• 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 (Bee) breath as needed
4. Positive affirmation daily and as needed
5. Gentle movement with breaths 30 minutes, twice a week. Include savasana, three-part breathing and meditation after asana practice. Three-part breathing – observe the length of inhalation and exhalation and hold the breath for 1 or 2 counts between inhale and exhale. Meditation – positive affirmation of choice or So Ham mantra.

The client has been diagnosed with chronic inflammatory response syndrome (CIRS). She initially had low energy and was fear of losing cognitive function. The asana and pranayama also focused on strengthening the muscles that facilitate respiration (diaphragm, intercoastal muscles as well as chest and abdominal muscles).
• Check in – Kosha discussion
• Centering – body, breath awareness and extended exhalation
• Head, neck and shoulder movements
• Seated cat-cow
• Seated lateral bend
• Seated twist
• Bicycle leg (one leg at the time and move an opposite arm)
• Seated Sun salutation (3 rounds)
• Mountain
• Tree
• Standing tandem
• Standing locust
• Dancer
• Cobra
• Alternate lift arm and leg
• Child
• Puppy
• Cat-cow
• Boat
• Bound angle
• Head to knee
• Seated forward bend
• Seated twist
• Savasana
• Bee breath
• Meditation – affirmation of choice

The client is doing well. She reported that she is less reactive and is more patient with her husband. This has helped the relationship. When asked about which practice or teaching that she has brought to her daily life. She reported that kindness/compassion, awareness, and non-attachment as well as breathing and meditation have been helpful. The client also works on eating ‘clean’ diet – vegan, non-processed food. She has great support from her community, especially people in the CIRS support group; being in part of the group makes she feels that she is not alone. The group also has a Foodie Friday when they share a recipe of a clean diet.

I made a record of an asana session for the client to practice while I am away for 3 weeks. The client told me about her approach to eating a clean diet. I thought that it was a good segway to discuss Koshas with her. I explained each kosha and practices that support them (eating clean diet and physical movement for Annamaya kosha; breathing practice for Pranamaya kosha; breathing and yogic wisdom – Manomaya kosha; yogic wisdom and meditation for Vijnana kosha). I sent her an online article after the class: https://www.healthline.com/health/mental-health/koshas.

I made a record of an asana session for the client to practice while I am away for 3 weeks. The client told me about her approach to eating a clean diet. I thought that it was a good segway to discuss Koshas with her. I explained each kosha and practices that support them (eating clean diet and physical movement for Annamaya kosha; breathing practice for Pranamaya kosha; breathing and yogic wisdom – Manomaya kosha; yogic wisdom and meditation for Vijnana kosha).