How Many Sessions Do Clients Really Need?
What’s the “right” frequency for treatment sessions? Once a week, twice a week, three times?
In this episode of the Unreal Results podcast, I unpack one of the most common questions I get from clinicians: how often should you be scheduling your clients?
I share why treatment frequency isn’t black and white, how precision in your assessment changes how often you actually need to see someone, and why constraints like client goals, financial realities, and training demands all shape the decision.
I walk you through real examples from my current caseload from NFL athletes in season, to post-op patients, to Navy SEAL candidates in the middle of BUD/S training, so you can see how I decide whether to see someone once a month, once a week, or multiple times in a week.
If you’ve ever wondered how to balance science, client needs, and your own bandwidth when planning care, this conversation will give you clarity and confidence.
Resources Mentioned In This Episode
FREE online mini-course, The Missing Link, is now open for enrollment! Sign up HERE!
Episode 125: You're Already Treating The Viscera... You Just Don't Know It
Learn the LTAP™ In-Person in one of my upcoming courses
Considering the viscera as a source of musculoskeletal pain and dysfunction is a great way to ensure a more true whole body approach to care, however it can be a bit overwhelming on where to start, which is exactly why I created the Visceral Referral Cheat Sheet. This FREE download will help you to learn the most common visceral referral patterns affecting the musculoskeletal system. Download it at www.unrealresultspod.com
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Anna Hartman: Hey there and welcome. I'm Anna Hartman and this is Unreal Results, a podcast where I help you get better outcomes and gain the confidence that you can help anyone, even the most complex cases. Join me as I teach about the influence of the visceral organs in the nervous system on movement, pain and injuries, all while shifting the paradigm of what whole body assessment and treatment really looks like.
I'm glad you're here. Let's dive in.
Hello. Hello. Welcome back to another episode of the Unreal Results Podcast. I, I don't even know what, I don't know what the last episode was in terms of like what I said in the intro, but where life was that? Um, because since I last had an episode. Things got crazy. I ended up moving, um, just three and a half miles away from where I live in San Diego to the beach.
I now live on Coronado Island. I am two blocks from the beach. I can see the ocean from my front door. It is absolutely amazing. I lived in San Diego for nine, almost nine years now, and. I've always wanted to live close to the beach. Um, and I've basically regularly looked in the different areas that I enjoy, um, for these nine years.
And always looking for something that is like in my price range. That's a really difficult challenge 'cause things are very expensive here. And then also. A good size. Nice. Doesn't feel like a freaking college apartment. Um, and yeah, just has good vibes and preferably less like an apartment. However, I am in an apartment now, whereas before I was in like little bungalow, but it is like kind of old school apartment, not very many units.
Really wonderful. Um, wonderfully taken care of by the people who own it. Um, so. Really checked all the boxes. I was not planning to move, like I said, but, um, I always keep an eye on things and I happened to come across this place on Zillow, um, because I had come across another place driving to the beach for my morning beach walk, and I wasn't even interested in that place.
I was just actually curious what the rent was. Um. For the location and for the type of house it was like a little craftsman home. Um, and then like once you look at one thing on Zillow, then Zillow starts emailing you, like pinging you with like similar price points, similar areas of town, that kind of thing.
So I that's how I found out about this place. I got a Zillow about it and the price, I was like, wow, that's a good price for that area. And then I looked at the area, I'm like, that's a really good price for the area. And then one day on a beach walk, I um, decided to drive by it and um, check it out. 'cause it was like, it's gotta be a dump.
Nope, it was not. I just like checked by the outside and I was like, oh, that's pretty cool. Like, and then I thought in my head, well, if I was interested in moving, I might look at it, but like, I don't wanna move. And literally I got back to my house and within like an hour or two, my, my current landlord at the time had, um.
He called me and was just like, Hey, just gauging where you're at. I know you're always looking for somewhere closer to the beach and, um, there's a possibility that one of our family members is moving back in the country and wants to rent your house. And he's like, we're not evicting you. Um, we love having you.
But he's like, I know you're always kind of like looking And um, he's like, so just wanted to touch base with you, gauge your interest. And I was like, well, isn't that serendipitous? Thank you universe. And I took that as a sign and I reached out to this apartment and I was like, Hey, I'd like to take a look.
And I looked the next day and it was amazing. And I. To do my due diligence. I looked at some other ones, um, in the area in similar price ranges and some even more expensive. And this was still the best of all of them, even the more expensive one. This was still like, by far the best. And so I was like, am I really gonna do this?
