• 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.

Practice the adapted sun salutation on your bed or floor.
Journaling about 2.15 Yoga sutra https://integralyogamagazine.org/the-yoga-of-suffering-its-philosophy-and-practice/
15 minutes Yoga Nidra 1, 2, 3 (chapter 6, Yoga Nidra meditations, Julie Lusk on Audible).
Affirmations: Write an affirmation you like in your restroom mirror and repeat it daily.
Read your Guru’s lessons before sleep.
Practice the Heart coherence meditation for 5 minutes, with deep exhalations.
Wal meditkation once a week.

Check-in with the client : Did you practice SS? Affirmations? Journaling about 4 locks and 4 keys? Yoga Nidra? Guruji’s lessons? 3 part breath?
Yoga Philosophy:
“In Yoga Sutra 2.15, Patanjali tells us that, “To one of discrimination, everything is painful indeed, due to its consequences: the anxiety and fear over losing what is gained; the resulting impressions left in the mind to create renewed cravings; and the constant conflict among the three gunas, which control the mind.” https://integralyogamagazine.org/the-yoga-of-suffering-its-philosophy-and-practice/

We need suffering in order to see the path. The origin of suffering, the cessation of suffering and the path leading to the end of suffering are all found in the heart of suffering. If we are afraid to touch our suffering, we will not be able to realize the path of peace, joy and liberation. Don’t run away. Make peace with it. The Buddha said:
“The moment you know how your suffering came to be, you are already on the path of release from it. —Thich Nhat Hanh

Sun salutation on the floor
back bend: stick pose with back bend
forward bend: Apanasana, supta padangustasana with strap
Inversion - viparita with block
No twists
Savasana.
Progressive Relaxation
PRANAYAMA: with imagery (SMTT page 131) - Inhale love and light/ exhale anxiety and fear - Exhale 2x the inhalation
MEDITATION: concentration on your heart
Renewal exercise – Heart coherence (Heart Math Institute)
“Step one
Focus your attention in the area of the heart.
Imagine your breath is flowing in and out of your heart or chest area, breathing a little slower and deeper than usual.
Suggestion: Inhale 5 seconds, exhale 5 seconds
Step two
Make a sincere attempt to experience a regenerative feeling such as appreciation or care for someone or something in your life.
Suggestion: Try to re-experience the feeling you have for someone you love, a pet, a special place, an accomplishment, etc., or focus on a feeling of
calm or ease.
*Feel Your Heart
Pay attention to your chest area and to your heart.
The heart responds rapidly to whatever is going on around you. It can leap for joy at seeing someone you love, feel heavy and constricted when you’re sad, pound fiercely when you are afraid. It gives us important clues about our lives.
Listen to your heart carefully and ask what messages it may have for you.”
CLOSING

She is doing acupuncture and after the 3rd session, she can feel less pain.
The acupuncturist is concerned about her digestion and gave herbs to increase the chi, JD needs to gain weight. A week ago the pain was 9-10 and when she came to me was 6-7 (Defense and Veterans Pain rating scale). https://health.mil/Reference-Center/Publications/2021/05/10/PHCoE-PCBH-Defense-and-Veterans-Pain-Rating-Scale-508
Dryness in the mouth is a little better, now she can sleep better at night, although she said that last 3 nights she couldn’t sleep. She was very awake.
AFIB is still there, although her heart rate is very good.
Tuesday and Wednesday she does a yoga practice on her own, which is:
3 Sun salutations to both sides lying on the floor, hamstring stretches with strap, bridge, and legs up the wall. She practices breathing exercises (3 part breath and alternate nostril breathing almost every day.
We meet on Mondays and Fridays, so she is practicing 4 times a week, which is pretty good!
She does abhyanga daily on her feet, hands, and belly.
She tries to go to bed by 10 pm. I suggested no TV or cell phones at least 1 hour before sleep.
She said her heart is pounding all the time.
We did a walk meditation to see how it works, and she felt a little out of balance when she walked.

For the first time, I observed that she breathed too much through her chest and almost nothing through her belly. Research suggests that diaphragmatic breathing can have a wide range of benefits. We should work more on belly breathing to strengthen the diaphragm, lower the harmful effects of the stress hormone cortisol on your body, manage the symptoms of post-traumatic stress disorder (PTSD), lower her heart rate and blood pressure, make core strength exercises more effective, improving her core muscle stability, and subsequently her balance.
https://www.healthline.com/health/diaphragmatic-breathing#benefits
https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/belly-breathing-benefits
The session went overtime for 15 minutes more. We will talk more about the sutra 2.15 and the article in our next session.

Check-in with the client: Did you practice SS? Affirmations? Journaling about 2.15 sutra? Yoga Nidra? Guruji’s lessons? 3 part breath?
Yoga philosophy: We will continue with the discussion about suffering explained in Sutra 2.15

Sun salutation on the floor
back bend: stick pose with back bend
forward bend: Apanasana, supta padangustasana with strap
Inversion - viparita with block
No twists
Savasana.
Progressive Relaxation and deep relaxation with guided yoga nidraYour body as a healing garden (Therapeutic Yoga kit, Cheri Clampet, and Mithoefer, page 159)
PRANAYAMA: 3-part breath and bee breath
MEDITATION: Affirmations for Healing. Where there is Light, P. Yogananda, page 38, 39.
CLOSING