This chapter presents a systematic framework of six approaches to reflexivity generated from analysing 170 music therapy research articles that referred to reflexivity (2000–2024) and interviewing 15 authors. The six approaches are: Sentinel Reflexivity (minimising bias to reveal phenomena clearly), Lens Reflexivity (acknowledging subjective perspectives transparently), Authorial Reflexivity (centring the researcher’s experiences), Empathic Reflexivity (attuning closely to participants), Restorative Reflexivity (advancing social justice), and Relational Reflexivity (co-creating meaning through dynamic interconnections). Each approach aligns with a particular research quest and epistemological stance. The chapter emphasises the importance of coherence between a study’s purpose and methods. Reflexivity is framed as a context-dependent, ongoing process, one that is best achieved through relational engagement rather than individual reflection. The chapter advocates for “good-enough reflexivity” that balances rigour with humility. Practical examples and interview insights illustrate how these approaches operate in real-world studies, offering music therapy researchers a flexible map to navigate reflexive practice.