And I was like, yeah, fuck it. So I applied and then I got it. And then. You have to sign a lease within a week of applying and getting approval. So I signed a lease called my landlord and I was like, uh, yeah, I found something. So it was way faster than either of us was anticipating. And then also like not the most ideal timing in the world because I was outta town at the Fascia Research Congress in New Orleans the second week of August.
And then, um. September, um, always starts my fall launch for the fall cohort of the LTAP level one. So that just requires a ton of behind the scenes work from a, you know, email marketing and social media and ads and linking email automations and enrollments and all this stuff, um, that me and my team work on.
And so it's just a big. Big work time. Plus it's the start of football season. So the start of my football travel for my athletes. I have another athlete that wanted me to travel with them, and then I have, um, like six Navy SEAL candidate clients right now. Um. Four of them, which are currently going through first phase of buds.
So they're kind of very needy right now in, in the best way. Like I love working with them, but it's just like I have a lot on my plate. And then my family came down for Labor Day weekend and just. So needless to say, between that unexpected move and then my office and computer and like podcasting stuff, being in a shambles, I just literally didn't have time to do anything.
And um, so here we are. I might have even told that story on the previous podcast. I don't even remember. I do owe everyone a podcast episode recapping the Fascia Research Congress and I, my experience what I learned, my takeaway, that, et cetera, and I still want to do that. I just haven't been able to sit down and like go back through my notes and really like, sit with my thoughts and like really focus on what my takeaways have been just because I've been so busy.
So don't worry that isn't the pipeline. But I did wanna sit down and just get back in the habit of recording these podcast episodes because yeah, we're hitting the ground running. It's fall. Um, if you're on the wait list for the online LTAP level one course, um, we are. Currently in the wait list presale as I record this podcast, whether the podcast will come out during it or not, have no idea.
Um, but, uh, hopefully you enroll if you're interested. There is a lot of bonuses. I am providing this, uh, fall cohort, so super fun for that. Um, and then as always, whenever I launch the online, um, LTAP level one course, I also do the, um. Free version of the Missing Link course, and that's coming up the end of September.
I should be opening the doors to enroll for that, um, within the next week. So keep an eye out for that. I will definitely give an announcement on the podcast when it's time. So what I wanted to talk about today is, um. A question I got in the Facebook group. So I have a Facebook group community for people who, um, have gone through the LTAP level one or the mentorship program.
Um. And it's a great community. It's about 350 people right now. So it's not everybody that's gone through the course, but quite a few. And, um, it's just a great resource for like, you know, tapping into the hive. And, um, one of the questions, um, from Deborah, um. In it this week I was like, you know what, this is gonna, this is, I should share this on the podcast because it was a great question she asked, um, she said, curious if anyone has experience working with a client two to three times a week noticing quick results versus spacing the sessions out.
She's like, I'm wondering how to guide people when scheduling their appointments. And this is a great question. Um, and. It's something we talk about a lot when, when, when you're learning the LTAP. And actually, I talked about it a little bit on this last podcast, one of the last podcast episodes, which I'll have Joe link in the show notes about, um, the, kind of like the interplay between being precise and specific with your assessment and treatment and like what kind of results that gets you.
And basically, you know, what I talk about is. The beauty of the LTAP is it gives you a way to have a more precise assessment and so you can get away with having less precise of a treatment and having good re good results, really good results, you know, versus when you don't have a precise assessment. If your assessment's fairly general, then.
It doesn't matter kind of how precise or general your treatment is. It doesn't, you know, it's hit or miss. So with the LTAP being a more precise assessment, it allows you to have a baseline of good results with general treatment. And then as you can get more specific with your treatment, pre more precise with your treatment, you'll have an even greater response.
Or outcome of your results, and they will be more long-lasting. And so when we talk about this, or when I get questions about this inside the courses, whether it's an in-person course or the online course, for me, oftentimes because I have a lot of very precise treatment, um, tools to, to pick from a lot of the times.
The results are so good, and there's a little bit of a ripple effect where I have a good result the day of treatment, and then the next few days they continue to get better. That allows me to space out the visits sometimes by like three weeks to a month without really diminishing the return on the treatment session.
And so. Um, that is, you know, that's part of too the realization I had of the need to create the LTAP for other clinicians because of this observation with my athletes that I was noticing that as I implemented this osteopathic general listening and local listening as my assessment, which was the hands-on feeling way of listening to the body and letting the body guide me where to start.
