Thanks for both of the replies Fyzzio and Crystal. That makes sense about client goals- I think I often assume that they will have the same goals as me without talking enough about it. I think the biggest thing I am learning at the moment it about communicating around client goals and a long term plan. I find when I do this well, people are really enthusiatic about returning for treatment, and almost can't wait because they want to get things right. I think at other times where we haven't quite identified specific goals, it is easier for clients to get sidetracked or go off on tangents to try other therapies etc and there is not as much trust there.