Does removing an energy blockage in the body always represent removing a spirit problem or are there energetic blockages as well, addressed by the Healing Touch process?

There may well be spirit removal by divine realm accompanying the energetic work of the practitioner. If the intention is to have their assistance, this will happen because it is simply what is most needed in many cases to restore energetic flow and bring the chakra system into full functioning and balance. Whether the practitioner perceives this happening or not does not truly matter. What matters is that the spirit interference is removed, and this will bring things back much more readily to optimal levels of energetic flow. There can be other causes of energetic blockage. This happens through trauma as well, to constrain the opening of the pathway and the meridian system. And so when there is a constraint coming from the deep subconscious emotional response to trauma creating a deposit of a negative energetic residue in the way of energy flow of the body, the corresponding chakra will be influenced for the negative to some degree. When this is a severe situation, it will be highly noticeable by a healing touch practitioner in assessing chakra function, and the restoration of energetic flow through the healing process serves to discharge that negativity and will achieve the desired results. This benefit may be more temporary if it is a deeply held memory that is grooved in by strong inner beliefs that are negative. It will not be easy to shift this negative repository, in which case, as the subconscious is triggered to review it and consider its importance and then begin to worry and re-experience the emotional negativity it represents, this will inflame things and cause a recurrence of chakra malfunction. This can happen over and over again and is a major reason for the need for frequent healing touch sessions to keep the chakra systems humming, so to speak. So there is a dual need here, both for removal of outside negative influences like the spirit attachments as well as deep karmic repair and resolution of the personal trauma experienced by the person. That is not easy to change for the practitioner. In the same way, it is not easy to change by divine realm, because the negativity held by the client may be a decision that it is an important life lesson to be embraced and then used as a reference point, and the mind will not let it go. That is the value of the trauma resolution work you do working through the subconscious, to identify those repositories of negative energy from past trauma, to resolve them, and allow the negativity to drain away. That is a more profound healing than can occur otherwise.