• 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. Three-part breathing daily for 5 minutes followed by alternate nostril for 5 minutes
2. Kirtan Kriya daily 5 minutes
3. Brahmari breath as needed
4. Positive affirmation daily and as needed
5. Gentle movement with breath 15 minutes, twice a week and when feel stressed and overwhelmed.

The client has been diagnosed with chronic inflammatory response syndrome (CIRS). She has low energy and is fear of losing cognitive function.
• Centering – body scan, breath awareness (assess breathing pattern)
• Brahmari
• Eye movement
• Movement of neck and shoulders
• Movement of the spine: Seated cat-cow (with arm), lateral bend (dynamic), dynamic seated twist
• Table
• Puppy
• Child-table-downward dog
• Breath of Joy
• Mountain
• Half Sun Salutation – modification with Goddess pose
• Tree – Lunge (with a chair)
• Prone
• Cobra
• Prone, alternate lift
• Supine twist, pigeon, and hand to big toe
• Supported shoulder stand
• Savasana – Integral yoga
• Alternate nostril – inhale positivity and exhale negativity
• Meditation – focus on the breath

She has had a good week and has been doing well. She had a big smile on her face when I arrived. The length of her inhale and exhale was 4-5 seconds each; there was no reverse breathing. The client also mentioned that her breathing has improved. Her balance slightly improves, she can let go of a chair for 10-15 seconds (from only let for a few seconds).

There is no need to modify session plan today. I quoted Swami Satchidananda ‘You cannot stop the waves, but you can learn to surf’ when we discussed dealing with unpleasant experiences/events with clarity and not let our emotion take over. I also read a paragraph in Letting Go chapter of Jon Kabat-Zinn’s Wherever You Go There You Are book and made a copy of the chapter for her to read later. I think that the client has come a long way from where she was during the first session. She is less reactive to stress and slowly learns to let go and accept what is. Her husband was making a lot of noise in the next door while we were in session. I was pleasantly surprised that the noise did not distract her, and she was completely still during savasana, pranayama and meditation.

Continue to improve balance, flexibility, and strength.
• Centering – body and breath awareness
• Movement of neck, shoulders, and spine
• Breath of Joy
• Mountain
• Chest opening with a strap
• Chair
• Sun salutation with a chair
• Standing tandem
• Warrior II
• Triangle
• Bridge
• Cobra
• Modified camel
• Child
• Bound angle
• Head to knee
• Seated forward bend
• Seated twist
• Leg up a chair/wall
• Savasana
• Brahmari
• Meditation – affirmation