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This chapter analyses the process of consultation and diagnosis, which are the essential prerequisites to deciding on the correct treatment.

The first steps in consultation are to observe, question and listen to the patient/client in order to understand the problem. All the information gained should be recorded in a case history, using a consultation card or index card.

There needs to be a thorough diagnostic analysis prior to commencement of treatment, through a methodical appraisal of the feet, hands and ears (see also chapters 5–7 for specific areas). The therapists should be aware of behaviour patterns and how they may affect the patient/client’s health. Other factors that may be important need to be considered also. For instance, environmental factors may be affecting the patient/client. These processes lead to a differential diagnosis to understand the cause of the patient/client’s problem.

Finally, the therapist needs to decide on and recommend a treatment. However, there may be patients/clients for whom treatment is contraindicated, and the reflexologist needs to be aware of these.

The general order of the consultation process is therefore as follows:

• observation

• questioning and listening

• diagnosis

• recommending treatment.