The client moves well overall - while aware of scoliosis (thoracic curve) not certain of the degree. She is always experiencing physical pain, as she wrote "for me it's not a matter of if I'm in pain, it's a matter of how much and what kind."

On breath assessment client showed diaphragmatic movement, however her breath could be more full. She lives with asthma, but has worked to overall deepen her breathing. In terms of her overall energy, in order to work each day she uses several supplements and daytime naps. As she shared I tried not to ask too many questions in order not to exhaust her during assessment, and I applauded that she intentionally tried to find a balance of sharing about herself without getting wrapped up/lost in recounting stories that were triggering to her.

The client has experienced many traumas - in her family of origin, in racial discrimination at her previous job. As she spoke her mental energy would fluctuate between slightly rajasic and slightly tamasic. This is where I'm still learning how to assess someone's manomaya kosha appropriately who is taking medication for anxiety and depression. She was able to very clearly articulate how she felt about situations she shared, and know when to stop sharing about a subject before she pushed herself to a point of tamasic shutdown.

She also shared that her father passed in October 2023 and she is still experiencing grief - they had a complicated relationship.

Client is agnostic and would like that to be honored. Shared with her that yoga is not a religion, but offers philosophy and principles that are very applicable to everyday life and experiences, regardless of religion.

The client has an admirable attitude of being able to see the value of lessons learned from painful experiences, even experiences in which she was clearly victimized - already incorporating pratipaksha bhavana in her life. She seems to have some awareness of being more than just her body, thoughts and emotions - and I believe many of the wisdom teachings will open this idea up for her even more.

Introducing the idea of the vrittis, and some of the sutras in book 1 that talk about them - 1.2, 1.6, 1.7 With all the movement she can have in her mind due to ADHD, anxiety, depression, being able to observe her thoughts and how they might fit into these categories of vrittis could be a tool to bring both greater awareness and calm to her mind.

Pratipaksha Bhavana (sutra 2.33-2.34) - I feel like the client in many ways already has this practice, but I would like to highlight it as a wisdom teaching of yoga.

Yoga for Treating Headaches: A Systematic Review and Meta-Analysis: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7080891/

Role of Yoga as Adjunct Therapy for Migraines: A Narrative Review of the Literature: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10701189/

- Both have studies incorporating pranayama, meditation and gentle asana. Seeing as the client has recently joined the gym and has regular movement practices, I would like to focus asana practice on restorative postures that she can explore at home.

Effects of a Six Week Yoga Intervention on Executive Functioning in Women Screening Positive for Adult ADHD: A Pilot Study: https://www.frontiersin.org/journals/sports-and-active-living/articles/10.3389/fspor.2022.746409/full

- While this study was more looking at the feasibililty of creating a 6-week program, in summarizing studies involving yoga to treat ADHD there were examples of using mindfulness to strengthen executive function by bringing awareness to sensations without judgement in asana practice.

Healthline: Can Yoga Relieve Symptoms of PCOS? https://www.healthline.com/health/yoga-for-pcos#poses-that-help

• Check in, centering, balanced hatha yoga set considering contraindications, relaxation (with imagery as appropriate),
• Balanced pranayama considering contraindications, meditation/centering.
• Include at least one suggestion from Karma, Bhakti, Raja, or Jnana Yoga tailored for this client.