One other suggestion I would make (and this does hit on what Bruce suggested in doing a session over the phone) is that your client, family member, or friend, find time to sit back and actively receive the Reiki. It doesn't necessarily have to be at the exact same time you do it, although doing so will certainly help with validation.

sittingfox wrote:It seems that my Distance Reiki does not have any effect.
Any suggestions for me? Should I get another attunement?
Hands-on works great! Always good results reported by my clients. But the Distance Reiki I have sent to friends seems to be useless, so I don't dare offer it to clients!

Please give me some advice.

TIA,
Jill Johnson ~The Reiki Lady

I had a thought when I read this have you ever thought of working with a healing ball, visualize a beautiful ball it may almost be similar to an orb, she is your ball, she may look how you would like her to look, channel your healing lovingly into the ball, when you have completed the channeling seal the ball as you would a hands on healing, and then lovingly watch the ball float to its destination....
might be worth a try

happy healing! blessingsxxx

I used to be hesistant to do distance Reiki because I am not a strong visualizer and often wondered, "Is anything really happening?" I would still send it but I didn't feel that connected to the process.

Then I had the opportunity to send distance Reiki to a friend of mine in FL who had a torn meniscus and was in a lot of pain. She couldnt't get around very well and with 4 kids at home, she was feeling a bit of stress about her situation. So we agreed to set aside time where I would send her Reiki and she would be somewhere that she could quietly receive. We did this and I followed the basic structure of Takata Sensei's distance healing protocol. I could visualize very clearly what was happening energetically with her knee, including something going on in her shoulders that she hadn't mentioned to me. She clearly felt the Reiki working on her knee - and the next day, reported huge improvement in her comfort levels. We did a couple more sessions and she hasn't complained about her knee ever since.

That experience gave me a lot more confidence to do distance healing. I don't always follow the protocol - if someone says, "Please send Reiki" as a general request, then I just send it as if I was doing a focused meditation. But if we agree to do a distance 'session', then I follow the protocol.