In a standard treatment Reiki energy flows from the practitioners hands into the client. The client is usually laying on a massage table but treatments can also be given while the client is seated or even standing. The client remains fully clothed. The practitioner places her/his hands on or near the clients body in a series of hand positions. These include positions around the head and shoulders, the stomach, and feet. Other, more specific positions may be used based on the clients needs. Each position is held for three to ten minutes depending on how much Reiki the client needs at each position. The whole treatment usually lasts between 45 and 90 minutes.