What to expect from the first visit You will be consulted about your lifestyle, health and the reason for your visit. The treatment is generally carried out on a couch but can be done seated. The practitioner works directly on skin or through light clothing and each treatment lasts about 45 minutes. Most first sessions concentrate on the back, neck and shoulders. Most people experience a sense of relaxation and loosening of muscle tension during a Bowen session. There may be a detoxification reaction, lasting for a few days and including aching muscles, mild nausea and mild headaches. After the first treatment, you will be asked to observe certain protocols, for example: Not to sit for more than 30 minutes in one position To avoid any other therapies while having Bowen treatments Go for a daily walk Drink at least 6-8 glasses of water each day during a course of Bowen treatment.