• 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.

Although client said in her goals that she wants to be able to meditate – we were not able to make progress towards this in the sessions.

Wants to move her body with ease and to be able to meditate.

It does not seem that the client has been able to make much progress towards her goals. Although she has received several Yoga Therapy sessions, client says “she has been doing some of the yoga but it is hard to stay consistent.” She does not say why she has not been able to stay consistent, but it’s implied that it is because of pain.

Unfortunately, as of the last session the client did not have medical coverage. She said her neurologist prescribed gabapentin but was not forthcoming if she is taking anything for the pain.

Client has not been able to progress much towards wellness. As described above, it is implied that when client is in a lot of pain she is unable to do yoga.

Client’s pain is in the feet, and she has been given Joint Freeing movements for the feet, but it seems that the client finds it hard to practice.

Client has been taught Nadi Sudi and is encouraged to practice it to help sooth her neuropathy pain.
Client energy is still low because she has difficulty sleeping due to the pain.

Client is concerned that she is not able to function as the same level as before due to the pain from neuropathy.

When I first met the client, she had just lost two of three jobs that she had. Client has not mentioned anything about work again but I think she is very concerned about having less income.

When client is “in excruciating and intense pain’, she may tend to be more withdrawn and feel depressed.

Client has been going through a difficult time in her life lately with losing two jobs and being without healthcare. And she is also concerned about being able to function because of the pain – therefore, her mind is occupied with these issues and has not been able to understand that Yoga practices take time to work and that they have to be done regularly in order to bring about the benefits.

This client is a professional in the healthcare industry, I’m not sure exactly what her job is but I know she reads and writes and is familiar with the science of healthcare. Therefore, I shared the scientific literature on Yoga especially related to her conditions of diabetes and neuropathy. I was hoping that having this information would encourage the client to practice what she was being taught.

Although client said in her goals that she wants to be able to meditate – we were not able to make progress towards this in the sessions.

What I was able to insert of spiritual wisdom here and there for this client was all reframed. I do not think that client is really interested or does not understand how much yoga could benefit her in this aspect.

Client said that Yoga Nidra is helpful and in every session she received Yoga Nidra.

The following practices are part of what we did in the session. Please do these activities as your practice every morning. These are in addition to the practices you received last week:
Asana Cobra pose – hold 15 seconds twice
Dhanurasam (back bend/bow pose) - 15 seconds
Balasana (child pose) – 15 seconds
Additional practices for the Feet:
*Gently knocking the feet together.
*While sitting down rub your feet on the surface of a carpet on the floor.
Joint Freeing Wrists/Hands/fingers: - 15 seconds each
Breathing practice every morning:
o Deep 3 Part breathing
o Kapalbhati
o Nadi Sudi
Meditation on the Breath
We very briefly mentioned external and internal stressors. Recall that we have control over our internal stressors. When you feel stressed try to identify what type of stress it is. Is it internal or external? Whether you feel internal or external stress you can do Deep 3 Part Breathing like we did today focusing on our breathing, or do Nadi Sudi to help you relax.

I needed this client to help me complete my Yoga Therapy ‘case study’ requirements. If I had not needed to do that, ‘perhaps’ I may not have contacted this client again after the ‘no show’ session, the text messages she was replying to in another session and cutting one of the session short after confirming the amount of time she had reserved for the session.

Even as of this writing, I have again reached out to the client to ask how she is doing. She responded saying that her pain has been moderate this past week but is more intense today (8/17). I asked if she was able to do the yoga and beathing she was given. She has not responded.

It’s been hard to work with client as she sometimes was not responsive meaning that she does not answer emails, nor text messages. It’s not clear to me why this is, and I do not think it is because of the pain she is in. In fact, I her to be more responsive when she can’t tolerate the pain and is looking for relief.

I find that the client is not aware of the need to put quality time into her practice. I have stressed that consistency is important for success. Unlike my other clients, it seems to me that this client is either unable or does not put the work in that is needed for success.

Client has diabetes and this condition has produced peripheral neuropathy quickly because she was on a Keto diet which increase her blood sugar levels worsening her neuropathy. According to scientific publications, Kapalbhati is helpful for stimulating the pancreas so that it can produce insulin, additionally forward bends and poses that put pressure on the abdomen also help stimulate the pancreas. But client has not been able to do the practice consistently.

I also explained how Yoga Nidra helps to sooth pain, and I even told her that my mentor who has had neuropathy for 20 years recommended Yoga Nidra for the pain.

Yes I did.
I was looking forward to working closely with this client to give her the tools that could help her improve. But this did not happen. It seems that client is not really hands on with the yoga tools she is given to be able to benefit from them.