RRP puzzles you, just ask me. If you want to stop, you will be able to do so easily. Your being in control makes RRP easy and non-threatening.

Getting Results

RRP is results oriented. You and I want to get results for you. We want to free you up from uncomfortable symptoms and feeling. When you have gotten results from RRP it will be obvious to you. There will be immediate relief.

We will just keep working until you get results. That may take 26 minutes or it may take four sessions of two hours each. But it does not go for years.

If RRP does not get results for you within 4-6 sessions, then you need a different form of treatment. In that case, you should work with a psychiatrist, clinical psychologist, or counselor.

Your RRP work with me complements your work with your primary doctor or therapist. I am not taking over your case from your doctor. I am helping out. With your permission, I shall send a report to your doctor.

For example, if you come to me for overeating, I can help you profoundly with RRP. But I am not going to tell you what to eat or how much. That's for you and your dietician to work on.

After Your RRP Session

  1. Memories will come back to you, perhaps of things you have not thought about for a long time. This will go on for months and even years.
  2. Once you have experienced RRP, you can do a lot of this RRP work yourself. When you experience the symptom, instead of bemoaning it, say to yourself, "Hot dog. This is the symptom I want to get rid of. Here's my chance, and I know how to do it now."

It used to be that you were imprisoned by your symptom. Now, RRP can set you free.

An Example of RRP: My Personal Experience with Overeating and RRP.

Overeating is one of the most common problems Dr. Barnett treats. Here's my personal experience with my own overeating. Since about 1965, I have had an ongoing struggle with overeating and the subsequent overweight of usually about 50 lbs. You know the scenario. I would lose 50 lbs. and gain it back. I worked with traditional psychotherapy, a little with meds but not much, an ADA diet administered by a Ph.D. registered dietician, and lots of other diets like Atkins, high protein, and low carbohydrate.

I was always preoccupied with food. When would the next meal be? What would it be? I was eating two to four times more than was needed. When done eating massive amounts of food, I was still hungry. In fact, eating made me hungrier. It was a hunger not satisfied by food. That's a clue to its being psychological.

Why don't the standard diets work? They ignore or are unable to cope with the fact that overeating is psychological and has a basis in some past event, a traumatic memory/memories. With RRP you identify the feeling associated with the symptom, follow the feeling back to the memory of the events, let go of the bad feelings, and, in so doing, unlock your mind from a prison that has controlled you for years. There are uncomfortable feelings that have been kept bottled up all these years, and now it is time to let go of them.

When I did RRP on myself, there was a sudden and profound end to my constant craving for food. It was dramatic. I woke up about 2 AM and did the RRP for about two minutes. It was that easy. It changed my life.

So, why not just take diet pills? In my humble opinion, while they help, they only mask the underlying emotional distress and suffering. They do not get rid of it. The solution is to rescue and heal a distressed (dissociated) Child ego state from early childhood trauma. In this sense, in RRP, we repair damaged souls.

Other Things to Consider about RRP

What will your life be like once you have achieved freedom from your symptoms? If you have been suffering from your symptoms for years, you have built up a life style, and those around you have adjusted to it.

Ideally, RRP results are immediate and dramatic. When you have achieved results in RRP therapy, there will be no question in your mind about it. Your whole attitude about your symptoms will change and surprise you and others. You will be delighted. As I have said before, it is like being released from jail and given all the respect, rights, and privileges of a normal citizen, a first class citizen.

If your symptoms have made you shy about going out of the house and being around other people due to the stress, that will change. You will find yourself more outgoing. You will likely create new friendships. How will that affect your current friends? How will that affect your spouse? The two of you should talk about it before you start RRP.

I am not saying these things to discourage you from RRP. I just want you to let those close to you know that you are working on a way to free yourself from your symptoms to protect your health. And they should know that when RRP does work for you, they might notice some nice changes in you.

I videotape the sessions for Dr. Barnett to give me supervision. These videotapes are confidential.