I started noticing that I didn't have to treat my athletes as often during the week. The things I was doing once for my travel clients on a Monday or Tuesday, held until I was back the following week or the following two weeks, and it started to. Make me very curious about like, the reason for that, because previous to that, previously, previously, when I did not have that skill, I would find that, um, you know, like back in the day I used to have to release somebody's hip flexor every day in order to.
Give them the hip mobility they needed. And it was like, man, if you can't see me every day, you're kind of screwed. And now it's like, I can do a more specific technique in the area the body wants, and then their hip opens right up and I never have to release their hip flexor. And then it, it's good for a while.
So, um, um, with that said. It's always this kind of interplay on multiple things. So to answer her question was this interplay on multiple things? How precise is my assessment? How precise is my treatment? And then also, you can't discount what's going, like what are the goals? What do they want? Um, what are they, what are their performance or training constraints? What are their life constraints? What are their financial constraints? What other services do you offer? So oftentimes too, for me, it's like I'd say the majority of the time, people are utilizing me to assess what's going on, to give them an idea of what's happening and how to fix something, or how to make themselves feel better or like.
What to do about an injury. And then also relying on my manual therapy skills to make changes and or me giving them a few exercises that are going to support whatever manual therapy treatments that we do. But then there, but then I also have the skillset that I can do. Exercises with people, right? I'm a strength and conditioning coach.
I obviously, exercises are a very important part of rehab. Um, especially like post-surgical rehab or like post-injury rehab where there's been some sort of, immobilization or lack of, um, training going on. Where true strength is needed. Uh, but then also I'm, uh, trained in Pilates. So it's like, you know, there's value in giving people movement and movement experiences, and that's when it comes down to the type of patient.
A lot of times you're hearing me say with my athletes, like I don't spend a lot of time doing movement and exercises with them when it's just maintenance because they're already doing a ton of that. It's just sometimes like whether I want to or not, it's. Oftentimes not what they're coming to me for, and then also not what they really need to like move the dial with whatever their goals are.
And so, but there are instances that I utilize those skills more. Um, and then there is value in general maintenance, manual therapy, um, in the sense that there's a huge value to regular self massage, and sometimes my athletes would rather have me work on them than do the self massage themselves. And so that comes down sometimes to a financial constraint.
Like, does somebody have the money to be paying me throughout the week to work on them more than once for something that they could be doing on their own? Versus do I feel like they really need this multiple times a week? So there's, you know, as with any answer to a question like this, it's not black and white.
It's very gray and very dependent on a lot of different factors. And so I thought, you know, so I, I, I thought the, the best way to answer this in the Facebook group was to give an example of what clients I have right now and how I am working with them. So you can kind of see where my thought process lies.
And um, it's great too because right now, as I said at the beginning of this episode, like I have quite a, quite a lot of patience right now, which is, um, a little bit abnormal for me, but I, I'm loving it. Um, so it's actually really good because you get to see a good, um, mix of sort of like what's going on.
Uh, so. So I'm just going to, I have these right now, so I'm basically gonna read them and kind of add on to it. So first patient I have, I actually, um, haven't seen him in a while uh, for travel constraint reasons, but also kind of given where he's at in his rehab, he doesn't necessarily need a whole lot anymore.
So he's five months post-op knee chondroplasty. He's having some pain with return to training. Um, ideally I'm seeing him every three weeks for about one to three days in a row of assessment and treatment. With that assessment and treatment, I'm doing the LTAP every day. So the body can guide me on where to start treatment and just like clear up and ensure that we have the best like dynamic alignment and mobility and nervous system, autonomic nervous system resilience so that when we go do manual therapy or.
Exercises, he's gonna get the most out of it, it's gonna stick. Um, and then during those treatment sessions too, I'm giving him a little bit of guidance on like, changing his exercises as needed, checking in with his strength program. So I'd like to go with him to the gym to see how things are looking. You know, he's also giving me videos fairly regularly.
And then, um. Th all of this, this like three week check-in is also gives me an opportunity to give him a little bit more notes for his providers that he sees weekly for more general work. Then I have an athlete that I just discharged. Sh um, she was a post-op, um, patient as well. Fracture dislocation surgery of her ankle. And when I was working with her, our constraint was, she was moving away to college, um, at, at a, you know, like middle of August. And, um, so we knew we were limited on time together. And so I would see her, but also there was a little bit of a financial constraint. She was cash pay and, you know.
