• 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.

The client started with a stressful week, mostly dealing with her husband’s doctor appointments. The second half of the week was better. She is doing better with the noninflammatory diet. She got all the ingredients that she needs to prepare the food. Preparing food still takes time, but she is getting a hang of it. Her body responds to the new diet well. Her balance has improved significantly. She can stay in the Tree pose for 30 seconds or more without a chair. Tandem standing also improves; she can bring the feet closer to each other (the heal is in line with the big toe). She can stay in the pose for 30 seconds or more when the left foot is in front and 10 seconds when the right foot is in front.

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
• Witness practice
• Seated lateral bend and twist
• Table
• Cat-cow
• Puppy
• Child – Table – Downward dog
• Lunge – Lunge twist
• Hamstring stretch
• Downward dog
• Forward bend
• Mountain
• Arm overhead, lateral bend and chest opening/shoulder stretch with a strap
• Sun salutation (2 rounds)
• Tree
• Standing tandem
• Standing locust
• Bridge
• Knee to chest, hamstring stretch, supine pigeon
• Boat
• Bound angle
• Head to knee
• Seated twist
• Guided imagery – peaceful garden
• Box breathing
• Alternate nostril
• Meditation – kirtan kriya

Home practice: Incorporate home practice, including breathing and meditation when preparing food.
1. Three-part breathing for 5 minutes followed by alternate nostril for 5 minutes daily
2. Kirtan Kriya meditation for 10 minutes daily
3. Eye movement daily
4. Once a week, gentle movement with breaths for 30 minutes. Include savasana (8 minutes, have pillow to support your head to avoid coughing), three-part breathing & alternate nostril breathing (5 minutes) and meditation (5 minutes) after asana practice.
5. Positive affirmation as needed.

Yogic wisdom: Non-attachment and four locks-and keys (compassion toward unhappy) in relation to her husband’s health. She can provide support (compassion) to her husband, while giving him autonomy to act or make decisions about matters related to his health (He is mobile and cognitively sound).

The client started with a stressful week, mostly dealing with her husband’s doctor appointments. The second half of the week was better. She is doing better with the noninflammatory diet. She got all the ingredients that she needs to prepare the food. Preparing food still takes time, but she is getting a hang of it. Her body responds to the new diet well. Her balance has improved significantly. She can stay in the Tree pose for 30 seconds or more without a chair. Tandem standing also improves; she can bring the feet closer to each other (the heal is in line with the big toe). She can stay in the pose for 30 seconds or more when the left foot is in front and 10 seconds when the right foot is in front.

The client appears less stressed than in the last session. While she mentioned that she is doing better with the diet, I can still see that it is still stressful for her (although not as much as it was). We discussed home practice. She did not do any of them but mentioned that she would find time for herself. I suggested she choose one thing on the list that she can do consistently. And once she can do that, she can add one more practice to her day. I also suggested the client do breathing practice and meditation while she is preparing food. I reminded her about ‘eating meditation’ described in the book ‘A Dog’s Quest to be a Buddhist;’ observing the color, texture, or smell of the food that she is preparing. I also suggested playing music or dancing while she is in the kitchen, i.e., bringing joy or fun to the kitchen. I recommended the Insight Timer app for guided yoga nidra during bedtime; she likes to read mystery books which sometime keeps her awake.

Continue to improve balance, flexibility, strength, lung capacity, and activate parasympathetic system.