• 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.

Continue with breathing practices, especially extended exhalation and alternate nostril breathing.

The client has been diagnosed with stage 4 cancer; she also has chronic inflammation.
• Checking in – assessment PEG pain screen tool and FSI
• Centering – witness practice
• Three part-breathing
• Guided imagery
• Meditation – positive thought (peace)

PEG assessment indicates that the client can cope with pain because the pain level remains the same but does not interfere with her enjoyment of life. FSI score improved slightly from the first session. I can also see that she looks better (brighter and has more energy than when I met her the first time). She reported that she has been doing breathing practice more than before, although she does not have formal practice. She feels that breathing has helped her, especially to manage stress and pain.

Originally, I planned to work with the client for at least 8 sessions. But because of the lack of commitment to do home practices and adhere to cancellation policy, I feel that I need to end therapeutic relationship with the client. Continuing working with the client in this capacity will not benefit her. I discussed with the client about this, and she agrees. I still want to support her, but as a friend, (she was referred to me by a mutual friend). Although I ended the relationship sooner than I expected, it still is a good learning experience for me.

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