• 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.

Regarding client's challenges with balancing, I began with a simple alternate-leg balancing practice using a chair for stabilization and supports and squats to strengthen upper legs. From there I added lunges and a 'rolling tippy-toe' practice to support client in cultivating better balance, proprioceptive awareness of the structural kinetic chain.
I also added in a mantra, "Chin up!" Client loved that.
We also agreed that he could practice these balancing exercises in the pool, which he's done faithfully over the past few months. I believe he's receiving more benefit by practicing in the pool rather than in his home using a chair or counter for support.

Client has made notable and noticeable progress regarding his Dropped Head Syndrome. During our work together, client's chiropractor has been monitoring his progress using a A "Flexicurve," a non-invasive tool to assess the curvature of the spine. She has noted a 9-degree improvement since she first started measuring in early August.
Client's wife has also commented on his visible improvement.
I made no revision of goals, simply expanded upon what we were learning along the way and what was obviously benefiting the client.

Through steady and determined effort, client's posture has improved as has his ROM in his shoulders and balance as well. He's lifting his head more and making better eye contact now.

Client's breathing is noticeably deeper and he's integrating the various breathing practices that he enjoys most into his day. He's calmer and more grounded. He sighs a lot, which I take to mean he's able to relax more and let go of things. Mentioned re-reading an old favorite, "Don't Sweat The Small Stuff". We agreed that extended and mindful exhales can help him do just that.

Client is learning to take time to connect within. He appreciates the concept of the Witness - simply stepping back and observing what's going on within as he considers external conditions and circumstances.
At times, he's been faced with some challenging situations with his family. While he's been rattled and frustrated, he seems more resolved to keep his peace as he works his way through whatever he's facing. He finds that breathing helps him do just that. Pause, breathe, then choose from there.

Client has a strong sense of self. I sense some self-doubt that he masks with a cheery confidence at times. When this has happened, I've sensed some defensiveness, I've probed a little then get a glib reply, 'that's the way it is' etc.

Client is not overtly 'spiritual' he appreciates the wisdom teachings of the Sutras and Yoga Philosophy including the Witness, Contentment and Non-attachment.

Client has repeatedly expressed his gratitude for our work together. He states that I've helped him more that his osteopath and chiropractor have. I thanked him and noted that they have their focus. As for me and yoga therapy, I focus on the whole-person with a Kosha-based approach. We agreed that makes all the difference.

Here’s a follow-up from our last session. I’m so glad you’re finding some benefit at the pool. Keep it up! Regarding your sleep patterns and bed time, just a friendly reminder to set your alarm for 11 PM. Turn off all electronics too.

- SHOULDER ROLLS - Sitting in your chair -
- Grounding into your feet and your sits bones on your chair
- Gently engaging your core and lifting through your sternum
- Roll shoulders together or separately UP / BACK / DOWN 3-5 X. Then reverse - BACK / UP / DOWN 3-5 X. Repeat.
- CHERRY PICKING
- Sitting up tall in your chair - alternate reaching up with each arm as if you’re grasping for a cherry. Coordinate with your breath - as you reach up inhale, as you lower exhale. Continue for 10 reps each side then rest. Repeat, if desired.
- BALANCE - using a stable chair - stand next to the back of the chair -
— LEFT SIDE - place left hand on chair, as needed, lift your left knee - hold for count of up to 10. Release.
— RIGHT SIDE - place right hand on cha

I think I would pursue the Raja teachings more with him. I think there was a lot of value in what he learned. I would have probed more. I didn't because he was focused on the physical aspects of our work together.

None come to mind right now.

Yes, I enjoyed my service and seeing client so pleased with his progress and receiving such positive feedback. Very gratifying.