That adds up very quickly, especially in a post-op world. She's fairly client compliant and working out on her own. She's 18, so she has a little bit more wiggle room of what she can get away with from a, you know, load and movement standpoint. So it's like I didn't feel like I needed to be with her for her exercises all the time.
We basically picked certain exercises from her program with her treatment. Sessions so I could look at her movement patterns giving, give her any coaching cues. She's an athlete, right? So she picks 'em up really easily too. Um, but for the most part, when we were working together these twice, two times a week.
It was, do the LTAP, see where the body directed me. If there was a need to be directed somewhere. Oftentimes she came in and there wasn't really, the body was like, yeah, do whatever you want. So then we would focus on manual therapy. Uh, I wanted to maintain a focus on manual therapy for her, for her scar, for her lower leg.
As her strength came back, because also I knew when she was going to college, she wouldn't be getting a lot of manual therapy. It would be a little bit more exercise based than anything else. And then we would do exercises too, and, and as we progress through the summer, you know, it started with. And this is a normal transition that I often see with these post-op patients is the body has a lot of layers to offer me in the LTAP and a need for a little bit more manual therapy at first, and then it, and then things get better and things normalize and get balanced out, and then we can focus on exercises a little bit more too.
So, the next person, the next person is, um, I'll organize these. A little difference. So the next person is, uh, one of my NFL athletes. He is start, just started in season, basically, you know, training camp just got over. So he has transitioned from this summer, um, off season being maintenance every three weeks to now he is in season maintenance every three weeks.
So I come in. I do the LTAP, I do a general listening. I see where his body's taking me. I ask him what's going on, what he'd like me to focus on. This is fully typically a manual therapy session. Um, he likes just one treatment, even though, you know, I can be there for more than one day. He's just like, one time a week works.
Um, so I come in and. You know, I consider it a little bit more of a tuneup and that I communicate with his other, um, manual based provider who sees him one times per week as well. Um, that other manual based provider's, actually someone who has gone through all of my education. So it's nice 'cause we speak the same language and you know, we share after our appointments with each other what's going on.
So then let's see. All right. Everybody else on my list is going to be these Navy SEAL candidates that are either in their prep period before starting, um, first phase of buds, or currently in first phases of buds. And, um, they have, they, they have a big, they have probably the most constraints on them because they have a financial constraint.
They have, um. A time constraint because they can't do treatment during the day. They have to be working, you know, on base. Uh, so oftentimes they're limited on days of the week or times of day that they can see me. And then they also have constraints in terms of no matter what's going on in their body, they can't really take off training.
And this means that. Uh, if you're not familiar with, um, this physical prep and buds part, or like first phase of buds, it's very physically demanding. They basically are constantly running all day long, doing exercises all day long, swimming.
Like doing underwater activities, swimming, running, lunging, pushups, burpees, sit-ups, forward rolls, body carries, like literally all the things all, all day long. Um, from a strict mileage standpoint, they're going to be averaging between probably, hmm. During prep, I'd say 40 to 60, 70 miles per week. And then as first phase starts, that 70 miles per week increases to like a hundred, 150 miles per week.
And then during hell week, um, it's gonna be about 250 to 275 miles per week, which is freaking nuts. Um, but those are the constraints we have. And so, um. That's, it's, it's, it is a little tough, but I'll, I'll go through these guys' things where you can, so you can kind of see where my thought process was. So one has, um, sorry, I was just reading.
I was like, who is this? I don't even know who this ninth person is. Oh, professional, I think. Um, so one is a. Oh, that's why I missed my other athlete. So I have one more professional athlete. Um, before I get into these buds, guys who literally just sees me once a month for general maintenance, he's currently in season.
He takes pretty good care of his body. He utilizes the athletic training staff, sports medicine staff on the teams he's with. Um, but, um, he likes to see me one time per month if possible, given his schedule and where he is at. Um, from a location standpoint as well, the. Okay, back to the buds guys. So I got one guy that is just general, um, back kind of scoliosis type of pain and calf tightness.
Um, I see him one per one time per month as needed. He's basically really an as needed sort of guy, like I see him, I use the LTAP, we focus on whatever's bothering him. I give him some self care, um, answer any of his questions, and then he will reach out. Rescheduled with me, and it's been about one time for months since I met him.
Um, the other, another guy has hip pain. Um, and then also just wants to, um, see me for maintenance. Um, most of these guys, maintenance means also like a calf massage, like just lower leg foot health type of thing. Um, I see him right now, he's currently in first phase, so he's at that highest amount of volume.
