Clients have little physical activity - there is no organized form of physical exercise for them. Some clients are so rajasic that they find ways to move that are excessive exertion with no connection to sensations present, and risk ahimsa without intervention of psychotropic medication.

Clients overall lack breath awareness. Breath is shallow with little to no abdominal movement. Clients are unable to manage their energy, and are usually at a level of rajas that is out of control when they are brought to the unit.

Clients lack emotional regulation, and are often disconnected from their senses in the sense that they are not paying attention to the "nutrition" of what they are digesting through their eyes, ears, or sense of touch.

Clients come from varying spiritual backgrounds, but most would consider themselves as "spiritual." Wanting to embrace the practices of all and not impose practices on anyone, I would encourage each client that they are more than just the body. If the cause of dis-ease is truly forgetting our true nature as spirit, I would like to explore the limb of samadhi - just bringing awareness to the possibility, and perhaps share insights from this article from Jaganath Carrera: https://integralyogamagazine.org/patanjalis-words-samadhi-and-faith/

Clients present unaware of the vijnanamaya kosha, or have limited experience attempting to access it.

Sutra 1.2 - Yoga is about bringing calm and balance to the mind. We move the body to move our energy and connect our body and mind through the breath. We can work with our breathing to help calm the mind and body when it's overactive, and even energize the body and mind when depressed. We can apply teachings of yoga to our everyday life outside of yoga class. (My attempt at translating the sutra to participants)

Sutra 1.12 - Practice and Non-attachment. We use practices as tools to help us in those moments when we feel out of balance. What makes it "practice" is that we don't just do it one time, we keep working with it over and over and over as often as we need to use it. At the same time we also seek to let go - of attitudes, judgements, anything that gets in the way of our peace.

The Future of Yoga for Mental Health Care: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10424272/

Chair supported hatha to move the energy in the body, encouraging awareness of sensations. (Example: Surya Namaskar standing with hands on the back of the chair.) Asana practice is always adaptive, with access to a chair for each participant, due to the variety of injuries and conditions of the clients, and how the population can change weekly.

As the clients are given sedating medications (self-reported), I must observe them as we practice, as well as offer periodic check-ins for them to self-report how they are feeling - in order to make sure that the practices I offer do not offset the calming effects of the medications, nor over-sedate the clients.

3 sessions planned for the case study. Sessions are weekly and ongoing.

• 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.