• 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 practice belly massage, breaths (alt nostril and 3 part), and body scan and then adding tense and release.

Reviewed with mother how client has been; she has noted that after the body scan he feels better and she has also noticed that he has been less clingy at home; spends more time in his fort and playing with action figures and building with legos than in the past. He separates from her more readily when it is time for school.

Discussed with her possibility of having having him build a safe space for himself outside of the classroom; there are some individualized education plans that allow children who feel overwhelmed at school, to go to a separate room. If he were allowed to do, with the permission of the school, perhaps mom could use a pop up tent of some sort to keep in the separate room, in order to give him a 'fort' to use at school. Mom agrees to discuss this possibility with teachers and at the next IEP (Individualized Education Plan) meeting.

Met with client alone; separated easily from mom and started playing with the Legos and blocks without any prompting. Started to ask about how I was doing. Engaged easily in conversation and he said he liked to do the body scan practice after his breathing at night. Sleep has been better, he says.

Asked him if he wanted to learn something new and he got excited. I brought mom back into the room (he went to get her) and then taught body scan again and then added a tense and release aspect as we went through the various parts of the body. Client was lying down; mother and client had found blankets in the cabinet of room to lie upon.

Client had a bit of a sleepy look and a big smile before leaving. He showed his mom what he had constructed of the Legos while she was gone and ended session.

Client, overall, has improved with regard to anxiety. He separates more easily from his mother and has been in better attendance at his school.

I will continue to work with this client and with mom and school to see if anything can be done at the level of the school to provide a safe space for client. I was honored to work with this little man, whose visuospatial intelligence is beyond his years. It was a blessing to have the chance to use his gift to help him instill a sense of calm within himself.

1. continue to see client, though, will write final report regarding our work together.
2. will review current practices at next session.