Is long-distance healing just as effective as in-person sessions?

Yes, sometimes more so.  The work clears energy blockages in the energy system that are non-physical, meaning they exist outside time and space. The work can technically take place without the client present, provided permission is supplied.  Depending on the type of work or treatments needed, the energy buildup from the client can become very 'heavy' and sluggish for the practitioner, requiring much more effort to 'get through' the work.  Cases where there is a significant amount of possession illness, for instance, can sometimes make the energy much heavier and labored. When a client is located remotely, this buildup won't impact the practitioner as much, so work at a fuller pace can be managed.