In the beginning of the sitting I would ask You to briefly inform me about Your main issue or Your issues, if there are more than one. In the case of soul or psychological problems, the healing would probably mainly be a life counselling - one form of treatment can merge into the other here.
According to the circumstances I would then decide, whether or not I would use a tool and then, which one/ ones I would use, and then I would begin with the healing.
The method of healing is purely spiritual and mind work, despite of this resulting in real physical effects, while I am working from a slightly shifted state of consciousness. If I use tools, this would be things like a pendulum, feathers, ... maybe also something like a drum.
Also a single sitting, no matter if life counselling or healing, is aiming at being of immediate and concrete help.