So I'm seeing him one to two times per week. And then, um. Another one. Hip flexor strain and acute hip flexor strain. Um, chronic shin splints. He's, um, also at this highest volume of first phase and, um, I. Um, just started working with him and last week saw him three times per week and it would be great if I could see him at least two times per week, just given the acuteness of what's going on.
And then also he's a new patient, so sometimes when it's a new patient it takes me if, like, some visits to get them to the level of maintenance. So, um. Sometimes it's nice to knock out those visits within the first two weeks to sort of like tune things up to a point where it's like, okay, we can maintain this now.
But again, his main constraint is his schedule. Not necessarily like I could see. I think seeing him more times since he has an acute hip, flex restraint would be best, but we're limited on his schedule. Another guy with neck pain and an acute ankle sprain. He's also in this first phase, high volume high.
Amount of hours, limited time. Um, so, so far he's a new patient too, but, um, his, his things like changed very easily with the first treatment. So I think just seeing him one time per week and then giving him some like self-care things is more than adequate. Um, another one is, um, he's in prep phase. He is, um, actually one week just about one and a half weeks post-op knee mastectomy surgery. I've seen him two times since surgery. Um, right. I think weekly for him is gonna be fine. Just 'cause he's starting rehab with the, um, physical therapists, that's part of their program, um, which are exercise-based, physical therapy for the most part.
So I view my role with him as focusing on decreasing, seeing his swelling and helping his range of motion to facilitate these exercises being easy. So he gets the most out of them. So, um, yeah, one to two times a week, not sorry. One to two times per week, especially in the beginning as he's more swollen is great.
And then he's doing the swelling reduction protocol, um, on his own in the interim. And so far he's doing really well. And then the other guy, he is my, um, I'd say this is gonna be an outlier and you might hear what I. Do with him and you're like, what he needs that much. But yes, he had, um, bilateral severe shin splints, um, slash I'm pretty sure some level of exertional, um, deep posterior compartment syndrome.
Um, so when I was seeing him, I was literally, I started seeing him probably like 12 weeks ago. And, um. I needed to see him almost every day of the week, um, for manual therapy because he just, it was a challenge. Part of that challenge though is that he's within that constraint. As we couldn't back off of his training, there wasn't a time that we could stop having him run or stop having him work out because of the nature of the program he's in and also.
Uh, the intention of him starting with his class, starting first phase with his class. There was just like no time to take time off, and so we were trying to rehab this issue that he had had for over a year with nobody being able to help him. With all of these constraints and we were making progress, but it was just one of those things that it was clear that it was only going to continue to make progress if we stayed on top of it daily.
As his schedule got busier, as they entered first phase. Now I can only see him three to four times a week and, um. He's doing pretty good. Uh, we've got the shins splints under control, but now that's turning into some other little niggles that we're staying on top of, um, as well as staying on top of the shin splints because of his history to make sure they don't come back.
And so he, I actually see the most out of any of my patients ever in this scenario. Um, again, in a perfect world where we could have ramped up his training, cut back on training, I don't think he would've needed daily treatment, um, because we could have managed his load better, but that was just not the option.
So, um, a little, I'll give you a little blurb of what I said. So I said, despite them. All having different needs, niggles, soft tissue injury, post-surgery or maintenance. The process for me remains the same. I start with the LTAP and or listening and let the body tell me where to start and how to proceed.
Right? It's that concept of every round of the LTAP gives me a different layer, different different sequence. So I explain it as like there's a certain combination lock code that I'm trying to figure out. I can't just know the five areas that I need to treat. I need to know the sequence of them, and that's what's really gonna get help with the results.
So I continue and I go on and say, even with the main focus is exercises and strengthening, I start with the LTAP. This allows me to ensure that I have the most optimal environment to proceed, which means less fighting with the body and more ease. This looks like less need for cognitive cues and a lot of mobility work are concentrating on firing certain muscles.
Um, so, you know, you heard me speak about that with that collegiate, um, athlete with the ankle fracture, dislocation post-op is, even as we transitioned into more exercises, we always started the session with an assessment to be like, is there, because to me, I'm like, I don't wanna just jump into exercises.
