The practitioner asks questions to get a feel for the client's health in relation to overall happiness, sleeping, breathing, digestion, joint or muscle issues. The session is given on a floor futon with the practitioner diagnosing which meridans are full or empty and then customizing a unique session based on balancing the specific needs of each client. Applying gentle or firm pressure with 2 hands to alleviate the intense pressure often felt when only holding one point, this method of Shiatsu is based on the Ohashiatsu technique. By essentially blocking the flow through pressure, and then releasing, repeating along each meridian line, it in turn greatly increases the flow of chi, blood, and lymph through the body, flushing out toxins while allowing the nervous system to rest and recover. Using a push/pull technique for joint rotations and stretches, elements of ju-jitsu, crawling, thumbs, knees, and elbows, the practitioner moves through a session like a fluid, graceful dance. The client is always fully clothed in stretchable clothing, which can make those who are body conscious feel more comfortable.  Essential oils may be applied to the neck. Avoiding caffeine and refraining from eating for 45 minutes prior to a session can make it more effective. Leaving 10 minutes to be still and rest after the session can integrate the session, along with drinking plenty of water.