• 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. practice box breathing, 3 part breath, alternate nostril breathing in AM and PM and at other times appropriate. Brahmari breath at night.

2. client aware she can continue to examine her thoughts using table; she is not required to bring it in to discuss, but if she likes, she can.

Client has been using 3 part breathing about 3 times per day, in AM upon rising, at bedtime, and also sometimes at school. She has noted that she feels more in control. Uses bee breath at night as well.

Mother reports that she seems to be sleeping a bit better at night, missing one day of school last week and not calling sick for mom to come and pick her up.

Decided to spend some time with mother and client discussing mental illness and their various contributing factors including genetics. Let family know the numbers of people who suffer from PTSD in the country and world and also discussed the prevalence of insomnia, depression and anxiety. Mom was able to hear this. My hope was to help decrease stigmatization of the client without calling out the mom or the family on having negative thoughts about those will mental illnesses. Not sure if it worked, but gave it a try. I think it's helpful to have a doctor, who speaks the language of the family (Spanish speaking), validate the client as not being deficient due to suffering from a mental illness. Asked mom if she had any questions and then worked with client alone as mother waiting outside in waiting room.

Reviewed chart of distressing situations, associated emotions, thoughts, and then core beliefs.

Similar core beliefs were found: Opposite positive affirmations:
Again, No one can love me/I am not lovable. God Loves Me.
I am a failure. I am a complete success.
I hate me. I am Love itself. [this one is not a direct opposite
but it is one the client proposed and wanted, so
we kept it.]

Taught and practiced alternate nostril breathing, to complement the 3 part breaths and box breathing she already does and ended session.

1. clear that client feels connect to herself in a different way. The ability to observe her own thoughts is a step forward in her sense of conscious awareness of being something other than her mind. The breath practices are also helpful. They could possibly be combined with prati pak shabavana by breathing in the positive opposite thought and breathing out the negative core belief (expelling it). Will not do this now, however, as it may make things too complicated and the client is already learning so much. May use this in the future, after she has more practice with doing the basic breaths.

It was helpful to involve the mom as client lives in a family system in which she is exposed to her family's group consciousness in a way that perhaps individuals from individual based cultures are not. Latin American culture is family based and how one is perceived in the family is critical. Hope to continue to keep working with mom as part of client's treatment plan.

1. Will attempt to do demonstration with crystal and bowl with food coloring
2. Will do body scan as precursor to teaching yoga nidra, to see how client responds.