How To Get Started With RRP

Dr. Barnett and I are doing clinical trials of RRP in the treatment of a wide variety of symptoms, especially when standard treatments have failed. We want to take it out for a spin and see what it can do.

Because these are trial studies, there will be no fee. If RRP sounds interesting to you do this:

  1. Determine if you want me to help you. Make a commitment to work with me. That will be very easy. I won't ask you to do anything difficult. You will find it easy to work with me.
  2. Let's work in cooperation with your doctor or therapist. Obtain a letter of referral from him or her at your expense. The letter should state clearly that the doctor is referring you to me for RRP therapy as an adjunct to the other treatments, briefly state what the symptoms are, present medicines and what drugs and treatments have been tried. Your doctor must understand I am not an internist and I am NOT trying to take over your care or your medications management. Those things are up to you and your personal doctor.
  3. Understand that I videotape the sessions for Dr. Barnett to review, and I shall review them.
  4. Discuss with your family and friends how your life is about to change. Ask them to support you in this effort. Think it over for about a week before you go on to the next step.
  5. Call my secretary to schedule yourself for RRP. (406) 587-5442.
  6. Come to my home on a Saturday morning or several Saturdays. If you are not going to come, you must call my office two days in advance and cancel. I am doing this in my spare time, and I don't have much spare time. If you fail to show up for your session, you will be dropped from the study. I'd like you to bring a spouse, relative, or friend as a chaperone.
  7. Send me a letter at 6 months, one year, two years, and three years letting me know how you are doing.
  8. Sign the attached release of liability.
  9. To prepare for RRP, do this homework assignment. Every time you experience your symptoms, instead of bemoaning it, identify the feelings associated the symptoms.

Potential Risks of RRP

Dr. Barnett has treated over a thousand patients with RRP and has found no negative consequences. RRP is new, and there is no history of adverse outcomes. The main risk of RRP is failure to get results. But, Dr. Tkach and Dr. Barnett feel that RRP is highly likely to get results. When results are slow to achieve, it may require several sessions.

Uncovering forgotten old traumas can be distressing, but finding and working through such critical events is the whole point of therapy. You will not go through it alone. Dr. Tkach will be with you every step of the way. If you become too uncomfortable, just open your eyes and stop the session. Then talk about it with Dr. Tkach before resuming RRP. You will not be required to do anything you do not want to do.

If you are feeling suicidal, tell me, and your primary doctor or therapist and get help with that.

See the separate information sheet on the recovery of false memories.

Dr. John Tkach and Dr. Edgar Barnett editing their book

Some symptoms that may respond to RRP:

  1. Alcoholism
  2. Anger
  3. Anorexia Nervosa
  4. Anxiety
  5. Body Dysmorphic Disorder
  6. Childhood sexual abuse
  7. Claustrophobia
  8. Depression
  9. Distress over being sued
  10. Fear of Flying
  11. Fear of Needles
  12. Fear of abandonment
  13. Guilt feelings
  14. Insomnia
  15. Irritable Bowel Syndrome
  16. Loneliness
  17. Low self-esteem
  18. Math Anxiety
  19. Migraine headaches
  20. Nail biting
  21. Neurotic excoriations, self-cutting, self-mutilation (non-psychotic only)
  22. Nightmares
  23. Nocturnal Bruxism
  24. OCD-obsessive compulsive disorder
  25. Overeating
  26. PTSD-Post Traumatic Stress Disorder
  27. Panic attacks
  28. Phobias and Fears
  29. Physicians trapped in bad situations in the office
  30. Post miscarriage emotional distress
  31. Postoperative emotional distress
  32. Pseudoseizures
  33. School Phobia
  34. Sex Addiction
  35. Smoking
  36. Stage Fright
  37. Suicide
  38. Test Anxiety
  39. Thumb sucking

Read about RRP and the Unconscious Mind in Dr. Tkach's essay.

Learn more about the Rapid Reintegration Procedure or buy a copy of Dr. Barnett and Dr Tkach's book. Copyright John R. Tkach, M.D. January 28, 2010.