I had a WONDERFUL Reiki teacher/master who taught us not to try to "guide" Reiki, and not to have any specific outcomes. Of course we're hoping the Reiki will help someone to heal or feel better. But we're to trust the higher good, accept whatever the outcome is, and not to make any promises to our clients. Many times my clients have reported immediate positive results. Other times they have reported feeling extra relaxed, but didn't notice immediate pain relief. Some have reported feeling strong "healing" energy coming through my hands and into their body. Because of the way I was taught, I don't worry about the results when I offer Reiki. I enjoy using it, and accept and appreciate the positive experiences as they come.