• 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.

No changes were necessary.

Client would like to improve her mobility and get back into a regular yoga practice. She also would like to learn to meditate.

Client was given Chair Yoga to improve her mobility and because chair yoga is more accessible than doing yoga on the floor. Client is a busy working person and chair yoga is something she can do easily at work. That was the Yoga Therapist recommend that client practice the poses during the day at work if she can’t do them at home.
Client was taught Joint freeing movements for arthritis in the hands.
Client was taught a simple Therapeutic Yoga movement to relieve her shoulder impingement/pain. While doing this simple practice, client said she felt it in her shoulder and she liked it.
o Therapeutic Yoga to Fix Shoulder Impingement (minute 3:40 – 4:46).

With the exception of the first practice that was taught to her - to ‘smile’ when she wakes up first thing in the morning, all of the other practices including chair yoga, pranayama, joint freeing movemen

Client’s progress has been minimal because she was not practicing the Yoga tools she was being taught, due to time constraints as described above.

Although client has borderline chronic obstructive pulmonary disease (COPD), client breathes normally - client’s breathing was observed with the breathing technique from the SMTT manual pg 122.
Client reports that her energy level is good.

Client seemed well throughout all the sessions. She often smiled and was cheerful.

Additionally, throughout the span of the sessions the client felt stressed due to her job’s responsibilities. Otherwise, her level of stress is moderate.

Client seems to have a good sense of self and she seems relatively confident. This was apparent when she started Yoga Therapy and has not changed.

Client believes in God and goes to church.

Client appreciated the teachings of Ahimsa, Tapah and Dveshah.

Client wanted to learn meditation and was taught Kirtan Kriya Meditation but she didn’t practice because of time constraints due to her work.

During the last session, client practiced Kirtan Kriya for about 9 minutes followed by one minute of silence and she reported that she really liked that.

Client informed that she has been using Ahimsa during the high pressure weeks she had at work.

After every session the client said “that was great”.

Continue to smile as the first thing you do when you wake up in the morning.
ASANA
o Seated Cobra - upper back bend
o Seated Cat/Cow - spinal extension and flexion
o Standing Tadasana
o Standing Half-locust w/o lifting the right arm - lower back bend
o Standing pelvic circles
o Standing forward bend with spinal stretch holding chair
o Seated twist
PRANAYAMA
o Dirga Swasam – lessen this to 3 to 5 rounds.
o Kapalabhati – try 2 or 3 rounds 15 to 20 expulsions each round
MEDITATION
Kirtan Kriya Meditation is a chanting meditation while lightly touching the fingers together like we did and chanting Sa Ta Na Ma. Below are a few videos that you can view on youtube and these will give you a lot of information on the benefits of Kirtan Kriya. Practice for 5 minutes or longer.
o (991) Dr. Dharma on the Healing Power of Kirtan Kriya - YouTube
o Dr Dharma - Kirtan Kriya - History, Research and benefits
o (991) Kirtan Kriya Meditation - YouTube
This week we discussed Tapasya.

I would relax more about this being my last Case Study client. I say that because I didn’t know if this client was going to show up for the last session as she didn’t respond to my email.

As discussed above, the client could not do the practice almost at all. I completely understood why. But the client felt a little regret about not doing the practice and apologized to me. I told her that I am fine that it does not affect me. Additionally, since I send her the homework and she was able to record most of the last class I trust that with this information, the client will be able to restart her practice.

Yes. Especially the last class as the client was more communicative and I felt I was able to provide better service.