Energetically speaking, there are two main approaches to a reflexology treatment, and it's down to the skill of the therapist to ascertain which one is best. One can choose to act according to a non-interference principle, as simple 'catalyst': this is when there isn't really an interaction between patient and therapist. The therapist 'lends' his/her energy as a medium to support healing. The mere 'presence' of the therapist is enough to help the healing process, the treatment being the medium. A second avenue is the one of active release, where the therapist actively stimulates or seeks to modify energy patterns, having identified an imbalance.