This plenary address invites hypnotherapists to reconsider how time, attention, and state interact in clinical work. While different clinical traditions have variously emphasized the past (insight and trauma processing), the present (mindfulness and regulation), or the future (goal-directed and strategic change), this talk argues that all three temporal orientations serve essential adaptive functions. Drawing on evolutionary and state-based perspectives, the presentation reframes therapeutic effectiveness as the ability to meet clients in their current temporal state of consciousness. Participants will learn how familiar hypnotic skills can be applied flexibly to engage clients who are oriented toward the past, overwhelmed by present-moment distress, or absorbed in future-focused goals and fantasies. By expanding the notion of state beyond the simple distinction between waking and trance, this address offers a practical framework for increasing responsiveness, relevance, and impact in moment-to-moment clinical work.