• 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.

1. continue to document periods of agitation.
2. client to do morning routine, walk outside, and continue to dance.

Reviewed homework; client still in nature, listening to sound healing, has been watching some TV (more than in the past) but not horror movies. Has been dancing; engaged in dancing in the session again, this time client able to dance for about 10-15mins, which was longer than in the past. Encouraged grounding of the feet and hip motions.

Discussed with parents their concerns about client's agitation; they noted that she has been talking to herself or yelling at someone who is not there; discussed hallucinations and how they can occur as a result of schizoaffective disorder. Family discovered other family member who also has similar disease. They asked questions. Taught parents about the concept of the intrinsic purity of the mind--used the idea of a crystal in a bowl of clear water that is then dirtied by thoughts and emotions. The parents are familiar with this concept. Then applied this concept to AN herself and the disease process being something that dirties the water and influences AN's behavior. Parents seemed to understand, but still when they describe her behaviors, they use them as a means by which to classify AN as being "good today" or "not good." Will continue to work with this concept and review as necessary (likely this would need to be reviewed at each session).

Spoke with client about the above concept after explaining it to her parents.

Spoke with client also about her thoughts; explained practice that each time she thought of herself as a bad person or not worthy, to replace it with a thought that she is good; her true nature is good.

Also asked AN about the voices and hallucinations she has been experiencing; she denied having hallucinations.
Behavioral health specialist also has noted her responding to hallucinations. Will continue to discuss this with AN. In psychotic illnesses, sometimes psychotic symptoms are not remembered; also possible client feels ashamed of having hallucinations and wants her parents to feel proud of her, so will not discuss these.

Reviewed bouncy twists and tadasana. Added hip circles to sequence. Sequence is:

1. Tadasana
2. Hip Circles
3. Bouncy twists

Mom notes that client has about 5-7 episodes of agitation in the day time; these are typically improved by sound healing and medication. They each last about 20-30 minutes.

The parents seem to be warming to the concept of the true nature being peace; they identify with the concepts of chi and meridians; I spoke with them about the chi being stronger when the mind is calm and when AN does the practices. Overall, we seem to be making progress.

1. consider adding a breath practice.