If your body is in this protection pattern that is going to. Limit us or inhibit us from getting the most out of the exercise. So I wanna make sure that we're always like starting by peeling off whatever protection layer somebody has because this is gonna set us up for the most success. So, um, then someone asked me the difference between the person with the acute hip pain, hip strain. And then the other one with the, um, ankle sprain, acute ankle sprain. And I said the difference here was more of a severity thing. The guy with the hip strain could barely walk. The guy with the ankle sprain was swollen, but functioning totally fine. And so it was like. That's what dictated that I wanted to see the person with the acute hip flexor strain more often than the person with the acute ankle sprain.
So it's, that's definitely part of it. And then I said it's a little bit of preference and a little bit of severity and just how I feel about the entire assessment and session. So throughout the session, the body is like, oh, treat here. And then I'm reevaluating all the orthopedic stuff. So I'm getting to see how this orthopedic picture is changing.
And that starts to inform too, of like. Because at the end of the day, when somebody comes to you with like knee pain, hip pain, neck pain, whatever it is, your job is to create an index of suspicion on like what is causing it and what is like aggravating it or what hurt it in the first place. And so as I'm treating all these different spots and as I'm reassessing and seeing how it changed, I am taking that into consideration with the sort of index of suspicion of what's going on.
And then at the end of treatment, I'm deciding like. Based on my index of suspicion and how you responded to treatment. Is this something that needs like continual care this week or can you wait a week? And oftentimes with most of my patients, what I tell them is, let's not schedule your next appointment until you text me and the next 72 hours and let me know how you feel because I wanna know.
Did we make the shift that we thought we made the shift today? Like today I know we made a change, but tomorrow to go right back to where it started? Or is it continuing to get better? And sometimes when I know that how they're done at 24 or 48 hours out, then it's easier for me to determine when, when to bring them back.
Um. So, yeah. And then I think that's sort of the, the, the gist of like what I shared, um, via that post in the Facebook group. But I thought it was just a good picture of like, it's not black and white. It's not like, oh, this person comes in for hip pain and I'm gonna see him one time a week for five weeks.
Like, that's not how it is. Like at the end of the day, whenever anybody comes and sees me, I am still like in the one to three visit. Guaranteeing results, but a lot of times they wanna see me more than three visits because it always turns into maintenance, or it always turns into them thinking like, man, if I saw you regularly, maybe, maybe this would prevent things from feeling like crap.
So, um, if, if I am gonna see them more than once, I'm going to probably. Especially if it's a new patient. If it's a new patient and I'm like, okay, one to three visits, I know I can figure this out. Those one to three visits are probably gonna be within two weeks of each other. Um, probably not all three in one week, but definitely three in two weeks.
I still do exercises. I still give exercises often for like self-care, home exercise program thing. If it is just not always going to be the bulk of my treatment, it can be it. I'd say if I was gonna put myself in a box, the majority of the time, like I said at the beginning of the podcast, is like I tend to do more manual therapy than anything, but that often is just like.
What the person's coming in for and what they're already doing. I work with a lot of athletes who are already exercising. If you work with general population people who are not moving their bodies at all, they're probably gonna need more movement and exercise instruction. My approach changes when it's not an athlete.
Do I still do quite a bit of manual therapy? Yes. But is it the only thing I'm doing? No, because movement heals and people need to get stronger. Period. So, you know, I guess the overarching theme to this too is like permission to see what works for you and your patient population. And be curious. Try once a week, try twice a week, try three times a week and see what happens.
And then adjust as needed. And you'll start to notice patterns based on. Results of the assessment and treatment based on certain types of pathologies, certain types of people, et cetera. And then at the end of the day, you're still asking the person what they want. If somebody comes to me and they're like, Anna, I wanna see you three times a week regardless, am I gonna tell them, no, no, probably not.
And let, the only time I'm gonna tell them no if I just don't have the bandwidth for that. But if that's what they want and they wanna pay for that, and like they are finding value in it, who am I to say that they don't need that? And so. I'm not gonna change what I do though. Still gonna start with the LTAP every time.
Still gonna follow what the body wants, and then if they're coming for me for manual therapy, then great. If they're coming for me for exercises, great. If they're like coming for me just to be like, and I trust your knowledge and do whatever you think is appropriate, then I'll probably do a mix. So. I know it's not like the best answer because it's not like, oh, just plan to be telling your patients from here on out that you're only gonna see them twice a week or three times a week, or once a week or once a month, whatever it is.
But it's like there's nuance to it because it depends on the person who walks through the door. Depends on your schedule. Depends on the constraints of their life, their finances. Their team or program they're in all of the things. So hopefully that's helpful for everyone and um, thanks for the question, Debra.