The reiki practitioner needs to identify causes and needs of the client so that healing is given accordingly. A session can last from one hour up to two hours depending on the issues treated. Reiki sessions are also accompanied with the use of crystals.

During a reiki session the client is asked to lie down, close eyes and relax. The reiki practitioner will also analyze the chakras and work on balancing them. As a result, during the session the client may experience heat, tingling effect, jerks of muscles, smiles and even tears depending on what is emotionally or physically released.